Provider Demographics
NPI:1790060804
Name:VOSKERCHYAN, ARMAN
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:
Last Name:VOSKERCHYAN
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 1:5301 LAUREL CANYON BLVD
Mailing Address - Street 2:#245
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2736
Mailing Address - Country:US
Mailing Address - Phone:877-582-2522
Mailing Address - Fax:877-855-9959
Practice Address - Street 1:5301 LAUREL CANYON BLVD
Practice Address - Street 2:#245
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2736
Practice Address - Country:US
Practice Address - Phone:877-582-2522
Practice Address - Fax:877-855-9959
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization