| Altina Karimyan Dds A Dental Corporation | |
|
800 Fairmount Ave #100 Pasadena CA 91105-3150 | |
| (626) 304-3004 | |
| (626) 304-3005 |
| Full Name | Altina Karimyan Dds A Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 800 Fairmount Ave, Pasadena, California |
| Authorized Official Name and Position | Altina Karimyan (PRESIDENT) |
| Authorized Official Contact | 6263043004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altina Karimyan Dds A Dental Corporation 800 Fairmount Ave #100 Pasadena CA 91105-3150 Ph: (626) 304-3004 | Altina Karimyan Dds A Dental Corporation 800 Fairmount Ave #100 Pasadena CA 91105-3150 Ph: (626) 304-3004 |
| NPI Number | 1972863413 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 06/14/2018 |
| Medicare PECOS PAC ID | 6002156031 |
|---|---|
| Medicare Enrollment ID | O20190328002350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972863413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54269 (California) | Primary |
| Provider Name | Altina Karimyan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295039782 PECOS PAC ID: 4981944915 Enrollment ID: I20190328002530 |
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