Healthcare Provider Details

I. General information

NPI: 1215852967
Provider Name (Legal Business Name): GEVORK ARZUMANYAN PT, DPT, MFDC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 HONOLULU AVE STE 150
MONTROSE CA
91020-1853
US

IV. Provider business mailing address

1039 JUSTIN AVE APT 109
GLENDALE CA
91201-3614
US

V. Phone/Fax

Practice location:
  • Phone: 747-255-7072
  • Fax:
Mailing address:
  • Phone: 818-943-6909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: