WESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W
NPI 1710556550
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Q: What is Westernoff Dmd MD & Mardirosian Dds MD Gp-W's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since June 24, 2021

8540 S SEPULVEDA BLVD STE 1206, LOS ANGELES, CA 90045(310) 375-0514 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Westernoff Dmd Md & Mardirosian Dds Md Gp-w NPPES

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

WESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W (NPI 1710556550) is a healthcare organization registered as an oral and maxillofacial surgery in Los Angeles, California and active in the NPI registry since June 2021. The organization maintains 2 additional practice locations and lists Martin Mardirosian, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1710556550

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameWESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W

Location Address8540 S SEPULVEDA BLVD STE 1206Los Angeles, CA 90045-3819

Mailing Address1706 S Elena Ave Ste ARedondo Beach, CA 90277-5715 · (310) 375-0514

Phone(310) 375-0514

Organization SubpartNo

Authorized OfficialMartin MardirosianOral Surgeon · (310) 375-0514

Enumeration DateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1710556550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

8540 S SEPULVEDA BLVD STE 1206, Los Angeles, CA 90045

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Secondary Practice Locations 2

Location 11706 S Elena Ave Ste ARedondo Beach, CA 90277-5715 · Phone (310) 375-0514

Location 2604 N Sepulveda BlvdManhattan Beach, CA 90266-5921 · Phone (310) 375-0514

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 Westernoff Dmd MD & Mardirosian Dds MD Gp-W's NPI number?

The NPI number for Westernoff Dmd MD & Mardirosian Dds MD Gp-W is 1710556550. It was assigned to this organization in the NPPES registry on June 24, 2021.

Where is Westernoff Dmd MD & Mardirosian Dds MD Gp-W located?

Westernoff Dmd MD & Mardirosian Dds MD Gp-W is located at 8540 S Sepulveda Blvd Ste 1206, Los Angeles, CA 90045. The listed phone number is (310) 375-0514.

What is Westernoff Dmd MD & Mardirosian Dds MD Gp-W's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Westernoff Dmd MD & Mardirosian Dds MD Gp-W was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.