Provider Demographics
NPI:1942078449
Name:KARNIKIAN, GAREN SERKO
Entity Type:Individual
Prefix:
First Name:GAREN
Middle Name:SERKO
Last Name:KARNIKIAN
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 1:2614 19TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2123
Mailing Address - Country:US
Mailing Address - Phone:818-480-8318
Mailing Address - Fax:
Practice Address - Street 1:2614 19TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2123
Practice Address - Country:US
Practice Address - Phone:818-480-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist