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NPI Code Detail

MEDICARE: SERGEY AKOPOV M.D.

MEDICARE: SERGEY AKOPOV 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
1207T00000XNeurological Surgery PhysicianA72794CA
22084N0400XNeurology PhysicianA72794CA

General Provider Information

NPI Number : 1669566147
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERGEY AKOPOV M.D.
Provider Business Mailing Address
First Line : PO BOX 27206
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027
Country : US
Telephone Number : 213-385-0675
Fax Number : 213-365-6429
Provider Business Practice Location Address
First Line : 501 S BUENA VISTA ST
Second Line : 1 NORTH OUTPATIENT NEURO CLINIC
City : BURBANK
State : CA
Zip : 91505-4809
Country : US
Telephone Number : 818-847-4622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/01/2021

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