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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GRANT KOSTIKIAN

Active Sole Proprietor

MR. GRANT KOSTIKIAN is a Multi-Specialty Clinic healthcare provider located in GLENDALE, California. NPI 1578777546 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · GLENDALE, CA

Registration Details

NPI Number
1578777546
Provider Type
Individual
Gender
Male
NPI Issued
May 9, 2007 (19.285934965501 yrs)
Last Updated
Sep 11, 2025
Sole Proprietor
Yes

Practice Information

Address
1386 E GARFIELD AVE
GLENDALE, CA, 912052660
Browse CA providers · Browse ZIP 91205
Phone
8182818091
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.