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NPI Code Detail

MEDICARE: JACK H. AKMAKJIAN, MD INC.

MEDICARE: JACK H. AKMAKJIAN, MD INC.
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
1207X00000XOrthopaedic Surgery PhysicianG62470CA

General Provider Information

NPI Number : 1528213303
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACK H. AKMAKJIAN, MD INC.
Provider Business Mailing Address
First Line : 7300 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3810
Country : US
Telephone Number : 951-710-1030
Fax Number :
Provider Business Practice Location Address
First Line : 7300 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3810
Country : US
Telephone Number : 951-710-1030
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : YVONNE LOPEZ
Credential :
Telephone Number : 951-710-1030
Provider Enumeration Date : 11/20/2008
Last Update Date : 07/08/2009

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