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

Lusine Mkhitaryan

Individual provider Primary Care Nurse Practitioner · NPI 1104750702

Lusine Mkhitaryan is a Nurse Practitioner in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

519 E Broadway
Glendale, CA 91205-1110
Phone: (818) 409-2030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95039750 (CA)

Record details

NPI number1104750702
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address519 E Broadway, Glendale, CA 91205-1110

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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