MEDICARE: HEAL MEDICAL CLINIC INC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1891656831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL MEDICAL CLINIC INC

Provider Business Mailing Address
First Line	:	6500 LANKERSHIM BLVD # 101
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-2476
Country	:	US
Telephone Number	:	818-824-3030
Fax Number	:	818-824-3078

Provider Business Practice Location Address
First Line	:	6500 LANKERSHIM BLVD # 101
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-2476
Country	:	US
Telephone Number	:	818-824-3030
Fax Number	:	818-824-3078

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KRIKOR TATOYAN
Credential	:
Telephone Number	:	818-824-3030

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

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Directions to “HEAL MEDICAL CLINIC INC ” Practice Location

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