MEDICARE: HERMINEH KARAMANIAN 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	122300000X	Dentist	53462	CA

General Provider Information

NPI Number	:	1477617033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERMINEH KARAMANIAN DDS

Provider Business Mailing Address
First Line	:	420 COUTIN LN
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-3103
Country	:	US
Telephone Number	:	818-507-8007
Fax Number	:

Provider Business Practice Location Address
First Line	:	WESTERN DENTAL CENTER 1821 N. LONG BEACH BLVD
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90221
Country	:	US
Telephone Number	:	131-063-9426
Fax Number	:	310-605-0646

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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