Provider Demographics
NPI:1043489677
Name:BARATIAN, HOUMAN (DDS)
Entity Type:Individual
Prefix:
First Name:HOUMAN
Middle Name:
Last Name:BARATIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19800 HAWTHORNE BLVD
Mailing Address - Street 2:224
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-1515
Mailing Address - Country:US
Mailing Address - Phone:424-276-7700
Mailing Address - Fax:424-251-8615
Practice Address - Street 1:19800 HAWTHORNE BLVD
Practice Address - Street 2:224
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-1515
Practice Address - Country:US
Practice Address - Phone:424-276-7700
Practice Address - Fax:424-251-8615
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53895122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist