MEDICARE: ARAM HAGOP KECHICHIAN D.O.

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	207ND0101X	MOHS-Micrographic Surgery Physician	20A8307	CA
2	207NS0135X	Procedural Dermatology Physician	20A8307	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00043045	OTHER	CA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1841241486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARAM HAGOP KECHICHIAN D.O.

Provider Business Mailing Address
First Line	:	27141 HIDAWAY AVE
Second Line	:	SUITE 104
City	:	SANTA CLARITA
State	:	CA
Zip	:	91351-4131
Country	:	US
Telephone Number	:	661-299-6900
Fax Number	:	661-299-1300

Provider Business Practice Location Address
First Line	:	27141 HIDAWAY AVE
Second Line	:	SUITE 104
City	:	SANTA CLARITA
State	:	CA
Zip	:	91351-4131
Country	:	US
Telephone Number	:	661-299-6900
Fax Number	:	661-299-1300

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	07/29/2022

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Directions to “ ARAM HAGOP KECHICHIAN D.O.” Practice Location

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