Vick Kargodorian DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

36567 Issued in CA

Legal business name

VICK KARGODORIAN DDS INC.

Practice address

7080 Hollywood Blvd Ste 806
Hollywood, CA 90028-6935

Phone

(323) 962-1998

Fax

(323) 462-1068

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vick Kargodorian, OWNER

Title

Dentist

Phone

(323) 962-1998

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicken Varoujan Kargodorian, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1760540041
  NPD (past)

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1376908111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 806",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900286935",
            "telephone_number": "323-962-1998",
            "fax_number": "323-462-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 806",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900286935",
            "telephone_number": "323-962-1998",
            "fax_number": "323-462-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICK KARGODORIAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "KARGODORIAN",
        "authorized_official_first_name": "VICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-962-1998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hollywood, CA
• Providers in Hollywood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.