NPI 1710600101 · live from the CMS NPI Registry
Gurgen Abazyan, DMD
Dentist, General Practice in La Crescenta, CA. National Provider Identifier 1710600101, active.
NPI record
| NPI | 1710600101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4325 Lauderdale Ave, La Crescenta, CA 91214 |
| Practice phone | 818-699-3391 |
| Enumerated | September 21, 2022 |
| Last updated | September 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 108101 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.