MEDICARE: GRIGOR SADOYAN CMT

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	225700000X	Massage Therapist	92871	CA

General Provider Information

NPI Number	:	1780562587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRIGOR SADOYAN CMT

Provider Business Mailing Address
First Line	:	549 ALEXANDER ST APT 4
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1650
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N BRAND BLVD STE 254
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4444
Country	:	US
Telephone Number	:	323-746-4677
Fax Number	:

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

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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Directions to “ GRIGOR SADOYAN CMT” Practice Location

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