MEDICARE: DR. ANI PILIKYAN

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	65082	CA

General Provider Information

NPI Number	:	1235507393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANI PILIKYAN

Provider Business Mailing Address
First Line	:	1715 CLEVELAND RD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-1011
Country	:	US
Telephone Number	:	818-720-6691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 CLEVELAND RD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-1011
Country	:	US
Telephone Number	:	818-720-6691
Fax Number	:

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

Provider Enumeration Date	:	09/07/2015
Last Update Date	:	09/07/2015

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Directions to “ DR. ANI PILIKYAN ” Practice Location

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