Provider Demographics
NPI:1245371988
Name:VORPERIAN, VAHE (DDS)
Entity type:Individual
Prefix:DR
First Name:VAHE
Middle Name:
Last Name:VORPERIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:VAHE
Other - Middle Name:
Other - Last Name:VORPERIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7550 TAMPA AVE STE H
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-2481
Mailing Address - Country:US
Mailing Address - Phone:818-342-1894
Mailing Address - Fax:818-342-1893
Practice Address - Street 1:7550 TAMPA AVE
Practice Address - Street 2:STE H
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2481
Practice Address - Country:US
Practice Address - Phone:818-342-1894
Practice Address - Fax:818-342-1893
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD53600Medicaid