Individual provider · Type 1 NPI

Lusine Mkhitaryan

Primary Care Nurse Practitioner · Glendale, CA

NPI number 1104750702 Active

Practice location

519 E Broadway
Glendale, CA 91205-1110

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95039750 (CA)

Primary Care Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1104750702

Lusine Mkhitaryan's National Provider Identifier is 1104750702, issued on Jun 9, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Glendale, CA. The record was last updated on Jun 9, 2026.