Individual
MICHAEL M HOVSEPIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 447-4065
Mailing address
1239 COACH HOUSE CT, FULLERTON, CA 92831-1052
(818) 281-8588
(714) 990-2331
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G85250
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G85250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G852500
BCBS
CA
05
—
00G852500
—
CA
01
—
E-11139
ARKANSAS MEDICAL BOARD
AR
01
—
P00610085
RR MEDICARE
CA
Enumeration date
09/22/2006
Last updated
02/17/2022
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