| Daniel Dermendjian, MD | |
| 445 W Broadway, Glendale, CA 91204-1208 | |
| (323) 243-2052 | |
| Not Available | 
| Full Name | Daniel Dermendjian | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology - Pain Medicine | 
| Location | 445 W Broadway, Glendale, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598262131 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 176809 (California) | Primary | 
| Entity Name | Superclinic Professionals Medical Corp A California Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326564212 PECOS PAC ID: 6507120656 Enrollment ID: O20180817001682 | 
| Entity Name | La Pain Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831978147 PECOS PAC ID: 4486000148 Enrollment ID: O20231101000696 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Daniel Dermendjian, MD 5256 Los Encantos Way, Los Angeles, CA 90027-1020 Ph: (323) 243-2052 | Daniel Dermendjian, MD 445 W Broadway, Glendale, CA 91204-1208 Ph: (323) 243-2052 | 
| Mrs. Asmik Akopyan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1030 S. Glendale Ave., Suite 404, Glendale, CA 91205 Phone: 818-240-9911 Fax: 818-240-9939 | |
| Michael S Winston, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 824 N Glendale Ave, Glendale, CA 91206 Phone: 818-500-0523 | |
| Dwight E Hiscox, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-550-0900 Fax: 505-293-1524 | |
| Yukiko Ree, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100 | |
| Arthur Victor Liu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 Fax: 818-546-5632 | |
| Varner Edward Dudley Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 Fax: 818-546-5632 | |
| Ivan Hronek, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1420 S Central Ave, Glendale, CA 91204 Phone: 818-502-1900 Fax: 818-502-4738 |