Individual provider · Type 1 NPI

Edwin Khachatourians, PA-C

Physician Assistant · Glendale, CA

NPI number 1174351050 Active

Practice location

1030 S Glendale Ave, Ste 402
Glendale, CA 91205

Mailing address

PO Box 8285
Northridge, CA 91327-8285

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA64707 (CA)
Surgical Physician Assistant 363AS0400XPA64707 (CA)
Physician Assistant Primary 363A00000XPA64707 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174351050

Edwin Khachatourians, PA-C's National Provider Identifier is 1174351050, issued on Jul 23, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, CA. The record was last updated on Aug 27, 2025.