Search › California › 122300000X
Andre Eliasian, DDS
NPI 1023443454 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1249 W Glenoaks Blvd
Glendale, CA 91201 - Phone
- (818) 649-1772
- Fax
- (818) 649-1774
Additional practice sites
- 17800 Chatsworth St, Granada Hills, CA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California