Healthcare Provider Details

I. General information

NPI: 1568040988
Provider Name (Legal Business Name): HAROUTIUN HAMZOIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15901 HAWTHORNE BLVD STE 240
LAWNDALE CA
90260-5801
US

IV. Provider business mailing address

4605 LANKERSHIM BLVD STE 717
NORTH HOLLYWOOD CA
91602-1887
US

V. Phone/Fax

Practice location:
  • Phone: 424-360-0066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberA205025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: