Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A132478 | CA |
NPI | 1013338706 |
---|---|
Provider Name | Hayka Hovsepyan |
First Address | Mission Hills, CA 91345-1254 |
Second Address | Mission Hills, CA 91345-1254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2013 |
Last Update Date | 25/10/2019 |