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NPI Code Detail

MEDICARE: AMY AVAKIAN MD

MEDICARE: AMY AVAKIAN 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 : 1548061914
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY AVAKIAN MD
Provider Business Mailing Address
First Line : 11234 ANDERSON ST
Second Line :
City : LOMA LINDA
State : CA
Zip : 92350-1716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9300 W SUNSET RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4844
Country : US
Telephone Number : 702-916-6904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2025
Last Update Date : 06/11/2026

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Directions to “ AMY AVAKIAN MD” Practice Location

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