Provider Type Icon

AELITA KHACHATRIAN MD NPI 1306137476


NPI Information

NPI: 1306137476
Provider Name: AELITA KHACHATRIAN, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Organization: LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC

PECOS Registration: Yes

Address:
558 SAINT CHARLES DRIVE
SUITE 110, 111, 124, 204
THOUSAND OAKS, CA
ZIP 91360
Phone: (951) 278-5590
Get Directions

Aelita Khachatrian, MD is a rheumatology internal medicine in Thousand Oaks, CA with 13 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Aelita Khachatrian, MD NPI is 1306137476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

558 SAINT CHARLES DRIVE
SUITE 110, 111, 124, 204
THOUSAND OAKS, CA
ZIP 91360-967
Phone: (951) 278-5590
Fax: (951) 272-9924

The NPI 1306137476 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2011 and was last updated on 8/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyA127694CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.