MEDICARE: ARMAN VOSKERCHYAN

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	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1790060804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMAN VOSKERCHYAN

Provider Business Mailing Address
First Line	:	5301 LAUREL CANYON BLVD
Second Line	:	#245
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2736
Country	:	US
Telephone Number	:	877-582-2522
Fax Number	:	877-855-9959

Provider Business Practice Location Address
First Line	:	5301 LAUREL CANYON BLVD
Second Line	:	#245
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2736
Country	:	US
Telephone Number	:	877-582-2522
Fax Number	:	877-855-9959

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

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	10/20/2011

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