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Individual

MASIS HACOOPIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0867
Mailing address
301 N GARFIELD AVE, PASADENA, CA 91101-1523
(818) 640-6368

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95179833
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029608
CA

Other

Enumeration date
10/21/2021
Last updated
03/31/2024
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