Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A051687 | CA |
NPI | 1356493969 |
---|---|
Provider Name | Dr. Vicken Sahakian |
First Address | La Canada, CA 91011-4121 |
Second Address | Los Angeles, CA 90024-4003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |