MEDICARE: SARMEN V. SARKISSIAN 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	207RH0003X	Hematology & Oncology Physician	A122024	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PENDING	OTHER	CA	PENDING

General Provider Information

NPI Number	:	1215201058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARMEN V. SARKISSIAN M.D.

Provider Business Mailing Address
First Line	:	18000 STUDEBAKER RD STE 800
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-2671
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11550 INDIAN HILLS RD STE 360
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-1252
Country	:	US
Telephone Number	:	818-296-9477
Fax Number	:

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

Provider Enumeration Date	:	02/24/2012
Last Update Date	:	07/17/2023

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