Westernoff DMD MD & Mardirosian DDS MD GP-W

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W

Practice address

8540 S Sepulveda Blvd Ste 1206
Los Angeles, CA 90045-3819

Phone

(310) 375-0514

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Martin Mardirosian, DDS, MS, MDNPI 1043566284

Title

Oral Surgeon

Phone

(310) 375-0514

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Martin H Mardirosian, D.D.S, M.S.

  • General Practice Dentistry
  • Woodland Hills, CA
  • NPI 1043566284
  NPD (past) Authorized official
• Joshua Wohlgemuth, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Redondo Beach, CA
  • NPI 1174978720
  NPD
• Barry Johnsin, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Redondo Beach, CA
  • NPI 1841210036
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1710556550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE STE A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-375-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 1206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453819",
            "telephone_number": "310-375-0514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 S Elena Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902775715",
            "country_code": "US",
            "telephone_number": "310-375-0514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 N Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902665921",
            "country_code": "US",
            "telephone_number": "310-375-0514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "MARDIROSIAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "310-375-0514",
        "authorized_official_credential": "DDS, MS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annemarie X Westfall, LCSW
• Miranda Westfall, RD
• Deborah Westgate
• Franklin Westhout, M.D.
• Lucy Maeda Westhusing

• Oral and Maxillofacial Surgery (Dentist) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.