Gina Alexandra Khachatrian, MSPA
Gina Alexandra Khachatrian, MSPA is a Physician Assistant in Glendale, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
1505 Wilson Ter Ste 200Glendale, CA 91206-4073
Phone: (323) 646-0716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 65972 (CA) |
|---|
Record details
| NPI number | 1780495325 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSPA |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2025 |
| Last updated in NPPES | March 31, 2025 |
| Certification date | March 31, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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