Healthcare Provider Details

I. General information

NPI: 1982640868
Provider Name (Legal Business Name): MRS. NAIRA MKRTCHYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST 1110-E
LOS ANGELES CA
90048-5901
US

IV. Provider business mailing address

221 E LEXINGTON DR
GLENDALE CA
91206-3552
US

V. Phone/Fax

Practice location:
  • Phone: 818-458-0012
  • Fax:
Mailing address:
  • Phone: 818-572-4488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: