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DR. HOURY KOUSHAKJIAN D.D.S
NPI 1972541654
Dentist in Los Angeles, CA

Active since June 03, 2006PECOS Enrolled
4618 FOUNTAIN AVE, LOS ANGELES, CA 90029(323) 953-7170(323) 663-2379 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2020, Nov 4, 2019 (2 updates tracked since 2019).

About Dr. Houry Koushakjian D.d.s NPPES

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

DR. HOURY KOUSHAKJIAN D.D.S (NPI 1972541654) is an individual dentist in Los Angeles, California, licensed in California (45479) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972541654
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HOURY KOUSHAKJIANCredential: D.D.S
Location Address4618 FOUNTAIN AVELos Angeles, CA 90029-1963
Mailing Address950 S Grand Ave Fl 2Los Angeles, CA 90015-3999 · (323) 669-4346
Phone(323) 953-7170
Fax(323) 663-2379
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1972541654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 45479
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4618 FOUNTAIN AVE, Los Angeles, CA 90029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Houry Koushakjian D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE WINSTON
Student in an Organized Health Care Education/Training Program
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 717-3453
PAOLA MICHELLE MENDEZ
Community Health Worker
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 953-7170
CHRISTINE VU
Social Worker (Clinical)
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 644-6180
ELIZABETH RAMIREZ
Student in an Organized Health Care Education/Training Program
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Los Angeles County (626) 417-6291
DR. JUDY JOOYUN LEE M.D.
Pediatrics
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 953-7170
MRS. GUADALUPE PEREZ
Case Manager/Care Coordinator
4618 FOUNTAIN AVE, SUITE 102
LOS ANGELES, CA 90029
Los Angeles County (323) 644-6180
JENNIFER MIN
Pediatrics
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 953-7170
CRISTINA LUCIA SANDOVAL
Social Worker (Clinical)
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 669-4355

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 Houry Koushakjian's NPI number?

The NPI number for Houry Koushakjian is 1972541654. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Houry Koushakjian located?

Houry Koushakjian practices at 4618 Fountain Ave, Los Angeles, CA 90029. The listed phone number is (323) 953-7170.

What is Houry Koushakjian's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Houry Koushakjian enrolled in Medicare?

Yes. Houry Koushakjian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Houry Koushakjian was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.