MEDICARE: VICTOR K. MURADIAN, D.D.S. INC

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	43373	CA

General Provider Information

NPI Number	:	1548479462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTOR K. MURADIAN, D.D.S. INC

Provider Business Mailing Address
First Line	:	3695 ALAMO ST STE 300
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93063-2188
Country	:	US
Telephone Number	:	805-522-0880
Fax Number	:

Provider Business Practice Location Address
First Line	:	3695 ALAMO ST STE 300
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93063-2188
Country	:	US
Telephone Number	:	805-522-0880
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VICTOR KHAYAT MURADIAN
Credential	:	DDS
Telephone Number	:	805-522-0880

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

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