Individual
ANI CHOPOURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 J ST, SACRAMENTO, CA 95819-3626
(916) 453-4469
Mailing address
PO BOX 189446, SACRAMENTO, CA 95818-9446
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15399
INDIVIDUAL
CA
Enumeration date
07/13/2007
Last updated
07/13/2007
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