Healthcare Provider Details

I. General information

NPI: 1083011951
Provider Name (Legal Business Name): ARSHAK AKOPYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 N KEYSTONE ST STE B
BURBANK CA
91506-1900
US

IV. Provider business mailing address

640 N KEYSTONE ST STE B
BURBANK CA
91506-1900
US

V. Phone/Fax

Practice location:
  • Phone: 818-846-8665
  • Fax: 818-846-8666
Mailing address:
  • Phone: 818-846-8665
  • Fax: 818-846-8666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: