Organization Active NPI

Misak H. Abdulian, M.D., Inc

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1740589498
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MISAK H. ABDULIAN, M.D., INC
Practice address
1300 N Vermont Ave
Suite 702
Los Angeles, CA 90027-6005
Phone
(323) 660-5576
Fax
(323) 664-4145
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Misak Hovaness Abdulian, M.D.
Title
Medical Provader
Phone
(323) 660-5576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
Suite 702
Los Angeles, CA 90027-6005

Mailing address

1300 N Vermont Ave
Suite 702
Los Angeles, CA 90027-6005
Phone (323) 660-5576

Other identifiers 2

IdentifierTypeStateIssuer
1330726MedicaidCA
00A236371MedicaidCA

Other names 1

  • NONE Other name

National Provider Directory

National Provider Directory

Locations

1300 N Vermont Ave
Ste 702
Los Angeles, CA 90027
Phone (323) 660-5576

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1740589498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "SUITE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-660-5576",
            "fax_number": "323-664-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "SUITE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-660-5576",
            "fax_number": "323-664-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISAK H. ABDULIAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "ABDULIAN",
        "authorized_official_first_name": "MISAK",
        "authorized_official_middle_name": "HOVANESS",
        "authorized_official_title_or_position": "MEDICAL PROVADER",
        "authorized_official_telephone_number": "323-660-5576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1330726",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A236371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 14, 2011; 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.