Healthcare Provider Details

I. General information

NPI: 1447164546
Provider Name (Legal Business Name): AKOP AKOPYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 E MAPLE ST
GLENDALE CA
91205-4113
US

IV. Provider business mailing address

410 E MAPLE ST
GLENDALE CA
91205-4113
US

V. Phone/Fax

Practice location:
  • Phone: 818-471-6523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number10065
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: