Provider Demographics
NPI:1346460920
Name:KHACHATRIAN, NARINE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:NARINE
Middle Name:
Last Name:KHACHATRIAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 E ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-1534
Mailing Address - Country:US
Mailing Address - Phone:818-557-0646
Mailing Address - Fax:
Practice Address - Street 1:1340 N VIRGIL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6026
Practice Address - Country:US
Practice Address - Phone:323-664-0013
Practice Address - Fax:323-664-0212
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9771171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist