Provider Demographics
NPI:1003838061
Name:AKOPYAN, ASMIK (MD)
Entity Type:Individual
Prefix:MRS
First Name:ASMIK
Middle Name:
Last Name:AKOPYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 S. GLENDALE AVE.
Mailing Address - Street 2:SUITE 404
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2866
Mailing Address - Country:US
Mailing Address - Phone:818-240-9911
Mailing Address - Fax:818-240-9939
Practice Address - Street 1:1030 S. GLENDALE AVE.
Practice Address - Street 2:SUITE 404
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2866
Practice Address - Country:US
Practice Address - Phone:818-240-9911
Practice Address - Fax:818-240-9939
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67854207L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A678540Medicaid
CA00A678540OtherBLUE SHIELD
CA00A678540Medicaid
CACK201Medicare PIN
CAA67854Medicare PIN