Basic Information
| Provider Information | |||||||||
| NPI: | 1578707642 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARKHOUDARIAN | ||||||||
| FirstName: | GARNI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5900 CANTERBURY DR APT A206 | ||||||||
| Address2: | |||||||||
| City: | CULVER CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902306761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182645324 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2125 ARIZONA AVE | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904041337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105827450 | ||||||||
| FaxNumber: | 3105827495 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2009 | ||||||||
| LastUpdateDate: | 07/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | A98984 | CA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207T00000X | A98984 | CA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.