Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A83889 | CA |
NPI | 1528199627 |
---|---|
Provider Name | Dr. Vicken P. Sepilian |
First Address | Los Angeles, CA 90036-4241 |
Second Address | Los Angeles, CA 90036-4241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |