15719 VANOWEN ST DENTAL GROUP OF YEGHISHEH MIRZOYAN DDS INC – NPI #1558053025
Clinic/Center

15719 VANOWEN ST DENTAL GROUP OF YEGHISHEH MIRZOYAN DDS INC is an AHC clinic located in VAN NUYS, CA. NPPES has assigned the NPI number 1558053025 to 15719 VANOWEN ST DENTAL GROUP OF YEGHISHEH MIRZOYAN DDS INC on May 23, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 15719 VANOWEN ST DENTAL GROUP OF YEGHISHEH MIRZOYAN DDS INC below.

NPI Profile for
15719 VANOWEN ST DENTAL GROUP OF YEGHISHEH MIRZOYAN DDS INC

NPI Number
1558053025
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
15719 VANOWEN ST DENTAL GROUP OF YEGHISHEH MIRZOYAN DDS INC
Primary location
15719 VANOWEN ST
VAN NUYS, CA 91406-5030
Phone: (818) 419-0047 Fax:
Mailing address
6440 GREENBUSH AVE
VAN NUYS, CA 91401-1839
Phone: (818) 419-0047 Fax:
Organization Subpart
No
Authorized Official
YEGHISHEH MIRZOYAN
PRESIDENT
Phone: (818) 927-3113
Updated
Certification Date
May 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.