Provider Demographics
NPI:1194765594
Name:MINASIAN, HANRIET (DO)
Entity type:Individual
Prefix:MS
First Name:HANRIET
Middle Name:
Last Name:MINASIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:HANRIET
Other - Middle Name:
Other - Last Name:MINASIAN-ARAKELIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3600 N. VERDUGO RD. #300
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208
Mailing Address - Country:US
Mailing Address - Phone:818-249-1300
Mailing Address - Fax:818-249-1301
Practice Address - Street 1:3600 N. VERDUGO RD. #300
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208
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:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9021207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine