Provider Demographics
NPI:1922621374
Name:ARAM MKHITARIAN CORP
Entity Type:Organization
Organization Name:ARAM MKHITARIAN CORP
Other - Org Name:URGENT PLUS ADVANCED MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MKHITARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:805-410-4566
Mailing Address - Street 1:2904 THERESA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3152
Mailing Address - Country:US
Mailing Address - Phone:805-410-4566
Mailing Address - Fax:805-410-4566
Practice Address - Street 1:22024 LASSEN ST STE 100
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-8335
Practice Address - Country:US
Practice Address - Phone:707-240-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty