DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GOR MIRZOYAN DO

MEDICARE: GOR MIRZOYAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1285578252
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOR MIRZOYAN DO
Provider Business Mailing Address
First Line : 222 MONTEREY RD UNIT 102
Second Line :
City : GLENDALE
State : CA
Zip : 91206-2001
Country : US
Telephone Number : 818-261-8745
Fax Number :
Provider Business Practice Location Address
First Line : 1720 E CESAR E CHAVEZ AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-2414
Country : US
Telephone Number : 323-268-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

Similar Medicare Providers

1922943760 — DR. DOMINIC JACOB RIVERA
Practice Location Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2414
Practice Phone: 323-260-5789
Practice Fax:
1912842709 — ASHLEY CHRISTENSEN MD
Practice Location Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2414
Practice Phone: 323-268-5000
Practice Fax:
1184569873 — JONATHAN SILVA MD
Practice Location Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2414
Practice Phone: 323-260-5789
Practice Fax:
1639011786 — ALEXIS ROCHELLE MANALAYSAY BASA DO
Practice Location Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2414
Practice Phone: 323-268-5000
Practice Fax:
1780526442 — MS. RIDA IMRAN KHAN
Practice Location Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2414
Practice Phone: 323-260-5781
Practice Fax:
1497698062 — BRYANT-HAU PHUC TRAN
Practice Location Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2414
Practice Phone: 626-940-9657
Practice Fax:

Directions to “ GOR MIRZOYAN DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.