Healthcare Provider Details

I. General information

NPI: 1245930882
Provider Name (Legal Business Name): ARMEN CHRISTOPHER GREGORIAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 BROADVIEW DR
GLENDALE CA
91208-1313
US

IV. Provider business mailing address

2101 BROADVIEW DR
GLENDALE CA
91208-1313
US

V. Phone/Fax

Practice location:
  • Phone: 818-244-7237
  • Fax:
Mailing address:
  • Phone: 818-244-7237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RIMA VOSKANI
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-248-2000