Healthcare Provider Details

I. General information

NPI: 1699696385
Provider Name (Legal Business Name): ARIELLA KERENDIAN DDS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10306 SEPULVEDA BLVD
MISSION HILLS CA
91345-2422
US

IV. Provider business mailing address

18533 LINNET ST
TARZANA CA
91356-4131
US

V. Phone/Fax

Practice location:
  • Phone: 818-722-1576
  • Fax:
Mailing address:
  • Phone: 213-663-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113406
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: