Provider Demographics
NPI:1689258246
Name:HAKHVERDYAN, NAREK
Entity Type:Individual
Prefix:
First Name:NAREK
Middle Name:
Last Name:HAKHVERDYAN
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 1:22543 VENTURA BLVD STE 223
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1451
Mailing Address - Country:US
Mailing Address - Phone:888-886-6461
Mailing Address - Fax:818-431-4343
Practice Address - Street 1:22543 VENTURA BLVD STE 223
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1451
Practice Address - Country:US
Practice Address - Phone:888-886-6461
Practice Address - Fax:818-431-4343
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based