Sarkis Leon Aznavour, D.D.S

Individual provider Active NPI Dentist · Newhall, CA

NPI 1710173695 · NPPES record last updated May 26, 2010

Key facts

NPI
1710173695
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
55946 (CA)
Practice address
24242 Lyons Ave
Newhall, CA 91321-2343
Phone
(661) 313-5349
Fax
(661) 260-1227
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
55946CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aznavour Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55946 CA Yes

Addresses

Primary practice location

24242 Lyons Ave
Newhall, CA 91321-2343

Mailing address

24242 Lyons Ave
Newhall, CA 91321-2343
Phone (661) 313-5349

Other providers in Newhall, CA

All providers in Newhall, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.