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NPI 1801744263

NPI 1801744263 : KHACHATRYAN PSYCHOLOGY, PC : NORTH HOLLYWOOD, CA

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General NPI Number Information
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    NPI Number           |    1801744263
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    Entity Type          |    Organization 
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    Legal Business Name  |    KHACHATRYAN PSYCHOLOGY, PC 
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Dates
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    Enumeration Date     |    03/19/2026
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    Last Update Date     |    03/19/2026
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Provider Practice Location Address
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    Address Line         |    4729 LANKERSHIM BLVD 
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    City                 |    NORTH HOLLYWOOD
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    State                |    CA
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    Zip                  |    91602-1803
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    Country              |    US
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    Telephone            |    818-281-8625
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4729 LANKERSHIM BLVD 
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    City                 |    NORTH HOLLYWOOD
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    State                |    CA
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    Zip                  |    91602-1803
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    Country              |    US
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    Telephone            |    818-281-8625
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. MISAK  KHACHATRYAN 
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    Credential           |    PSY.D.
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    Telephone            |    818-281-8625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QC1800X
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    Taxonomy Name        |    Corporate Health Clinic/Center
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    License Number       |    
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    License Number State |    
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