Healthcare Provider Details

I. General information

NPI: 1073458337
Provider Name (Legal Business Name): KINETIX HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11735 ANDREW AVENUE
GRANADA CA
91344
US

IV. Provider business mailing address

16051 CHASE ST
NORTH HILLS CA
91343-6307
US

V. Phone/Fax

Practice location:
  • Phone: 818-669-8432
  • Fax:
Mailing address:
  • Phone: 818-669-8433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GEVORK GESHGIAN
Title or Position: PRESIDENT
Credential: DO
Phone: 818-669-8433