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NPI Code Detail

MEDICARE: DR. SARGIS YERITSYAN MD

MEDICARE: DR. SARGIS YERITSYAN MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1043142524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARGIS YERITSYAN MD
Provider Business Mailing Address
First Line : 2776 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2613
Country : US
Telephone Number : 562-997-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2776 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2613
Country : US
Telephone Number : 562-997-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ DR. SARGIS YERITSYAN MD” Practice Location

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