| Ani Ovsepian, Physician Assistant, PC | |
|
16661 Ventura Blvd Ste 313 Encino CA 91436-1956 | |
| (818) 369-9807 | |
| Not Available |
| Full Name | Ani Ovsepian, Physician Assistant, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 16661 Ventura Blvd Ste 313, Encino, California |
| Authorized Official Name and Position | Ani Ovsepian (OWNER/PROVIDER) |
| Authorized Official Contact | 8183699807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ani Ovsepian, Physician Assistant, PC Po Box 9131 Glendale CA 91226-0131 Ph: (818) 369-9807 | Ani Ovsepian, Physician Assistant, PC 16661 Ventura Blvd Ste 313 Encino CA 91436-1956 Ph: (818) 369-9807 |
| NPI Number | 1053104364 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 02/13/2026 |
| Certification Date | 02/13/2026 |
| Medicare PECOS PAC ID | 6204341001 |
|---|---|
| Medicare Enrollment ID | O20250711001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053104364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Ani Ovsepian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669298600 PECOS PAC ID: 8921513722 Enrollment ID: I20250711002061 |
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