MKHITARYAN MEDICAL CORP
NPI 1659145746
Clinic/Center - Primary Care in Glendale, CA

Active since November 09, 2023CLIA 05D2319541 · Waiver
1030 S GLENDALE AVE STE 307, GLENDALE, CA 91205(818) 220-7191 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2025, Aug 20, 2024, Nov 17, 2023 and 1 more (4 updates tracked since 2023).

About Mkhitaryan Medical Corp NPPES

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

MKHITARYAN MEDICAL CORP (NPI 1659145746) is a healthcare organization registered as a primary care in Glendale, California and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Vahe Mkhitaryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659145746
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMKHITARYAN MEDICAL CORP
Location Address1030 S GLENDALE AVE STE 307Glendale, CA 91205-2866
Mailing Address1030 S Glendale Ave Ste 307Glendale, CA 91205-2866 · (747) 215-6144
Organization SubpartNo
Authorized OfficialVahe MkhitaryanCeo · (818) 862-0276
Enumeration DateNovember 9, 2023
Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1659145746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1030 S GLENDALE AVE STE 307, Glendale, CA 91205

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 05D2319541

Mkhitaryan Medical Corp · Glendale, CA
Active · expires Mar 2, 2027
CLIA Number05D2319541
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorVahe Mkhitryan
Laboratory Phone(747) 215-6144
Laboratory LocationMkhitaryan Medical Corp1030 S Glendale Ave Ste 307, Glendale, CA 91205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1030 S GLENDALE AVE STE 307
GLENDALE, CA 91205

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 Mkhitaryan Medical Corp's NPI number?

The NPI number for Mkhitaryan Medical Corp is 1659145746. It was assigned to this organization in the NPPES registry on November 9, 2023.

Where is Mkhitaryan Medical Corp located?

Mkhitaryan Medical Corp is located at 1030 S Glendale Ave Ste 307, Glendale, CA 91205. The listed phone number is (818) 220-7191.

What is Mkhitaryan Medical Corp's specialty?

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

Does Mkhitaryan Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2319541) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mkhitaryan Medical Corp was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.