SERGE BALTAYAN


Address: 10833 Le Conte Ave, Los Angeles, CA 90095
Phone: 2139737437

SERGE BALTAYAN (NPI# 1629459573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629459573
Entity Type Individual
Full Name SERGE BALTAYAN
Credential DDS, MD, MS
Practice Address 10833 Le Conte Ave
Los Angeles
CA 90095
Mailing Address Po Box 5561
Glendale
CA 91221-5561
Practice Telephone 2139737437
Enumeration Date 2015-06-17
Last Update Date 2018-06-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
63026 CA Dental Providers

Office Location

Street Address 10833 LE CONTE AVE
City LOS ANGELES
State CA
Zip Code 90095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598761942 Dennis Goldfinger Specialist 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2005-06-21
1972129427 Matthew Joseph Heinz Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-06-21
1255955803 Airton D Soares Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-05-29
1073137626 Gonzalo Nicolas Olaverria Salavaggione Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-05-29
1780204990 Maira Hinojosa Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-17
1053930537 Jeong Min Kim Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-14
1972122778 Mojan Mirnia Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-11
1902435779 Kaitlin Elizabeth Fusco Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-03
1487283313 Jonathan Douglas Gatto Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2020-04-02
1578191839 Abhishek Venkataramana Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave, Los Angeles, CA 90095-1430 2020-03-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982212155 Alexandra Gubin Social Worker Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 2020-07-14
1952926263 Georgina Parra Student in an Organized Health Care Education/Training Program 10833 Le Conteave, Los Angeles, CA 90095 2020-06-11
1609403575 Yagmur Muftuoglu Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 2020-03-23
1619438173 Brandon Covington Smith Student in an Organized Health Care Education/Training Program 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 2019-03-27
1184184913 Alexander Daniel Yuen Student in an Organized Health Care Education/Training Program 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 2019-03-19
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1427549146 Courtney Renee' Real Registered Nurse 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 2018-05-29
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Orthopaedic Surgery 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
Find all providers in zip 90095

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518506773 Francisco Suarez, Dds Inc. Dentist 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 2020-01-04
1346803897 Jason Yoo Dds Inc Dentist 3660 Wilshire Blvd Ste 102, Los Angeles, CA 90010-2716 2019-04-19
1003384579 David Cedeno Md Dds Professional Corporation Dentist 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017-4006 2018-11-02
1043747827 California Oral & Facial Surgery, Inc. Dentist 2610 W Olympic Blvd # 200, Los Angeles, CA 90006-2807 2017-05-11
1699168583 Michael Issakharian Dentist 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948 2015-03-16
1962829143 California Oral & Facial Surgery, Inc. Dentist 2610 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2807 2014-03-25
1447697107 Samuel Liu Dentist 11600 Wilshire Blvd Ste 316, Los Angeles, CA 90025 2013-06-04
1215291059 Steve Lim Dentist 722 S Los Angeles St Apt 415, Los Angeles, CA 90014-4507 2012-06-26
1952663080 William H Noh Dentist 3640 Wilshire Blvd Apt 236, Los Angeles, CA 90010-2644 2012-06-14
1225322019 Kevin Coppelson Dentist 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024 2011-06-08
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

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.

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