MEDICARE: DR. LENA ZEROUNIAN 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	1223G0001X	General Practice Dentistry	42627	CA

General Provider Information

NPI Number	:	1952459257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENA ZEROUNIAN DDS

Provider Business Mailing Address
First Line	:	3836 E FOOTHILL BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-2213
Country	:	US
Telephone Number	:	626-795-2900
Fax Number	:	626-795-1097

Provider Business Practice Location Address
First Line	:	3836 E FOOTHILL BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-2213
Country	:	US
Telephone Number	:	626-795-2900
Fax Number	:	626-714-7256

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

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	11/04/2021

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