MEDICARE: MARINA AKOPIAN

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	332B00000X	Durable Medical Equipment & Medical Supplies

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

General Provider Information

NPI Number	:	1417032319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARINA AKOPIAN

Provider Business Mailing Address
First Line	:	5301 W SUNSET BLVD
Second Line	:	#1
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5694
Country	:	US
Telephone Number	:	323-465-4500
Fax Number	:	323-469-4900

Provider Business Practice Location Address
First Line	:	5301 W SUNSET BLVD
Second Line	:	#1
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5694
Country	:	US
Telephone Number	:	323-465-4500
Fax Number	:	323-469-4900

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARINA AKOPIAN
Credential	:
Telephone Number	:	323-465-4500

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	06/19/2008

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Directions to “MARINA AKOPIAN ” Practice Location

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