Organization Active NPI

HVK Medical Corp

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1578338935
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HVK MEDICAL CORP
Practice address
1922 Rosalia Rd
Los Angeles, CA 90027-2707
Phone
(818) 209-2042
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vardanush Ketikian, MDNPI 1982946034
Title
Ceo
Phone
(818) 209-2042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1922 Rosalia Rd
Los Angeles, CA 90027-2707

Mailing address

5419 Hollywood Blvd Ste C354
Los Angeles, CA 90027-3480
Phone (818) 209-2042

National Provider Directory

National Provider Directory

Locations

5419 Hollywood Blvd
Ste C354
Los Angeles, CA 90027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1578338935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 HOLLYWOOD BLVD STE C354",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273480",
            "telephone_number": "818-209-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 ROSALIA RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272707",
            "telephone_number": "818-209-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HVK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "KETIKIAN",
        "authorized_official_first_name": "VARDANUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-209-2042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.