Healthcare Provider Details

I. General information

NPI: 1164952941
Provider Name (Legal Business Name): MARTIN ARAYIKOVICH SAHAKYAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51625 DESERT CLUB DR STE 208
LA QUINTA CA
92253-2983
US

IV. Provider business mailing address

79353 CALLE VISTA VERDE
LA QUINTA CA
92253-5950
US

V. Phone/Fax

Practice location:
  • Phone: 818-441-2177
  • Fax: 747-300-2112
Mailing address:
  • Phone: 818-441-2177
  • Fax: 747-300-2112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberA169931
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR-10929
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: