Individual provider · Type 1 NPI
Alvina Mkrtumyan, NP
Primary Care Clinic/Center · Reseda, CA
NPI number
1104651306
Active
Practice location
18040 Sherman Way Ste 204
Reseda, CA 91335-4656
Fax (747) 267-7878
Mailing address
13140 Bassett St
North Hollywood, CA 91605-4726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 95027021 (CA) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1104651306
Alvina Mkrtumyan, NP's National Provider Identifier is 1104651306, issued on Sep 6, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Reseda, CA. The record was last updated on Sep 6, 2024.