MEDICARE: LELEYA KHACHIKYAN

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
1	101YM0800X	Mental Health Counselor	127670	CA

General Provider Information

NPI Number	:	1447707864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LELEYA KHACHIKYAN

Provider Business Mailing Address
First Line	:	16257 MARILYN DR
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-3038
Country	:	US
Telephone Number	:	818-967-7127
Fax Number	:

Provider Business Practice Location Address
First Line	:	9832 MARNICE AVE
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2822
Country	:	US
Telephone Number	:	818-967-7127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	04/08/2026

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Directions to “ LELEYA KHACHIKYAN ” Practice Location

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