Organization Active NPI

Haig a. Koshkarian M.D. Inc.

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • La Jolla, CA
National Provider Identifier
1902017650
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084H0002X
License
G14651 Issued in CA
Legal business name
HAIG A. KOSHKARIAN M.D. INC.
Practice address
1020 Prospect St
Ste. 415B
La Jolla, CA 92037-0068
Phone
(858) 459-3696
Fax
(858) 270-6677
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Haig Aram Koshkarian, M.D.
Title
President
Phone
(858) 459-3696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084H0002X G14651 CA Primary

Addresses

Primary practice location

1020 Prospect St
Ste. 415B
La Jolla, CA 92037-0068

Mailing address

1020 Prospect St
Ste. 415B
La Jolla, CA 92037-0068
Phone (858) 459-3696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1902017650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PROSPECT ST",
            "address_2": "STE. 415B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370068",
            "telephone_number": "858-459-3696",
            "fax_number": "858-270-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PROSPECT ST",
            "address_2": "STE. 415B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370068",
            "telephone_number": "858-459-3696",
            "fax_number": "858-270-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIG A. KOSHKARIAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "KOSHKARIAN",
        "authorized_official_first_name": "HAIG",
        "authorized_official_middle_name": "ARAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-459-3696",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G14651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.