Provider Demographics
NPI:1780384909
Name:HAYK VAHE PAPUKHYAN MD
Entity type:Organization
Organization Name:HAYK VAHE PAPUKHYAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYK
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPUKHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-388-9888
Mailing Address - Street 1:1407 W GLENOAKS BLVD UNIT 201
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-4119
Mailing Address - Country:US
Mailing Address - Phone:424-388-9888
Mailing Address - Fax:817-818-1779
Practice Address - Street 1:1300 N VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6098
Practice Address - Country:US
Practice Address - Phone:213-413-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty