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NPI Code Detail

MEDICARE: JACK H AKMAKJIAN MD

MEDICARE: JACK H AKMAKJIAN MD
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
1207X00000XOrthopaedic Surgery PhysicianG62470CA
2207XS0117XOrthopaedic Surgery of the Spine PhysicianG62470CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200028158OTHERCARAILROAD MEDICARE

General Provider Information

NPI Number : 1811992183
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACK H AKMAKJIAN MD
Provider Business Mailing Address
First Line : 7300 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3810
Country : US
Telephone Number : 951-710-1030
Fax Number : 951-710-1030
Provider Business Practice Location Address
First Line : 7300 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3810
Country : US
Telephone Number : 951-710-1030
Fax Number : 951-688-8068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 10/08/2015

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