Provider Demographics
NPI:1215054770
Name:ARAKELIAN, KAREN
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:ARAKELIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 VAN NUYS BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1738
Mailing Address - Country:US
Mailing Address - Phone:818-995-3377
Mailing Address - Fax:818-995-6644
Practice Address - Street 1:4940 VAN NUYS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1738
Practice Address - Country:US
Practice Address - Phone:818-995-3377
Practice Address - Fax:818-995-6644
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice