EDWIN KHACHATOURIANS

NORTHRIDGE, CA
NPI1174351050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64707)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CA  PA64707)
363AS0400X Physician Assistant, Surgical
(Licence: CA  PA64707)
Enumeration Date2024-07-23
Last Update Date2024-07-23
Business Address
EDWIN KHACHATOURIANS PA-C
PO BOX 8285
NORTHRIDGE, CA 91327-8285
Phone number: 818-307-3428
Mailing Address
EDWIN KHACHATOURIANS PA-C
PO BOX 8285
NORTHRIDGE, CA 91327-8285
Phone number: