Provider Demographics
NPI:1871118844
Name:HAKOBYAN, ZARUHI (DMD)
Entity type:Individual
Prefix:DR
First Name:ZARUHI
Middle Name:
Last Name:HAKOBYAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 HONOLULU AVE UNIT 57
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-3474
Mailing Address - Country:US
Mailing Address - Phone:818-480-2408
Mailing Address - Fax:
Practice Address - Street 1:6301 HONOLULU AVE UNIT 57
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-3474
Practice Address - Country:US
Practice Address - Phone:818-480-2408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist