Provider Demographics
NPI:1841241486
Name:KECHICHIAN, ARAM HAGOP (DO)
Entity Type:Individual
Prefix:
First Name:ARAM
Middle Name:HAGOP
Last Name:KECHICHIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27141 HIDAWAY AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-4131
Mailing Address - Country:US
Mailing Address - Phone:661-299-6900
Mailing Address - Fax:661-299-1300
Practice Address - Street 1:27141 HIDAWAY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-4131
Practice Address - Country:US
Practice Address - Phone:661-299-6900
Practice Address - Fax:661-299-1300
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8307207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00043045OtherRAILROAD MEDICARE
CAH54523Medicare UPIN
CAAY360AMedicare PIN
CAAY3601Medicare PIN
CAW20A8307AMedicare PIN
CAG20A83070Medicare PIN