Individual provider · Type 1 NPI
Mary Rita Khachatryan
Nurse Practitioner · Glendale, CA
Practice location
800 S Central Ave Ste 201
Glendale, CA 91204-4375
Mailing address
1055 Kildonan Dr
Glendale, CA 91207-1103
Other practice locations
- 333 S Arroyo Pkwy Fl 3, Pasadena, CA 91105-2581 · (213) 371-2787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95313376 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95039035 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1982553624
Mary Rita Khachatryan's National Provider Identifier is 1982553624, issued on Jan 26, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendale, CA. The record was last updated on Oct 15, 2026.