Healthcare Provider Details

I. General information

NPI: 1164534103
Provider Name (Legal Business Name): HAGOP V KARPANIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W JANSS RD
THOUSAND OAKS CA
91360-1847
US

IV. Provider business mailing address

687 TRIUNFO CANYON RD
WESTLAKE VILLAGE CA
91361-2056
US

V. Phone/Fax

Practice location:
  • Phone: 650-388-0062
  • Fax:
Mailing address:
  • Phone: 650-388-0062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberML20008377
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA101692
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: