| Afsoon Barkhordar Dds Inc. | |
|
6200 Wilshire Blvd Ste 909 Los Angeles CA 90048-5810 | |
| (323) 935-2111 | |
| (323) 935-2414 |
| Full Name | Afsoon Barkhordar Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6200 Wilshire Blvd Ste 909, Los Angeles, California |
| Authorized Official Name and Position | Afsoon Barkhordar (DENTIST) |
| Authorized Official Contact | 3239352111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afsoon Barkhordar Dds Inc. 6200 Wilshire Blvd Ste 909 Los Angeles CA 90048-5810 Ph: (323) 935-2111 | Afsoon Barkhordar Dds Inc. 6200 Wilshire Blvd Ste 909 Los Angeles CA 90048-5810 Ph: (323) 935-2111 |
| NPI Number | 1427482504 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 08/26/2013 |
| Medicare PECOS PAC ID | 6507094539 |
|---|---|
| Medicare Enrollment ID | O20140120000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427482504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Afsoon Barkhordar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093901944 PECOS PAC ID: 4688802614 Enrollment ID: I20140120000361 |
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