Healthcare Provider Details

I. General information

NPI: 1992043913
Provider Name (Legal Business Name): OHANIAN DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10520 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-3917
US

IV. Provider business mailing address

10520 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-3917
US

V. Phone/Fax

Practice location:
  • Phone: 818-980-6761
  • Fax: 818-980-6763
Mailing address:
  • Phone: 818-980-6761
  • Fax: 818-980-6763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number54481
License Number StateCA

VIII. Authorized Official

Name: DR. ARMINE OHANIAN
Title or Position: DENTIST
Credential: DMD
Phone: 818-442-1715