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

Gevorg Arutyunavich Mutafyan, MD

Individual provider Surgery Physician · NPI 1255465506

Gevorg Arutyunavich Mutafyan, MD is a General Surgery in Glendale, California. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
31
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1510 S Central Ave Ste 200
Glendale, CA 91204-2588
Phone: (818) 247-2000
Fax: (818) 247-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2006-00669 (NC)

Record details

NPI number1255465506
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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