Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19350 BUSINESS CENTER DR STE 100
NORTHRIDGE CA
91324-6432
US

IV. Provider business mailing address

19350 BUSINESS CENTER DR STE 100
NORTHRIDGE CA
91324-6432
US

V. Phone/Fax

Practice location:
  • Phone: 818-987-9880
  • Fax: 747-202-0262
Mailing address:
  • Phone: 818-987-9880
  • Fax: 747-202-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA169931
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberA169931
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberA169931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: