Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A67854 | CA |
NPI | 1003838061 |
---|---|
Provider Name | Asmik Akopyan |
First Address | Pasadena, CA 91101-3005 |
Second Address | Glendale, CA 91206-4007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 23/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A678540 | (05) | CA |
00A678540 | BLUE SHIELD (01) | CA |
H70090 | (02) |