Provider Demographics
NPI:1750325817
Name:AYRIAN, EUGENIA (MD)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:
Last Name:AYRIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EUGENIA
Other - Middle Name:
Other - Last Name:BABAYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-7400
Mailing Address - Fax:323-442-7411
Practice Address - Street 1:1500 SAN PABLO ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5313
Practice Address - Country:US
Practice Address - Phone:323-442-7400
Practice Address - Fax:323-442-7411
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66671207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A666710328OtherCALOPTIMA
H44055Medicare UPIN
CA00A666710Medicaid
CA00A666710OtherBLUE SHIELD
CAWA66671AMedicare ID - Type Unspecified