MEDICARE: MR. ARTHUR LUSINYAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D43193	CA

General Provider Information

NPI Number	:	1134313281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARTHUR LUSINYAN DDS

Provider Business Mailing Address
First Line	:	5005 HOLLYWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6103
Country	:	US
Telephone Number	:	323-662-9308
Fax Number	:	323-662-5970

Provider Business Practice Location Address
First Line	:	5005 HOLLYWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6103
Country	:	US
Telephone Number	:	323-662-9308
Fax Number	:	323-662-5970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	08/31/2007

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