Provider Demographics
NPI:1063835817
Name:ARMAN KIRAKOSIAN DPM INC
Entity Type:Organization
Organization Name:ARMAN KIRAKOSIAN DPM INC
Other - Org Name:NORTH PENINSULA PODIATRY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRAKOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:650-588-9189
Mailing Address - Street 1:883 SNEATH LN STE 160
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-2409
Mailing Address - Country:US
Mailing Address - Phone:650-588-9189
Mailing Address - Fax:650-588-2814
Practice Address - Street 1:560 JENEVEIN AVE
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-4408
Practice Address - Country:US
Practice Address - Phone:650-588-9189
Practice Address - Fax:650-588-2814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4853213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty