| Karen Khachatryan Dds Inc | |
|
1877 E Washington Blvd Pasadena CA 91104-1648 | |
| (626) 791-7474 | |
| (626) 791-7478 |
| Full Name | Karen Khachatryan Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1877 E Washington Blvd, Pasadena, California |
| Authorized Official Name and Position | Karen Khachatryan (PRESIDENT) |
| Authorized Official Contact | 8186018550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Khachatryan Dds Inc 1877 E Washington Blvd Pasadena CA 91104-1648 Ph: (626) 791-7474 | Karen Khachatryan Dds Inc 1877 E Washington Blvd Pasadena CA 91104-1648 Ph: (626) 791-7474 |
| NPI Number | 1558024737 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 9133594286 |
|---|---|
| Medicare Enrollment ID | O20230404000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558024737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Karen Kevin Khachatryan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033782180 PECOS PAC ID: 0042685190 Enrollment ID: I20230405000516 |
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