MEDICARE: PERCHUI TSATURYAN MSPA, PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA17813	CA

General Provider Information

NPI Number	:	1134171515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERCHUI TSATURYAN MSPA, PA-C

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 S 1ST AVE
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-3829
Country	:	US
Telephone Number	:	626-445-9661
Fax Number	:	626-446-9508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/11/2026

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