Healthcare Provider Details

I. General information

NPI: 1326074535
Provider Name (Legal Business Name): GABRIEL AKOPIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W CALIFORNIA BLVD
PASADENA CA
91105-3010
US

IV. Provider business mailing address

1560 E. CHEVY CHASE DR. SUITE 430
GLENDALE CA
91206-4197
US

V. Phone/Fax

Practice location:
  • Phone: 626-397-5896
  • Fax:
Mailing address:
  • Phone: 818-243-1135
  • Fax: 818-243-9332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA79817
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberA79817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: