Healthcare Provider Details

I. General information

NPI: 1477463487
Provider Name (Legal Business Name): PATH NEUROLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 N ROBERTSON BLVD STE 806
LOS ANGELES CA
90048-3111
US

IV. Provider business mailing address

3940 LAUREL CANYON BLVD UNIT 1365
STUDIO CITY CA
91604-3709
US

V. Phone/Fax

Practice location:
  • Phone: 866-642-7284
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MICHAEL GEZALIAN
Title or Position: PRESIDENT / OWNER
Credential: MD
Phone: 323-707-4845