MEDICARE: MRS. ASMIK AKOPYAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A67854	CA
2	208D00000X	General Practice Physician	A67854	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00A678540	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1003838061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASMIK AKOPYAN M.D.

Provider Business Mailing Address
First Line	:	1030 S. GLENDALE AVE.
Second Line	:	SUITE 404
City	:	GLENDALE
State	:	CA
Zip	:	91205-2866
Country	:	US
Telephone Number	:	818-240-9911
Fax Number	:	818-240-9939

Provider Business Practice Location Address
First Line	:	1030 S. GLENDALE AVE.
Second Line	:	SUITE 404
City	:	GLENDALE
State	:	CA
Zip	:	91205-2866
Country	:	US
Telephone Number	:	818-240-9911
Fax Number	:	818-240-9939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	03/01/2023

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