Provider Demographics
NPI:1073685160
Name:HAKOPIAN, SARKIS
Entity Type:Individual
Prefix:
First Name:SARKIS
Middle Name:
Last Name:HAKOPIAN
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 1:1314 S EUCLID ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-2079
Mailing Address - Country:US
Mailing Address - Phone:714-776-4373
Mailing Address - Fax:714-776-4370
Practice Address - Street 1:1314 S EUCLID ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-2079
Practice Address - Country:US
Practice Address - Phone:714-776-4373
Practice Address - Fax:714-776-4370
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102543332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1308530001Medicare NSC