Healthcare Provider Details

I. General information

NPI: 1780324533
Provider Name (Legal Business Name): MIHRAN OGARYAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8121 GREENBUSH AVE
PANORAMA CITY CA
91402-5536
US

IV. Provider business mailing address

8121 GREENBUSH AVE
PANORAMA CITY CA
91402-5536
US

V. Phone/Fax

Practice location:
  • Phone: 818-669-8885
  • Fax:
Mailing address:
  • Phone: 818-669-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number346768
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA197222
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: