1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

LISA KEDERIAN DDS, INC.
NPI 1548757347
Dentist - General Practice in Los Angeles, CA

Active since April 17, 2018
11500 W OLYMPIC BLVD STE 604, LOS ANGELES, CA 90064(424) 901-0701 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lisa Kederian Dds, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA KEDERIAN DDS, INC. (NPI 1548757347) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since April 2018. The organization lists Nikki Otkosova, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548757347
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLISA KEDERIAN DDS, INC.
Location Address11500 W OLYMPIC BLVD STE 604Los Angeles, CA 90064-2300
Mailing Address11500 W Olympic Blvd Ste 604Los Angeles, CA 90064-2300 · (424) 901-0701
Phone(424) 901-0701
Organization SubpartNo
Authorized OfficialNikki OtkosovaOffice Manager · (424) 901-0701
Enumeration DateApril 17, 2018
✔ NPI 1548757347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · B54586
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11500 W OLYMPIC BLVD STE 604, Los Angeles, CA 90064
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Kederian Dds, Inc.'s NPI number?

The NPI number for Lisa Kederian Dds, Inc. is 1548757347. It was assigned to this organization in the NPPES registry on April 17, 2018.

Where is Lisa Kederian Dds, Inc. located?

Lisa Kederian Dds, Inc. is located at 11500 W Olympic Blvd Ste 604, Los Angeles, CA 90064. The listed phone number is (424) 901-0701.

What is Lisa Kederian Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lisa Kederian Dds, Inc. was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.