Individual provider · Type 1 NPI

Shaunt Korkounian, PA

Surgical Physician Assistant · Northridge, CA

NPI number 1770308504 Active

Practice location

18250 Roscoe Blvd Ste 220
Northridge, CA 91325-4271

Mailing address

12489 Arbor Hill St
Moorpark, CA 93021-3182

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

4 other providers at this address

About NPI 1770308504

Shaunt Korkounian, PA's National Provider Identifier is 1770308504, issued on Nov 18, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Northridge, CA. The record was last updated on Dec 30, 2024.