Healthcare Provider Details

I. General information

NPI: 1003770884
Provider Name (Legal Business Name): ANAHIT GHAZARIAN DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14241 VENTURA BLVD STE 203
SHERMAN OAKS CA
91423-2742
US

IV. Provider business mailing address

14241 VENTURA BLVD STE 203
SHERMAN OAKS CA
91423-2742
US

V. Phone/Fax

Practice location:
  • Phone: 805-855-0555
  • Fax: 805-855-0555
Mailing address:
  • Phone: 805-855-0555
  • Fax: 805-855-0555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ANAHIT GHAZARIAN
Title or Position: DENTIST
Credential: DDS
Phone: 818-632-1021