Provider Demographics
NPI:1720032360
Name:KOJIAN, H JAMES II (MD)
Entity Type:Individual
Prefix:DR
First Name:H
Middle Name:JAMES
Last Name:KOJIAN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HAMPARTSUM
Other - Middle Name:
Other - Last Name:KOJOGLANIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1648 W GLENOAKS BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1827
Mailing Address - Country:US
Mailing Address - Phone:818-805-0005
Mailing Address - Fax:818-805-0050
Practice Address - Street 1:1648 W GLENOAKS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1827
Practice Address - Country:US
Practice Address - Phone:818-805-0005
Practice Address - Fax:818-805-0050
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71941208D00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G719410Medicaid
CAWG71941MMedicare PIN
CA00G719410Medicaid