Healthcare Provider Details

I. General information

NPI: 1619193695
Provider Name (Legal Business Name): ARAM A AKOPYAN DIPLOMATE OM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W KENNETH RD
GLENDALE CA
91201-1421
US

IV. Provider business mailing address

906 E VERDUGO AVE
BURBANK CA
91501-1514
US

V. Phone/Fax

Practice location:
  • Phone: 818-281-9997
  • Fax: 818-588-3545
Mailing address:
  • Phone: 818-281-9997
  • Fax: 818-588-3545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11517
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: