Provider Demographics
NPI:1922802123
Name:OKLAHOMA IOP CENTER INC
Entity type:Organization
Organization Name:OKLAHOMA IOP CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARYTUN
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:KHOUDAGOULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-518-8826
Mailing Address - Street 1:4209 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73108-2033
Mailing Address - Country:US
Mailing Address - Phone:818-518-8826
Mailing Address - Fax:
Practice Address - Street 1:4209 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-2033
Practice Address - Country:US
Practice Address - Phone:818-518-8826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder