Provider Demographics
NPI:1215129382
Name:AKESO INC
Entity type:Organization
Organization Name:AKESO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MKHEIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1818-426-6402
Mailing Address - Street 1:11755 VICTORY BLVD
Mailing Address - Street 2:103
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3423
Mailing Address - Country:US
Mailing Address - Phone:181-842-6640
Mailing Address - Fax:
Practice Address - Street 1:11755 VICTORY BLVD
Practice Address - Street 2:103
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3423
Practice Address - Country:US
Practice Address - Phone:181-842-6640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA723292471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A70967Medicare PIN