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NPI Code Detail

MEDICARE: DR. ANGEL HAROUNIAN DDS

MEDICARE: DR. ANGEL HAROUNIAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist100446CA

General Provider Information

NPI Number : 1306399910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGEL HAROUNIAN DDS
Provider Business Mailing Address
First Line : 1440 REEVES ST APT 108
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2978
Country : US
Telephone Number : 310-867-5965
Fax Number : 424-274-3280
Provider Business Practice Location Address
First Line : 8525 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2409
Country : US
Telephone Number : 424-274-3261
Fax Number : 424-274-3280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2016
Last Update Date : 07/31/2016

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Directions to “ DR. ANGEL HAROUNIAN DDS” Practice Location

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