Provider Demographics
NPI:1891928263
Name:KARAPETYAN, ARMAN F (MD)
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:F
Last Name:KARAPETYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1473
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90213-1473
Mailing Address - Country:US
Mailing Address - Phone:310-963-0610
Mailing Address - Fax:818-243-4510
Practice Address - Street 1:1332 S GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-3349
Practice Address - Country:US
Practice Address - Phone:818-550-5055
Practice Address - Fax:818-243-4510
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107131207R00000X
CA550000708251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1457470684Medicaid
CAFU866ZMedicare PIN