Healthcare Provider Details

I. General information

NPI: 1649168493
Provider Name (Legal Business Name): VAZGEN KARAPETYAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2059 W WHITTIER BLVD
MONTEBELLO CA
90640-4010
US

IV. Provider business mailing address

2059 W WHITTIER BLVD
MONTEBELLO CA
90640-4010
US

V. Phone/Fax

Practice location:
  • Phone: 323-727-9898
  • Fax: 323-727-9905
Mailing address:
  • Phone: 323-727-9898
  • Fax: 323-727-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. VAZGEN KARAPETYAN
Title or Position: DOCTOR/DIRECTOR
Credential: DDS
Phone: 818-246-0109