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NPI Code Detail

MEDICARE: MR. YEGHIA KHACHIKIAN PSY.D.

MEDICARE: MR. YEGHIA KHACHIKIAN PSY.D.
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1932480837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YEGHIA KHACHIKIAN PSY.D.
Provider Business Mailing Address
First Line : 121 W CHEVY CHASE DR
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2315
Country : US
Telephone Number : 213-241-0979
Fax Number :
Provider Business Practice Location Address
First Line : 1453 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-5648
Country : US
Telephone Number : 213-241-0979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 05/15/2024

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