Healthcare Provider Details

I. General information

NPI: 1154134344
Provider Name (Legal Business Name): AKOPYAN & VASILYAN MEDICAL CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 N VICTORY BLVD STE J
BURBANK CA
91502-1839
US

IV. Provider business mailing address

207 N VICTORY BLVD STE J
BURBANK CA
91502-1839
US

V. Phone/Fax

Practice location:
  • Phone: 818-669-8271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: ARTASHES VASILYAN
Title or Position: OWNER
Credential: 103NP
Phone: 818-669-8271