=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174834162
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANRIET MINASIAN-ARAKELIAN D O INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/24/2010
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3600 N VERDUGO RD STE 300
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91208-1258
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-249-1300
-----------------------------------------------------
Fax | 818-249-1301
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3600 N VERDUGO RD STE 300
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91208-1258
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-249-1300
-----------------------------------------------------
Fax | 818-249-1301
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | DR. HANRIET MINASIAN-ARAKELIAN
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 818-249-1399
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number | 20A9021
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number | 20A9021
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------