MEDICARE: ARPI HAMBARCHYAN

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	207Q00000X	Family Medicine Physician	20A15207	CA

General Provider Information

NPI Number	:	1730567967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARPI HAMBARCHYAN

Provider Business Mailing Address
First Line	:	519 E BROADWAY
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1110
Country	:	US
Telephone Number	:	818-409-3020
Fax Number	:	818-243-2713

Provider Business Practice Location Address
First Line	:	401 S GLENOAKS BLVD STE 101
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-2707
Country	:	US
Telephone Number	:	818-748-1740
Fax Number	:	818-748-1741

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

Provider Enumeration Date	:	05/07/2015
Last Update Date	:	03/13/2020

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