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NPI Code Detail

MEDICARE: KRISTINA HAGOPIAN WHNP-BC, CNM

MEDICARE:   KRISTINA  HAGOPIAN  WHNP-BC, CNM
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
1367A00000XAdvanced Practice Midwife235748CA
2363LX0001XObstetrics & Gynecology Nurse Practitioner95002951CA

General Provider Information

NPI Number : 1174999015
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA HAGOPIAN WHNP-BC, CNM
Provider Business Mailing Address
First Line : 8920 WILSHIRE BLVD STE 515
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1949
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8920 WILSHIRE BLVD STE 525
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1968
Country : US
Telephone Number : 310-657-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2015
Last Update Date : 07/31/2019

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