Provider Demographics
NPI:1205015393
Name:SARKISSYAN, ARMAN Y
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:Y
Last Name:SARKISSYAN
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 1:1554 CLEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-1008
Mailing Address - Country:US
Mailing Address - Phone:818-956-5498
Mailing Address - Fax:
Practice Address - Street 1:10810 WARNER AVE
Practice Address - Street 2:SUITE # 9
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3848
Practice Address - Country:US
Practice Address - Phone:714-963-6000
Practice Address - Fax:714-963-4800
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
3788360001Medicare NSC