Provider Demographics
NPI:1194765594
Name:MINASIAN-ARAKELIAN, HANRIET (DO)
Entity type:Individual
Prefix:
First Name:HANRIET
Middle Name:
Last Name:MINASIAN-ARAKELIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N VERDUGO RD
Mailing Address - Street 2:SUITE #300
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1243
Mailing Address - Country:US
Mailing Address - Phone:818-249-1300
Mailing Address - Fax:818-249-1301
Practice Address - Street 1:3600 N VERDUGO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1243
Practice Address - Country:US
Practice Address - Phone:818-249-1300
Practice Address - Fax:818-249-1301
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9021207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine