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Contact Information

EDWIN KHACHATOURIANS, PA-C
1030 S GLENDALE AVE
STE 402
GLENDALE, CA91205
 Phone: 818-230-6522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EDWIN KHACHATOURIANS · (Male)

NPI Number 1174351050
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/23/2024
Last updated 08/27/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PA64707
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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