Healthcare Provider Details

I. General information

NPI: 1720178254
Provider Name (Legal Business Name): HRATCH NERSES SVADJIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W 5TH ST STE 590
SANTA ANA CA
92701-4519
US

IV. Provider business mailing address

301 THE CITY DR S SUITE # 2090
ORANGE CA
92868-3205
US

V. Phone/Fax

Practice location:
  • Phone: 714-834-5015
  • Fax: 714-935-8112
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA054299
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA054299
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: