MEDICARE: GEVORK ARUTINYAN NP

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	363L00000X	Nurse Practitioner	95030328	CA
2	363LF0000X	Family Nurse Practitioner	95030328	CA

General Provider Information

NPI Number	:	1821814435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEVORK ARUTINYAN NP

Provider Business Mailing Address
First Line	:	6223 ELMER AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4226
Country	:	US
Telephone Number	:	818-621-5266
Fax Number	:

Provider Business Practice Location Address
First Line	:	6223 ELMER AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4226
Country	:	US
Telephone Number	:	818-621-5266
Fax Number	:

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

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	12/12/2024

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Directions to “ GEVORK ARUTINYAN NP” Practice Location

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