Provider Demographics
NPI:1093043952
Name:HAGOPIAN, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:HAGOPIAN
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 1:29 PASEO LUNA
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6501
Mailing Address - Country:US
Mailing Address - Phone:949-233-4876
Mailing Address - Fax:949-388-7819
Practice Address - Street 1:29 PASEO LUNA
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-6501
Practice Address - Country:US
Practice Address - Phone:949-233-4876
Practice Address - Fax:949-388-7819
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No171R00000XOther Service ProvidersInterpreter