Provider Demographics
NPI:1922719103
Name:ARIKIAN, HRACHUHI (OWNER)
Entity Type:Individual
Prefix:MS
First Name:HRACHUHI
Middle Name:
Last Name:ARIKIAN
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 N BENSON AVE
Mailing Address - Street 2:UNIT E
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5075
Mailing Address - Country:US
Mailing Address - Phone:909-694-6696
Mailing Address - Fax:909-755-0209
Practice Address - Street 1:555 N BENSON AVE
Practice Address - Street 2:UNIT E
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5075
Practice Address - Country:US
Practice Address - Phone:909-694-6696
Practice Address - Fax:909-755-0209
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health