Marine Chakhoyan

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

101973 Issued in CA

Legal business name

MARINE CHAKHOYAN

Practice address

3366 Mather Field Rd
Rancho Cordova, CA 95670-5966

Phone

(916) 587-0817

Fax

(916) 857-0816

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Marine ChakhoyanNPI 1972701274

Title

Manager

Phone

(916) 857-0817

Specialties & licenses 1

Addresses

Other names 1

• Aabica Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marine Chakhoyan

  • Customized Equipment (DME)
  • Rancho Cordova, CA
  • NPI 1972701274
  NPD Authorized official

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1831367028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 MATHER FIELD RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705966",
            "telephone_number": "916-587-0817",
            "fax_number": "916-857-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 MATHER FIELD RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705966",
            "telephone_number": "916-587-0817",
            "fax_number": "916-857-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE CHAKHOYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "CHAKHOYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-857-0817"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "101973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aabica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.