DR. EDMOND MGDESYAN (NPI# 1508086968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086968 |
| Entity Type | Individual |
| Full Name | DR. EDMOND MGDESYAN |
| Credential | D.D.S |
| Practice Address |
4505 Las Virgenes Rd Suite 102b Calabasas CA 91302 |
| Mailing Address |
4505 Las Virgenes Rd. Suite 102b Calabasas CA 91302 |
| Practice Telephone | 8188808841 |
| Practice Fax Number | 8188808842 |
| Mailing Telephone | 8188808841 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
53627 | CA | Dental Providers |
| Street Address |
4505 LAS VIRGENES RD SUITE 102B |
| City | CALABASAS |
| State | CA |
| Zip Code | 91302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790733467 | Alan Joseph Goldstein | Optometrist | 4505 Las Virgenes Rd, Suite 105, Calabasas, CA 91302-1956 | 2006-05-05 |
| 1518410489 | Elisabeth Parish Stewart | Marriage & Family Therapist | 4505 Las Virgenes Rd, Calabasas, CA 91302-1956 | 2016-07-27 |
| 1790138402 | Prominence Corporation | Clinic/Center | 4505 Las Virgenes Rd, Suite 207, Calabasas, CA 91302-1956 | 2016-07-18 |
| 1154773877 | Hillside Malibu Corp | Clinic/Center | 4505 Las Virgenes Rd, Suite 211, Calabasas, CA 91302-1956 | 2016-07-06 |
| 1750626198 | Shannon Haroutunian | Marriage & Family Therapist | 4505 Las Virgenes Rd, Suite 202, Calabasas, CA 91302-1956 | 2012-12-11 |
| 1083958177 | Malibu Balance Day Treatment | Psychiatric Hospital | 4505 Las Virgenes Rd, Suite 202, Calabasas, CA 91302-1956 | 2012-11-15 |
| 1538412085 | Christine Lee Olney | Psychologist | 4505 Las Virgenes Rd, Ste. 202, Calabasas, CA 91302-1956 | 2012-10-22 |
| 1437465713 | Carmen Anderson | Psychologist | 4505 Las Virgenes Rd, 217, Calabasas, CA 91302-1956 | 2010-08-25 |
| 1083845564 | Bahareh Talei | Psychologist | 4505 Las Virgenes Rd, 217, Calabasas, CA 91302-1956 | 2009-08-02 |
| 1386874790 | Menije Boduryan | Counselor | 4505 Las Virgenes Rd, Suite 205, Calabasas, CA 91302-1956 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
| 1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
| 1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
| 1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
| 1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| Find all providers in zip 91302 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295085397 | Craig Dennis Gordon | Dentist | 5305 Collingwood Cir, Calabasas, CA 91302-3138 | 2012-09-16 |
| 1689971061 | Payam Khalepari D.m.d A Professional Dental Corporation | Dentist | 26787 Agoura Rd Ste E5, Calabasas, CA 91302-1960 | 2011-02-21 |
| 1093012619 | David Wacker | Dentist | 25428 Cumberland Ln, Calabasas, CA 91302-3156 | 2011-02-16 |
| 1417262999 | Sanaz R Rezaie | Dentist | 4691 Luna Ct, Calabasas, CA 91302-3548 | 2010-08-09 |
| 1235334210 | J Schechter, Dds, Inc. | Dentist | 26560 Agoura Rd Ste 102, Calabasas, CA 91302-1949 | 2007-06-19 |
| 1598889602 | Vladislav Viksman | Dentist | 24011 Ventura Blvd Ste 100, Calabasas, CA 91302-1456 | 2007-03-16 |
| 1912069311 | Dennis M Arutian Dds Inc | Dentist | 23622 Calabasas Road, Suite #119, Calabasas, CA 91302-1576 | 2006-12-14 |
| 1437163037 | Joel A. Ovadia | Dentist | 22343 Cairnloch St, Calabasas, CA 91302-5875 | 2006-07-28 |
| 1851305908 | Paul S Applefield | Dentist | 4764 Park Granada, Suite 107, Calabasas, CA 91302-5734 | 2006-07-27 |
| 1548666381 | Roger L. Garrett, D.d.s., A Professional Corporation | Dentist | 23695 Calabasas Rd, Calabasas, CA 91302-1502 | 2014-11-05 |
| Find all providers in CALABASAS | ||||
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| 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.