Dr Lyla A Gazarian-boustani, DDS - Dentist in Glendale, CA

Dr Lyla A Gazarian-boustani, DDS is a Dentist - Endodontics based in Glendale, California. Dr Lyla A Gazarian-boustani is licensed to practice in California (license number 56717) and her current practice location is 230 N Maryland Ave, Suite 206, Glendale, California. She can be reached at her office (for appointments etc.) via phone at (818) 547-2804.

NPI number for Dr Lyla A Gazarian-boustani is 1003047341 and her current mailing address is 4904 Ventura Canyon Ave, Sherman Oaks, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003047341.

Contact Information

Dr Lyla A Gazarian-boustani, DDS
230 N Maryland Ave, Suite 206,
Glendale, CA 91206-4261
(818) 547-2804
Not Available



Healthcare Provider's Profile

Full NameDr Lyla A Gazarian-boustani
GenderFemale
SpecialityDentist - Endodontics
Location230 N Maryland Ave, Glendale, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003047341
  • Provider Enumeration Date: 08/04/2009
  • Last Update Date: 08/04/2009

Medical Identifiers

Medical identifiers for Dr Lyla A Gazarian-boustani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003047341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 56717 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lyla A Gazarian-boustani is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lyla A Gazarian-boustani, DDS
4904 Ventura Canyon Ave,
Sherman Oaks, CA 91423-1408

Ph: (818) 635-9358
Dr Lyla A Gazarian-boustani, DDS
230 N Maryland Ave, Suite 206,
Glendale, CA 91206-4261

Ph: (818) 547-2804

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Dentist in Glendale, CA

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Phone: 818-543-0707    Fax: 818-543-0700
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