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YEGHISHEH MIRZOYAN D.D.S. INC. NPI 1992179006


NPI Information

NPI: 1992179006
Provider Name: YEGHISHEH MIRZOYAN D.D.S., INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
14435 SHERMAN WAY STE 110
VAN NUYS, CA
ZIP 91405
Phone: (818) 927-3113
Get Directions

YEGHISHEH MIRZOYAN D.D.S., INC. is a general practice dentist in Van Nuys, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. YEGHISHEH MIRZOYAN D.D.S., INC. NPI is 1992179006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14435 SHERMAN WAY STE 110
VAN NUYS, CA
ZIP 91405-229
Phone: (818) 927-3113
Fax: (818) 547-5510

The provider's authorized official is Yeghisheh Mirzoyan .
The authorized official title is Dentist and has the following contact phone number (818) 419-0047.

The enumeration date for this NPI number is 11/30/2015 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistCALIFORNIANo
21223S0112XDentistOral and Maxillofacial Surgery44534CALIFORNIANo
31223G0001XDentistGeneral Practice63761CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11184771818MEDICAIDCALIFORNIA
21497156038MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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