Provider Demographics
NPI:1659532331
Name:GARABEKYAN, TIGRAN (MD)
Entity Type:Individual
Prefix:
First Name:TIGRAN
Middle Name:
Last Name:GARABEKYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 CENTURY PARK E STE 1204
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2015
Mailing Address - Country:US
Mailing Address - Phone:310-595-1030
Mailing Address - Fax:310-582-5619
Practice Address - Street 1:2080 CENTURY PARK E STE 1204
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2015
Practice Address - Country:US
Practice Address - Phone:310-595-1030
Practice Address - Fax:310-582-5619
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0054874207X00000X
CAA137629207X00000X
WV23577207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery