| Vachik Danoukh,d.m.d., Inc | |
|
6301 Van Nuys Blvd Van Nuys CA 91401-2611 | |
| (818) 787-6400 | |
| Not Available |
| Full Name | Vachik Danoukh,d.m.d., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6301 Van Nuys Blvd, Van Nuys, California |
| Authorized Official Name and Position | Vachik Danoukh (DOCTOR/PRESIDENT) |
| Authorized Official Contact | 8187876400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vachik Danoukh,d.m.d., Inc 6301 Van Nuys Blvd Van Nuys CA 91401-2611 Ph: (818) 787-6400 | Vachik Danoukh,d.m.d., Inc 6301 Van Nuys Blvd Van Nuys CA 91401-2611 Ph: (818) 787-6400 |
| NPI Number | 1043709538 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Medicare PECOS PAC ID | 2567791346 |
|---|---|
| Medicare Enrollment ID | O20190903003111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043709538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56048 (California) | Primary |
| Provider Name | Vachik Danoukh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619167053 PECOS PAC ID: 3072842863 Enrollment ID: I20190903003233 |
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