Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TATIANA MIKAELIAN DDS INC
Active
Organization
TATIANA MIKAELIAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIANA MIKAELIAN DDS (PRESIDENT)
(213) 840-3229
Entity
Organization
Contact information
Practice address
1209 N. CENTRAL AVE, #203, GLENDALE, CA 91202
(213) 840-3229
Mailing address
7441 DONNA AVE, RESEDA, CA 91335-2508
(213) 840-3229
(818) 705-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G94151-01
DENTICAL
CA
Enumeration date
10/23/2008
Last updated
10/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up