Provider Demographics
NPI:1649423260
Name:ASLANIAN, HACOP (MD)
Entity Type:Individual
Prefix:DR
First Name:HACOP
Middle Name:
Last Name:ASLANIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JACK
Other - Middle Name:
Other - Last Name:ASLANIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 10346
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-0346
Mailing Address - Country:US
Mailing Address - Phone:510-452-1214
Mailing Address - Fax:510-452-1214
Practice Address - Street 1:1200 LAKESHORE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-1679
Practice Address - Country:US
Practice Address - Phone:510-452-1214
Practice Address - Fax:510-452-1214
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG22700207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services