Steve Aivazian, DDS
Individual provider Active NPI Dentist · Downey, CA
NPI 1902952633 · NPPES record last updated Jun 2, 2015
Key facts
- NPI
- 1902952633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 41887 (CA)
- Practice address
- 10805 Paramount Blvd Suite B
Downey, CA 90241 - Phone
- (562) 869-1686
- Fax
- (562) 861-1671
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41887 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallatin Dental Group | Dentist | Past | Accepting new patients |
| Bekeredjian and Aivazian Dental Corp., a Professional Corporation | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41887 | CA | Yes |
Addresses
Primary practice location
10805 Paramount Blvd Suite B
Downey, CA 90241
Mailing address
10805 Paramount Blvd Suite B
Downey, CA 90241
Phone (562) 869-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41887 | Other | CA | DENTAL LICENSE NUMBER |
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.