Provider Demographics
NPI:1437944410
Name:HARTOUNIAN, ARA (DDS)
Entity type:Individual
Prefix:
First Name:ARA
Middle Name:
Last Name:HARTOUNIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 ROYAL BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1557
Mailing Address - Country:US
Mailing Address - Phone:818-284-0972
Mailing Address - Fax:
Practice Address - Street 1:1575 BLONDELL AVE STE 150
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2661
Practice Address - Country:US
Practice Address - Phone:718-405-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program