SERGE PETROSIAN CADC II
NPI 1124391669
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Q: What is Serge Petrosian's NPI number?

The NPI number for Serge Petrosian is 1124391669. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Q: What is Serge Petrosian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Serge Petrosian was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2012

5930 S MAIN ST, SUITE 104, LOS ANGELES, CA 90003(818) 551-0026 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Serge Petrosian Cadc Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGE PETROSIAN CADC II (NPI 1124391669) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in California (A7121111) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1124391669

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameSERGE PETROSIANCredential: CADC II

Location Address5930 S MAIN ST, SUITE 104Los Angeles, CA 90003-1201

Mailing Address619 E Elmwood Ave, Apt. OBurbank, CA 91501-2587 · (818) 804-6520

Phone(818) 551-0026

Sole ProprietorYes

Enumeration DateFebruary 14, 2012

✔ NPI 1124391669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · A7121111

5930 S MAIN ST, Los Angeles, CA 90003

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALIFORNIA CARE CORP.

Health Maintenance Organization

5930 S MAIN ST, STE.104
LOS ANGELES, CA 90003

Los Angeles County (818) 551-0026

BRYON D JACKSON CAARR

Counselor (Addiction (Substance Use Disorder))

5930 S MAIN ST, #104
LOS ANGELES, CA 90003

Los Angeles County (323) 372-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serge Petrosian's NPI number?

The NPI number for Serge Petrosian is 1124391669. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Serge Petrosian located?

Serge Petrosian practices at 5930 S Main St Suite 104, Los Angeles, CA 90003. The listed phone number is (818) 551-0026.

What is Serge Petrosian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Serge Petrosian was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.