| Sourpik Avakian Md A Professional Medical Corporation | |
|
9735 Wilshire Blvd Suite 441 Beverly Hills CA 90212-2107 | |
| (310) 271-6330 | |
| (310) 271-6332 |
| Full Name | Sourpik Avakian Md A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 9735 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Sourpik Avakian (OWNER) |
| Authorized Official Contact | 3102716330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sourpik Avakian Md A Professional Medical Corporation 9735 Wilshire Blvd Ste 441 Beverly Hills CA 90212-2107 Ph: (310) 271-6330 | Sourpik Avakian Md A Professional Medical Corporation 9735 Wilshire Blvd Suite 441 Beverly Hills CA 90212-2107 Ph: (310) 271-6330 |
| NPI Number | 1093937435 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 5698869279 |
|---|---|
| Medicare Enrollment ID | O20070913000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093937435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sourpik Avakian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699863555 PECOS PAC ID: 5496852469 Enrollment ID: I20070525000515 |
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