DR. ANDRE MARDEROSIAN (NPI# 1093224131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093224131 |
| Entity Type | Individual |
| Full Name | DR. ANDRE MARDEROSIAN |
| Credential | DMD |
| Practice Address |
3129 N San Fernando Rd Los Angeles CA 90065 |
| Mailing Address |
418 E Glenoaks Blvd Ste 101 Glendale CA 91207-2093 |
| Practice Telephone | 8182392217 |
| Mailing Telephone | 8182392217 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS102003 | CA | Dental Providers |
| Street Address |
3129 N SAN FERNANDO RD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902930936 | Javier Eliecer Jara | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065-1412 | 2007-03-14 |
| 1457558942 | Jonathan K Lee | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065-1412 | 2007-06-28 |
| 1831211820 | Dae H Song Dds Inc | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065-1412 | 2007-04-03 |
| 1043344096 | Yvette Gulesserian | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065-1412 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613177 | Carmela Hermann Dietrich | Massage Therapist | 546 Frontenac Avenue, Los Angeles, CA 90065 | 2018-06-21 |
| 1245421981 | Kerry Glen Thorne | Marriage & Family Therapist | 3374 Scarboro St, Los Angeles, CA 90065 | 2007-08-07 |
| 1275654311 | Cal Care Ambulance Service | Ambulance | 2829 N. San Fernando Rd #203, Los Angeles, CA 90065 | 2007-04-03 |
| 1053430116 | Feliza Perez | Rehabilitation Practitioner | 2677 1/2 202 Ave, Huntington Park, CA 90065 | 2007-03-28 |
| 1154475382 | Grace O Serrano | Dentist | 4146 Verdugo Rd, Los Angeles, CA 90065 | 2007-01-23 |
| 1265532519 | Dae H Song | Dentist | 3129 San Fernando Rd, Los Angeles, CA 90065 | 2006-09-25 |
| 1730289737 | Calox Inc | Durable Medical Equipment & Medical Supplies | 3034 Fierro Street, Los Angeles, CA 90065 | 2006-09-22 |
| 1710345491 | Golden Van Rides Inc. | Non-emergency Medical Transport (VAN) | 3920 Eagle Rock Blvd, Suite C, Los Angeles, CA 90065 | 2016-02-09 |
| 1841467396 | Highland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2648 N Figueroa St, Los Angeles, CA 90065-1026 | 2008-05-14 |
| 1831372853 | Gain Medical Supply Group Inc | Durable Medical Equipment & Medical Supplies | 2626 N Figueroa St, Unit C, Los Angeles, CA 90065-1049 | 2007-12-12 |
| Find all providers in zip 90065 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1134729601 | Enas Tayyem | Dentist | 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 | 2020-10-26 |
| 1639776073 | Stephanie Jeanne Bauman | Dentist | 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 | 2020-10-08 |
| 1316544570 | Azzah Widatalla | Dentist | 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 | 2020-10-01 |
| 1104433796 | Irena Starchenko | Dentist | 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 | 2020-09-28 |
| 1134734353 | Mark Park | Dentist | 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 | 2020-09-14 |
| 1740895150 | Chantelle Aabedi | Dentist | 2711 Casiano Rd, Los Angeles, CA 90077-9007 | 2020-09-11 |
| 1801401542 | Yojeong Cho | Dentist | 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 | 2020-09-10 |
| 1518572247 | William Hwang | Dentist | 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 | 2020-09-10 |
| 1912511056 | Shervin Moshashaei | Dentist | 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 | 2020-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90065 |
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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.