Provider Demographics
NPI:1548383383
Name:KASSABIAN, ARMINE OHANIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARMINE
Middle Name:OHANIAN
Last Name:KASSABIAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ARMINE
Other - Middle Name:
Other - Last Name:OHANIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:4910 VAN NUYS BLVD
Mailing Address - Street 2:SUITE #208
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-453-8016
Mailing Address - Fax:818-453-8829
Practice Address - Street 1:4910 VAN NUYS BLVD
Practice Address - Street 2:SUITE #208
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403
Practice Address - Country:US
Practice Address - Phone:818-453-8016
Practice Address - Fax:818-453-8829
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54481122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1538324306Medicaid