| Yeghisheh Mirzoyan D.d.s., Inc. | |
|
14435 Sherman Way Ste 110 Van Nuys CA 91405-6229 | |
| (818) 927-3113 | |
| (818) 547-5510 |
| Full Name | Yeghisheh Mirzoyan D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 14435 Sherman Way Ste 110, Van Nuys, California |
| Authorized Official Name and Position | Yeghisheh Mirzoyan (DENTIST) |
| Authorized Official Contact | 8184190047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yeghisheh Mirzoyan D.d.s., Inc. 6440 Greenbush Ave Van Nuys CA 91401-1839 Ph: (818) 403-7655 | Yeghisheh Mirzoyan D.d.s., Inc. 14435 Sherman Way Ste 110 Van Nuys CA 91405-6229 Ph: (818) 927-3113 |
| NPI Number | 1992179006 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2163769670 |
|---|---|
| Medicare Enrollment ID | O20190122002568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992179006 | NPI | - | NPPES |
| 1497156038 | Medicaid | CA | |
| 1184771818 | Medicaid | CA |
| Provider Name | Yeghisheh Mirzoyan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497156038 PECOS PAC ID: 8628319704 Enrollment ID: I20190418001880 |
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