Provider Demographics
NPI:1679017537
Name:SOMEKHIAN, ORIT (LAC)
Entity Type:Individual
Prefix:
First Name:ORIT
Middle Name:
Last Name:SOMEKHIAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ORIT
Other - Middle Name:
Other - Last Name:KASHANIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:PO BOX 35060
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-0060
Mailing Address - Country:US
Mailing Address - Phone:310-220-1549
Mailing Address - Fax:
Practice Address - Street 1:1180 S BEVERLY DR
Practice Address - Street 2:SUITE 410
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1153
Practice Address - Country:US
Practice Address - Phone:310-220-1549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist