Healthcare Provider Details

I. General information

NPI: 1295673218
Provider Name (Legal Business Name): SEDRAKYAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST STE 900
SAN FRANCISCO CA
94102-1410
US

IV. Provider business mailing address

8055 FOOTHILL BLVD
SUNLAND CA
91040-2943
US

V. Phone/Fax

Practice location:
  • Phone: 415-213-4387
  • Fax:
Mailing address:
  • Phone: 707-733-6846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GEVORG SEDRAKYAN
Title or Position: DIRECTOR
Credential: MD
Phone: 707-733-6846