| Hovsep Nargizyan, Dds, Inc. | |
|
1655 N Mount Vernon Ave Unit B San Bernardino CA 92411-1427 | |
| (909) 885-8707 | |
| (909) 885-9447 |
| Full Name | Hovsep Nargizyan, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1655 N Mount Vernon Ave, San Bernardino, California |
| Authorized Official Name and Position | Hovsep Nargizyan (OWNER) |
| Authorized Official Contact | 9098858707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hovsep Nargizyan, Dds, Inc. 1655 N Mount Vernon Ave Unit B San Bernardino CA 92411-1427 Ph: (909) 885-8707 | Hovsep Nargizyan, Dds, Inc. 1655 N Mount Vernon Ave Unit B San Bernardino CA 92411-1427 Ph: (909) 885-8707 |
| NPI Number | 1164572053 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 05/17/2024 |
| Medicare PECOS PAC ID | 7214271691 |
|---|---|
| Medicare Enrollment ID | O20181212001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164572053 | NPI | - | NPPES |
| 161-9568 | Other | CA | UNITED CONCORDIA |
| G94087-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51112 (California) | Primary |
| Provider Name | Hovsep Nargizyan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982799276 PECOS PAC ID: 2769771658 Enrollment ID: I20190103002920 |
| Provider Name | Souren Rostomian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184771818 PECOS PAC ID: 2163786682 Enrollment ID: I20190423001323 |
| Provider Name | Tigran Gyokchyan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447771100 PECOS PAC ID: 6901224526 Enrollment ID: I20200915000563 |
| Provider Name | Armand Keuroghlian |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1891182507 PECOS PAC ID: 0547688988 Enrollment ID: I20200916001344 |
| Provider Name | Jessie Corral |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1194860809 PECOS PAC ID: 3274885462 Enrollment ID: I20200922002813 |
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