Araxi Mirzoyan Kalach, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106711 Issued in CA

Practice address

279 S Atlantic Blvd Ste B
Los Angeles, CA 90022-1734

Phone

(818) 445-3915

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amirzoyankalach256387@direct.bmc.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1518633403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11058 CHANDLER BLVD APT 3060",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014183",
            "telephone_number": "818-445-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S ATLANTIC BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221734",
            "telephone_number": "818-445-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZOYAN KALACH",
        "first_name": "ARAXI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrah R Mirzaee, ED.D
• Christine Bottrell Mirzaian, M.D.
• Edith Mirzaian, PHARM.D.
• Mirzayan Dental Inc
• Armen Mirzayan
• Diana Mirzoyan, M.D.
• Gor Mirzoyan, DO
• Augustine-John Misa
• Maria Fatima Georgia Fernandez Misa
• Misak H. Abdulian, M.D., Inc

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.