Avetisyan, Nana
Avetisyan, Nana is an individual health care provider with primary practice located at 13716 Sherman Way , Van Nuys CA 91405-2626. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Avetisyan, Nana can be contacted via phone (818) 744-5102.Contact Information
Primary practice address
13716 Sherman Way
Van Nuys CA 91405-2626
Phone: (818) 744-5102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | RDA94891 | California |
Profile Details
| NPI number | 1891309233 |
|---|---|
| LBN Legal business name | Avetisyan, Nana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2020 |
| Last updated | Sep 2nd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891309233 | NPPES |
| California | MEDICAID | RDA94891 |
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