MEDICARE: DR. KEVORK ARTIN VORPERIAN 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	207R00000X	Internal Medicine Physician	C50258	CA

General Provider Information

NPI Number	:	1568468650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVORK ARTIN VORPERIAN M.D.

Provider Business Mailing Address
First Line	:	519 E BROADWAY
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1110
Country	:	US
Telephone Number	:	818-409-3020
Fax Number	:	818-243-2713

Provider Business Practice Location Address
First Line	:	8134 FOOTHILL BLVD
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-2941
Country	:	US
Telephone Number	:	818-962-0715
Fax Number	:	818-962-0714

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	11/01/2018

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