| NPI | 1164585832 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-18 |
| Last Updated | 2020-08-22 |
| Authorized Official | Yan Ayzin Corporate Officer Phone: 8182405800 |
| Mailing Address | 815 So Central Ave, Suite 10 Glendale, CA 91204-2079 United States Phone: (818) 240-5800 | Fax: (818) 240-5801 📍 View Map |
| Primary Practice Address | 815 So Central Ave, Suite 10 Glendale, CA 91204-2079 United States Phone: (818) 240-5800 | Fax: (818) 240-5801 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | G9296401 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 122300000X – Dentist | CA | 41813 |
| Yes | 122300000X – Dentist | CA | 34050 |
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About NPI 1164585832
Angela Ayzin Dds And Van Ayzin Dds A Dental Coporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1164585832. The primary specialty listed is Dentist. The organization is located in Glendale, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164585832?
NPI 1164585832 belongs to Angela Ayzin Dds And Van Ayzin Dds A Dental Coporation, a Dentist in Glendale, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164585832 active?
The current status of NPI 1164585832 in the NPPES registry is Active. The record was last updated on 2020-08-22.
What specialty is NPI 1164585832?
NPI 1164585832 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164585832?
You can verify NPI 1164585832 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164585832?
The primary practice address on file for NPI 1164585832 is 815 So Central Ave, Glendale, CA 91204-2079. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164585832 issued?
NPI 1164585832 was first issued (enumerated) on 2006-12-18. The NPPES record was last updated on 2020-08-22.
Practice Location Map
Angela Ayzin Dds And Van Ayzin Dds A Dental Coporation is located at 815 So Central Ave, Glendale, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Angela Ayzin Dds And Van Ayzin Dds A Dental Coporation. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164585832. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 41813 | CA |
| Dentist | 34050 | CA |