DR. EDITH GEVORGIAN (NPI# 1063597417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063597417 |
| Entity Type | Individual |
| Full Name | DR. EDITH GEVORGIAN |
| Credential | DDS |
| Practice Address |
332 E Glenoaks Blvd #100 Glendale CA 91207 |
| Practice Telephone | 8182442181 |
| Practice Fax Number | 8182442959 |
| Mailing Telephone | 8182442181 |
| Mailing Fax Number | 8182442959 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
37332 | CA | Dental Providers |
| Street Address |
332 E GLENOAKS BLVD #100 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861928137 | Vahe Boghossian | Dentist | 332 E Glenoaks Blvd, Suite 200, Glendale, CA 91207-2170 | 2017-05-05 |
| 1447397070 | Gary K. Kevorkian | Dentist | 332 E Glenoaks Blvd, Suite 200, Glendale, CA 91207-2170 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986640 | Mariel Krystel V Llamas | Pharmacist | 150 E Glenoaks Blvd, Glendale, CA 91207 | 2019-11-11 |
| 1992287445 | Paul Meserkhani Dds Inc | Clinic/Center | 620 E Glenoaks Blvd Ste B, Glendale, CA 91207 | 2018-08-31 |
| 1760720775 | Mery Mkrtchian | Behavioral Analyst | 402 East Dryden St, #1, Glendale, CA 91207 | 2013-01-25 |
| 1518215177 | Lusine Dishigrikyan | Pharmacist | 108 E. Kenneth Road, Glendale, CA 91207 | 2012-08-29 |
| 1578859567 | Arina V Hartunian | Dentist | 418 E. Glenoaks Blvd., Kids Dental Place, Suite # 202, Glendale, CA 91207 | 2011-06-28 |
| 1831422930 | Jeanette I Lantz | Psychologist | 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 | 2009-09-09 |
| 1215147681 | Pia Bravo Padillo | Physical Therapist | 1254 North Everrett St, Glendale, CA 91207 | 2007-05-23 |
| 1710106455 | Avi Amit | Physical Therapist | 333 E Glenoaks Blvd Ste 204, Glendale, CA 91207 | 2007-04-24 |
| 1689733081 | San Cristobal Medical Group Inc | General Practice | 610 N. Central Avenue, Suite109, Los Angeles, CA 91207 | 2006-12-08 |
| 1972690899 | Med-pro Family Clinic, A Medical Corporation | Surgery | 221 E. Glenoaks Blvd., 130, Glendale, CA 91207 | 2006-10-10 |
| Find all providers in zip 91207 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134426521 | Joseph Mounir Morcos | Dentist | 1125 Idlewood Rd, Glendale, CA 91202-2008 | 2011-02-21 |
| 1336365790 | Mark Jungwon Pak | Dentist | 1809 Verdugo Blvd Ste 330, Glendale, CA 91208-1402 | 2007-04-17 |
| 1285897660 | Tyler Jensen Hendry | Dentist | 411 N Central Ave, Suite 220, Glendale, CA 91203-2081 | 2008-07-07 |
| 1518176437 | Irwin Feinberg | Dentist | 18555 N 79th Ave, Bldg B-106, Glendale, AZ 85308-8370 | 2007-05-21 |
| 1124235056 | Kenneth M. Kimble | Dentist | 18555 N 79th Ave, Ste #b 106, Glendale, AZ 85308-8370 | 2007-05-17 |
| 1336281856 | Andrew Michael Steinhilber | Dentist | 5855 W Utopia Rd, Glendale, AZ 85308-5251 | 2007-02-12 |
| 1164572939 | Glenn Stephen Roeder | Dentist | 230 N Maryland Ave, Glendale, CA 91206-4261 | 2007-01-11 |
| 1255433645 | Tannaz Zahra Malekzadeh | Dentist | 20100 N 51st Ave, Ste F650, Glendale, AZ 85308-5125 | 2006-09-05 |
| 1508873167 | Stephen B Goldman | Dentist | 411 N Central Ave, Suite 220, Glendale, CA 91203 | 2006-08-03 |
| 1528097516 | Vanessa Coelho Marinho | Dentist | 17250 N 43rd Ave, Suite 5, Glendale, AZ 85308-4035 | 2006-07-02 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on DR. EDITH GEVORGIAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.