Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Setrak Manouk Missak Azrenkassian

Individual provider Internal Medicine Physician · NPI 1265010920

Setrak Manouk Missak Azrenkassian is an Internal Medicine in Thousand Oaks, California. Qualified in 2021, 5 years ago. Practices with Life Medical Practitioners, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone: (805) 497-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A193958 (CA)

Record details

NPI number1265010920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Life Medical Practitioners — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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