Provider Demographics
NPI:1568926194
Name:SEVOYAN, ARMAN
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:
Last Name:SEVOYAN
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 1:117 S ISABEL ST APT 105
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1170
Mailing Address - Country:US
Mailing Address - Phone:818-858-2627
Mailing Address - Fax:
Practice Address - Street 1:113 N CHEVY CHASE DR UNIT 1/2
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-5812
Practice Address - Country:US
Practice Address - Phone:818-946-4830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF1752867172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty