Healthcare Provider Details

I. General information

NPI: 1982131785
Provider Name (Legal Business Name): ANNA GASPARYAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N SUNRISE WAY # 1783
PALM SPRINGS CA
92262-6196
US

IV. Provider business mailing address

333 N SUNRISE WAY # 1783
PALM SPRINGS CA
92262-6196
US

V. Phone/Fax

Practice location:
  • Phone: 917-597-4083
  • Fax:
Mailing address:
  • Phone: 917-597-4083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANNA GASPARYAN
Title or Position: OWNER
Credential: MD
Phone: 760-902-1511