Physician Compare National (NPI:1467530121)

HEALTHCARE PROVIDER: VAGHARSHAK M PILOSSYAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467530121
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951498880
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071024000621
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PILOSSYAN
	Individual professional last name
Provider First Name	VAGHARASHAK
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13321 VICTORY BLVD
	Group Practice or individual's line 1 address
City	VAN NUYS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	914011832
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VALLEY PRESBYTERIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050755
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHERMAN OAKS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y