Provider Demographics
NPI:1083011951
Name:AKOPYAN, ARSHAK
Entity Type:Individual
Prefix:
First Name:ARSHAK
Middle Name:
Last Name:AKOPYAN
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 1:640 N KEYSTONE ST
Mailing Address - Street 2:STE B
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1900
Mailing Address - Country:US
Mailing Address - Phone:818-846-8665
Mailing Address - Fax:818-846-8666
Practice Address - Street 1:640 N KEYSTONE ST
Practice Address - Street 2:STE B
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1900
Practice Address - Country:US
Practice Address - Phone:818-846-8665
Practice Address - Fax:818-846-8666
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier