Physician Compare National (NPI:1770983959)

HEALTHCARE PROVIDER: ROBIN SONGHORIAN

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

Individual Professional Information
NPI	1770983959
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284969957
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190717003009
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SONGHORIAN
	Individual professional last name
Provider First Name	ROBIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8530 W PICO BLVD
	Group Practice or individual's line 1 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900352410
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y