| Karineh Assatourian Dds Inc. Pc | |
|
1115 Colorado Blvd. Los Angeles CA 90041 | |
| (323) 255-4600 | |
| (323) 255-0394 |
| Full Name | Karineh Assatourian Dds Inc. Pc |
|---|---|
| Speciality | Dentist |
| Location | 1115 Colorado Blvd., Los Angeles, California |
| Authorized Official Name and Position | Karineh E. Assatourian (PRESIDENT/ OWNER) |
| Authorized Official Contact | 8187491789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karineh Assatourian Dds Inc. Pc 941 Milmada Dr. La Canada Flintridge CA 91011 Ph: (818) 749-1789 | Karineh Assatourian Dds Inc. Pc 1115 Colorado Blvd. Los Angeles CA 90041 Ph: (323) 255-4600 |
| NPI Number | 1184896409 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 8729405824 |
|---|---|
| Medicare Enrollment ID | O20200903002898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184896409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53328 (Maryland) | Primary |
| Provider Name | Karineh E Assatourian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093857286 PECOS PAC ID: 9436585478 Enrollment ID: I20210119000001 |
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