Provider Demographics
NPI:1194062133
Name:AMAIAK CHILINGARYAN, M.D., INC
Entity type:Organization
Organization Name:AMAIAK CHILINGARYAN, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMAIAK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILINGARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-646-1414
Mailing Address - Street 1:800 S CENTRAL AVE
Mailing Address - Street 2:307
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-4370
Mailing Address - Country:US
Mailing Address - Phone:818-646-1414
Mailing Address - Fax:818-646-1441
Practice Address - Street 1:800 S CENTRAL AVE
Practice Address - Street 2:307
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-4370
Practice Address - Country:US
Practice Address - Phone:818-646-1414
Practice Address - Fax:818-646-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1137142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty