MEDICARE: ANGEL'S CARE DENTAL

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1437839461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S CARE DENTAL

Provider Business Mailing Address
First Line	:	5301 W SUNSET BLVD STE 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5694
Country	:	US
Telephone Number	:	323-366-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 W SUNSET BLVD STE 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5694
Country	:	US
Telephone Number	:	323-366-2900
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	HAYK ARAKELYAN
Credential	:	DDS
Telephone Number	:	323-366-2900

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	07/24/2023

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Directions to “ANGEL'S CARE DENTAL ” Practice Location

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