Healthcare Provider Details

I. General information

NPI: 1518899558
Provider Name (Legal Business Name): KIRIKIAN & MOURADIAN DENTAL ASSOCIATES A PROFESSIONAL DENTAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17037 CHATSWORTH ST STE 101
GRANADA HILLS CA
91344-5881
US

IV. Provider business mailing address

17037 CHATSWORTH ST STE 101
GRANADA HILLS CA
91344-5881
US

V. Phone/Fax

Practice location:
  • Phone: 323-807-2527
  • Fax:
Mailing address:
  • Phone: 323-807-2527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA MOURADIAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential: DMD
Phone: 323-807-2527