Provider Demographics
NPI:1073347951
Name:SAHAKYAN, HASMIK
Entity type:Individual
Prefix:
First Name:HASMIK
Middle Name:
Last Name:SAHAKYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W LEXINGTON DR STE 620A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2230
Mailing Address - Country:US
Mailing Address - Phone:715-777-0077
Mailing Address - Fax:
Practice Address - Street 1:121 W LEXINGTON DR STE 620A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2230
Practice Address - Country:US
Practice Address - Phone:715-777-0077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health