1932439213 NPI number — ALINA OGANYAN D.D.S. INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932439213 NPI number — ALINA OGANYAN D.D.S. INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALINA OGANYAN D.D.S. INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932439213
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1727 N. VERMONT AVE
Provider Second Line Business Mailing Address:
ALINA OGANYAN D.D.S. INC. SUIT 109
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-644-3366
Provider Business Mailing Address Fax Number:
323-644-0838

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1727 N. VERMONT AVE
Provider Second Line Business Practice Location Address:
ALINA OGANYAN D.D.S. INC. SUIT 109
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-644-3366
Provider Business Practice Location Address Fax Number:
323-644-0838
Provider Enumeration Date:
01/08/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OGANYAN
Authorized Official First Name:
ALINA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
323-644-3366

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  46313 , 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)