Provider Demographics
NPI:1033523469
Name:CHOLAKIAN, TIGRAN
Entity Type:Individual
Prefix:MR
First Name:TIGRAN
Middle Name:
Last Name:CHOLAKIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7056 NAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605
Mailing Address - Country:US
Mailing Address - Phone:818-800-0060
Mailing Address - Fax:818-287-0026
Practice Address - Street 1:7056 NAGLE AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-4407
Practice Address - Country:US
Practice Address - Phone:818-800-0060
Practice Address - Fax:818-287-0026
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)