Provider Demographics
NPI:1447274972
Name:DARAKJIAN, HRAIR E (MED)
Entity type:Individual
Prefix:
First Name:HRAIR
Middle Name:E
Last Name:DARAKJIAN
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23734 VALENCIA BLVD
Mailing Address - Street 2:#203
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2100
Mailing Address - Country:US
Mailing Address - Phone:661-253-2223
Mailing Address - Fax:661-253-2297
Practice Address - Street 1:23734 VALENCIA BLVD
Practice Address - Street 2:#203
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2100
Practice Address - Country:US
Practice Address - Phone:661-253-2223
Practice Address - Fax:661-253-2297
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55678174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist