Provider Demographics
NPI:1366702003
Name:HAKOPYAN, OGANES JOHN (COUNSELOR)
Entity type:Individual
Prefix:
First Name:OGANES
Middle Name:JOHN
Last Name:HAKOPYAN
Suffix:
Gender:M
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E 7TH ST # 104-105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90021-1436
Mailing Address - Country:US
Mailing Address - Phone:213-537-0110
Mailing Address - Fax:213-537-0110
Practice Address - Street 1:600 E 7TH ST # 104-105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90021-1436
Practice Address - Country:US
Practice Address - Phone:213-537-0110
Practice Address - Fax:213-537-0110
Is Sole Proprietor?:No
Enumeration Date:2012-05-28
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7404Medicaid