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KHACHATRIAN MEDICAL CORP
NPI 1225348006
Clinic/Center - Primary Care in North Hollywood, CA

Active since October 14, 2010CLIA 05D0920520 · Waiver
12643 SHERMAN WAY STE I, NORTH HOLLYWOOD, CA 91605(818) 759-0095(818) 759-0049 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Khachatrian Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHACHATRIAN MEDICAL CORP (NPI 1225348006) is a healthcare organization registered as a primary care in North Hollywood, California and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Marina Khachatrian, President, as its authorized official.

NPPES Registry Identity

NPI1225348006
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKHACHATRIAN MEDICAL CORP
Location Address12643 SHERMAN WAY STE INorth Hollywood, CA 91605-5272
Mailing Address12643 Sherman Way Ste INorth Hollywood, CA 91605-5272 · (818) 759-0095 · Fax (818) 759-0049
Phone(818) 759-0095
Fax(818) 759-0049
Organization SubpartNo
Authorized OfficialMarina KhachatrianPresident · (818) 759-0095
Enumeration DateOctober 14, 2010
Last NPPES UpdateDecember 7, 2010
✔ NPI 1225348006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A69378
12643 SHERMAN WAY STE I, North Hollywood, CA 91605
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Other Identifiers 1

Medicare UPINHO1077CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0920520

Khachatrian Med Corp · North Hollywood, CA
Active · expires Oct 2, 2026
CLIA Number05D0920520
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorMarina Khachatrian MD
Laboratory Phone(818) 759-0095
Laboratory LocationKhachatrian Med Corp12643 Sherman Way Unit #1, North Hollywood, CA 91605
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khachatrian Medical Corp's NPI number?

The NPI number for Khachatrian Medical Corp is 1225348006. It was assigned to this organization in the NPPES registry on October 14, 2010.

Where is Khachatrian Medical Corp located?

Khachatrian Medical Corp is located at 12643 Sherman Way Ste I, North Hollywood, CA 91605. The listed phone number is (818) 759-0095.

What is Khachatrian Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Khachatrian Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0920520) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Khachatrian Medical Corp was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.