MEDICARE: DR. RAYMOND ARJANG 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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	62618	CA

General Provider Information

NPI Number	:	1356766141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND ARJANG DDS

Provider Business Mailing Address
First Line	:	20405 TIARA ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-5433
Country	:	US
Telephone Number	:	818-421-2648
Fax Number	:

Provider Business Practice Location Address
First Line	:	20405 TIARA ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-5433
Country	:	US
Telephone Number	:	818-421-2648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2014
Last Update Date	:	01/05/2016

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