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NPI Code Detail

MEDICARE: DR. KATTY SAHAKIAN M.D.

MEDICARE: DR. KATTY SAHAKIAN M.D.
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
1208000000XPediatrics PhysicianA106320CA

General Provider Information

NPI Number : 1932399029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATTY SAHAKIAN M.D.
Provider Business Mailing Address
First Line : 519 E BROADWAY
Second Line :
City : GLENDALE
State : CA
Zip : 91205-1110
Country : US
Telephone Number : 818-409-3020
Fax Number :
Provider Business Practice Location Address
First Line : 2048 MONTROSE AVE
Second Line :
City : MONTROSE
State : CA
Zip : 91020-1605
Country : US
Telephone Number : 818-957-2224
Fax Number : 818-244-2261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 11/01/2018

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