Healthcare Provider Details

I. General information

NPI: 1619856515
Provider Name (Legal Business Name): ARIN HARTOUNIAN DMD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5903 SEPULVEDA BLVD STE B
CULVER CITY CA
90230-6475
US

IV. Provider business mailing address

3446 MONTROSE AVE
GLENDALE CA
91214-3343
US

V. Phone/Fax

Practice location:
  • Phone: 818-297-4664
  • Fax:
Mailing address:
  • Phone: 818-297-4664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIN HARTOUNIAN
Title or Position: PRESIDENT
Credential: DMD
Phone: 818-297-4664