Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Grigoryan

Individual provider Family Medicine Physician · NPI 1083198550

Elizabeth Grigoryan is a Family Practice in Glendale, California. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

662 W Broadway Ste C
Glendale, CA 91204-1008
Phone: (818) 664-4112
Fax: (818) 671-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 S Grand Ave, Los Angeles, CA 90015-3048 — (213) 744-0801

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A174398 (CA)

Record details

NPI number1083198550
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2018
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address662 W Broadway Ste C, Glendale, CA 91204-1008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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