Healthcare Provider Details

I. General information

NPI: 1013820463
Provider Name (Legal Business Name): ARSEN ASHIKYAN DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12450 BURBANK BLVD STE L
VALLEY VILLAGE CA
91607-4741
US

IV. Provider business mailing address

11443 DEBRA AVE
GRANADA HILLS CA
91344-3737
US

V. Phone/Fax

Practice location:
  • Phone: 870-770-7077
  • Fax:
Mailing address:
  • Phone: 870-770-7077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARSEN ASHIKYAN
Title or Position: DDS/OWNER
Credential: DDS
Phone: 870-770-7077