Pal, Azatyan, Khachatryan, a Professional Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PAL, AZATYAN, KHACHATRYAN, A PROFESSIONAL DENTAL CORPORATION

Practice address

1502 S la Brucherie Rd Ste a
El Centro, CA 92243-9495

Phone

(760) 282-3556

NPI assigned

Jun 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hamlet Khachatryan, DDS

Title

Owner

Phone

(818) 300-5849

Specialties & licenses 1

Addresses

Other names 1

• Imperial Orthodontics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1023851979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 CRUICKSHANK DR STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S LA BRUCHERIE RD STE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439495",
            "telephone_number": "760-282-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL, AZATYAN, KHACHATRYAN, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-300-5849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Pain and Spine Institute Inc
• Israel Padilla
• Jaime Padilla Jr.
• Patricia Diane Padilla, MSN, APRN, FNP
• Denise Page-Demorst
• Dayana Palacios
• Roxanna Palacios
• Ana Palafox-Mendez, FNP
• Alma Palomino
• Helen G Palomino, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in El Centro, CA
• Providers in El Centro, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.