Provider Demographics
NPI:1558707570
Name:KARAGEOZYAN, SARKIS
Entity Type:Individual
Prefix:
First Name:SARKIS
Middle Name:
Last Name:KARAGEOZYAN
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 1:3825 SKY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1006
Mailing Address - Country:US
Mailing Address - Phone:818-266-8969
Mailing Address - Fax:
Practice Address - Street 1:3825 SKY VIEW LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91214-1006
Practice Address - Country:US
Practice Address - Phone:818-266-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)