Healthcare Provider Details

I. General information

NPI: 1114119807
Provider Name (Legal Business Name): GABRIEL AKOPIAN, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S CHEVY CHASE DR STE 101
GLENDALE CA
91205-4437
US

IV. Provider business mailing address

801 S CHEVY CHASE DR STE 101
GLENDALE CA
91205-4437
US

V. Phone/Fax

Practice location:
  • Phone: 818-265-2209
  • Fax: 818-265-2268
Mailing address:
  • Phone: 818-265-2209
  • Fax: 818-265-2268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GABRIEL AKOPIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-265-2209