Edgar Albertovich Khachatryan
Edgar Albertovich Khachatryan is an Assisted Living Facility (Mental Illness) in Glendale, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1227 Campbell StGlendale, CA 91207-1445
Phone: (747) 228-4111
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Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X |
|---|
Record details
| NPI number | 1447974449 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | 1227 Campbell St, Glendale, CA 91207-1445 |