Provider Demographics
NPI:1881751576
Name:BAKHCHINYAN, DAVIT (RDMS/RVT)
Entity type:Individual
Prefix:MR
First Name:DAVIT
Middle Name:
Last Name:BAKHCHINYAN
Suffix:
Gender:M
Credentials:RDMS/RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20376 VIA BOTTICELLI
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4437
Mailing Address - Country:US
Mailing Address - Phone:818-534-8288
Mailing Address - Fax:818-357-5689
Practice Address - Street 1:20376 VIA BOTTICELLI
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-4437
Practice Address - Country:US
Practice Address - Phone:818-534-8288
Practice Address - Fax:818-357-5689
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1055212471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography