MEDICARE: ALINA OGANYAN 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	46313	CA

General Provider Information

NPI Number	:	1932439213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALINA OGANYAN D.D.S. INC.

Provider Business Mailing Address
First Line	:	1727 N. VERMONT AVE
Second Line	:	ALINA OGANYAN D.D.S. INC. SUIT 109
City	:	LOS ANGELES
State	:	CA
Zip	:	90027
Country	:	US
Telephone Number	:	323-644-3366
Fax Number	:	323-644-0838

Provider Business Practice Location Address
First Line	:	1727 N. VERMONT AVE
Second Line	:	ALINA OGANYAN D.D.S. INC. SUIT 109
City	:	LOS ANGELES
State	:	CA
Zip	:	90027
Country	:	US
Telephone Number	:	323-644-3366
Fax Number	:	323-644-0838

Authorized Official
Title or Position	:	CEO
Name	:	DR. ALINA OGANYAN
Credential	:	DDS
Telephone Number	:	323-644-3366

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	01/08/2010

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