Provider Demographics
NPI:1447372321
Name:JOSEPH ASLANYAN DDS AND JAQUELINE CHIBARIAN DDS A PROFESSIONAL DENTAL
Entity type:Organization
Organization Name:JOSEPH ASLANYAN DDS AND JAQUELINE CHIBARIAN DDS A PROFESSIONAL DENTAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHIBAARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-541-9010
Mailing Address - Street 1:3600 OCEAN VIEW
Mailing Address - Street 2:#6
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208
Mailing Address - Country:US
Mailing Address - Phone:818-541-9010
Mailing Address - Fax:818-541-9019
Practice Address - Street 1:3600 OCEAN VIEW
Practice Address - Street 2:#6
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208
Practice Address - Country:US
Practice Address - Phone:818-541-9010
Practice Address - Fax:818-541-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41821122300000X
CA42800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9229901Medicaid
CAG9229901OtherDENTICAL