Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 55841 | CA |
N | 1223D0001X | Dental Public Health | 55841 | CA |
N | 1223G0001X | General Practice | 55841 | CA |
N | 213EG0000X | General Practice | 55841 | CA |
NPI | 1518104678 |
---|---|
Provider Name | Dr. Annie Aghajanian-Aboulian |
First Address | North Hollywood, CA 91606-4883 |
Second Address | North Hollywood, CA 91606-4883 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2009 |
Last Update Date | 26/11/2014 |