Physician Compare National (NPI:1396868774)

HEALTHCARE PROVIDER: ARMOND KOTIKIAN M.D., DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396868774
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335298611
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090515000128
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KOTIKIAN
	Individual professional last name
Provider First Name	ARMOND
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	MAXILLOFACIAL SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	OTOLARYNGOLOGY
	Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4	PLASTIC AND RECONSTRUCTIVE SURGERY
	Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY, MAXILLOFACIAL SURGERY, OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	GARABEDIAN AND KOTIKIAN DENTAL CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3577714195
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	242 N GLENDALE AVE
	Group Practice or individual's line 1 address
City	GLENDALE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	912064454
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8184848939
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y