# BENJAMIN YAGOUBIAN DDS, MD A PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154878544
- **Authorized official:** DR. BENJAMIN YAGOUBIAN DDS, MD (DOCTOR)
- **Authorized official phone:** (818) 404-2104

## Contact information

- **Practice address:** 23451 MADISON ST STE 120, TORRANCE, CA 90505-4736
- **Practice address phone:** (818) 404-2104
- **Mailing address:** 4452 ESTRONDO DR, ENCINO, CA 91436-3263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | OMS105 | CA | Yes |

## Other

- **Enumeration date:** 09/02/2016
- **Last updated:** 09/02/2016