NPIMap

Organization Active NPI

Gayane Matuliandds

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1649781758
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44214 Issued in DE
Legal business name
GAYANE MATULIANDDS
Practice address
2650 Griffith Park Blvd
Los Angeles, CA 90039-2520
Phone
(323) 660-5522
Fax
(818) 551-9976
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Gayane A Matulian, DDSNPI 1922086651
Title
Dentist
Phone
(323) 660-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44214 DE Primary

Addresses

Primary practice location

2650 Griffith Park Blvd
Los Angeles, CA 90039-2520

Mailing address

2650 Griffith Park Blvd
Los Angeles, CA 90039-2520
Phone (323) 660-5522

Other practice location 1

1004 S Glendale Ave
Glendale, CA 91205-2806
Phone (818) 551-9515

National Provider Directory

National Provider Directory

Locations

2650 Griffith Park Blvd
Los Angeles, CA 90039
Phone (323) 660-5522

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1649781758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392520",
            "telephone_number": "323-660-5522",
            "fax_number": "818-551-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392520",
            "telephone_number": "323-660-5522",
            "fax_number": "818-551-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 S Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912052806",
            "country_code": "US",
            "telephone_number": "818-551-9515",
            "fax_number": "818-551-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAYANE MATULIANDDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MATULIAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-660-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "44214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.