Provider Demographics
NPI:1972510840
Name:HAGOPJANIAN, ARMEN (DPM)
Entity Type:Individual
Prefix:
First Name:ARMEN
Middle Name:
Last Name:HAGOPJANIAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S BUENA VISTA ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4569
Mailing Address - Country:US
Mailing Address - Phone:818-848-5588
Mailing Address - Fax:818-848-5509
Practice Address - Street 1:201 S BUENA VISTA ST
Practice Address - Street 2:SUITE 305
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4569
Practice Address - Country:US
Practice Address - Phone:818-848-5588
Practice Address - Fax:818-848-5509
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4491213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00222561OtherMEDICARE RAILROAD
CAP00222561OtherMEDICARE RAILROAD
CAWE4491AMedicare PIN