Healthcare Provider Details

I. General information

NPI: 1750201729
Provider Name (Legal Business Name): ARTAK CHOBANYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 LEBEC OAKS RD
LEBEC CA
93243-4054
US

IV. Provider business mailing address

3145 LEBEC OAKS RD
LEBEC CA
93243-4054
US

V. Phone/Fax

Practice location:
  • Phone: 323-821-7372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number150087AP
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: