Provider Demographics
NPI:1538361910
Name:ARAKELYAN, HAYK (DDSMS)
Entity type:Individual
Prefix:
First Name:HAYK
Middle Name:
Last Name:ARAKELYAN
Suffix:
Gender:M
Credentials:DDSMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6333 WILSHIRE BLVD
Mailing Address - Street 2:#504
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5702
Mailing Address - Country:US
Mailing Address - Phone:323-648-0001
Mailing Address - Fax:323-648-0003
Practice Address - Street 1:6333 WILSHIRE BLVD
Practice Address - Street 2:# 504
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5702
Practice Address - Country:US
Practice Address - Phone:323-648-0001
Practice Address - Fax:323-648-0003
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA482201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice