Vahe Boghossian D.M.D. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

101341 Issued in CA

Legal business name

VAHE BOGHOSSIAN D.M.D. INC.

Practice address

332 E Glenoaks Blvd Ste 200
Glendale, CA 91207-2106

Phone

(818) 241-6598

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Vahe Boghossian, D.M.D.

Title

General Dentist

Phone

(818) 400-6229

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1629588249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E GLENOAKS BLVD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072106",
            "telephone_number": "818-241-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E GLENOAKS BLVD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072106",
            "telephone_number": "818-241-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAHE BOGHOSSIAN D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "BOGHOSSIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "818-400-6229",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "101341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.