Provider Demographics
NPI:1083342232
Name:HARTOUNIAN, NAYIRI (DDS)
Entity Type:Individual
Prefix:
First Name:NAYIRI
Middle Name:
Last Name:HARTOUNIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4415 OCEAN VIEW BLVD APT 2
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1252
Mailing Address - Country:US
Mailing Address - Phone:818-522-0760
Mailing Address - Fax:
Practice Address - Street 1:4415 OCEAN VIEW BLVD APT 2
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1252
Practice Address - Country:US
Practice Address - Phone:818-522-0760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107698122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist