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General NPI Number Information
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NPI Number | 1174244628
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Entity Type | Organization
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Legal Business Name | MARTIN SAHAKYAN MD, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 51625 DESERT CLUB DR STE 208
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City | LA QUINTA
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State | CA
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Zip | 92253-2983
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Country | US
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Telephone | 818-441-2177
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Fax | 747-300-2112
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Provider Business Mailing Address
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Address Line | 79353 CALLE VISTA VERDE
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City | LA QUINTA
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State | CA
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Zip | 92253-5950
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Country | US
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Telephone | 818-441-2177
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Fax | 747-300-2112
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Authorized Official
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Title or Position | CEO
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Name | DR. MARTIN A SAHAKYAN
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Credential | MD
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Telephone | 818-441-2177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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