Provider Demographics
NPI:1699901462
Name:AKOPYAN, ARMENAK
Entity type:Individual
Prefix:MR
First Name:ARMENAK
Middle Name:
Last Name:AKOPYAN
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 1:3001 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-2415
Mailing Address - Country:US
Mailing Address - Phone:661-616-8292
Mailing Address - Fax:
Practice Address - Street 1:3001 OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-2415
Practice Address - Country:US
Practice Address - Phone:661-616-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-06
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA9127090172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver