Provider Demographics
NPI:1811769367
Name:ZAKIYAN, SEMYON (RVT,RDCS,RDMS)
Entity type:Individual
Prefix:
First Name:SEMYON
Middle Name:
Last Name:ZAKIYAN
Suffix:
Gender:M
Credentials:RVT,RDCS,RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6225 COLDWATER CANYON AVE UNIT 118
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3045
Mailing Address - Country:US
Mailing Address - Phone:818-281-7169
Mailing Address - Fax:
Practice Address - Street 1:6225 COLDWATER CANYON AVE UNIT 118
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3045
Practice Address - Country:US
Practice Address - Phone:818-281-7169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA966252085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound