1326151614 NPI number — DR. HAGOP JACOB BABIKIAN DDS

Table of content: KEVIN ABERCROMBIE (NPI 1073109344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326151614 NPI number — DR. HAGOP JACOB BABIKIAN DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BABIKIAN
Provider First Name:
HAGOP
Provider Middle Name:
JACOB
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SETRAK
Provider Other First Name:
SABAH
Provider Other Middle Name:
AZAD
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1326151614
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10980 WARNER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOUNTAIN VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92708-3853
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-964-0433
Provider Business Mailing Address Fax Number:
714-965-5354

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10980 WARNER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOUNTAIN VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92708-3853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-964-0433
Provider Business Practice Location Address Fax Number:
714-965-5354
Provider Enumeration Date:
08/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  35549 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: B3554901 . This is a "DENTICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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