Provider Demographics
NPI:1336363415
Name:SARKISYAN, ARAMAIS ARMEN
Entity Type:Individual
Prefix:
First Name:ARAMAIS
Middle Name:ARMEN
Last Name:SARKISYAN
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 1:815 S CENTRAL AVE
Mailing Address - Street 2:#9
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2046
Mailing Address - Country:US
Mailing Address - Phone:818-288-5490
Mailing Address - Fax:818-500-7512
Practice Address - Street 1:815 S CENTRAL AVE
Practice Address - Street 2:#9
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2046
Practice Address - Country:US
Practice Address - Phone:818-288-5490
Practice Address - Fax:818-500-7512
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)