Provider Demographics
NPI:1578710125
Name:AKOPYAN, RINA (NP)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:
Last Name:AKOPYAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5352 LAUREL BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607-4938
Mailing Address - Country:US
Mailing Address - Phone:818-206-2655
Mailing Address - Fax:818-357-5541
Practice Address - Street 1:5352 LAUREL BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-4938
Practice Address - Country:US
Practice Address - Phone:818-206-2655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily