| Amerident Health Pro, Inc. | |
|
3130 S Sepulveda Blvd Suite D Los Angeles CA 90034-4215 | |
| (310) 268-0646 | |
| (310) 268-0536 |
| Full Name | Amerident Health Pro, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 3130 S Sepulveda Blvd, Los Angeles, California |
| Authorized Official Name and Position | William Ginzburg (PRACTICE OWNER) |
| Authorized Official Contact | 3102680646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amerident Health Pro, Inc. 3130 S Sepulveda Blvd Suite D Los Angeles CA 90034-4215 Ph: (310) 268-0646 | Amerident Health Pro, Inc. 3130 S Sepulveda Blvd Suite D Los Angeles CA 90034-4215 Ph: (310) 268-0646 |
| NPI Number | 1467818401 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 01/06/2016 |
| Medicare PECOS PAC ID | 3779888193 |
|---|---|
| Medicare Enrollment ID | O20160223002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467818401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40241 (California) | Primary |
| Provider Name | Mohamed I Kayali |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477612406 PECOS PAC ID: 1850693326 Enrollment ID: I20160322001714 |
| Provider Name | Bill E Ginzburg |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1336360510 PECOS PAC ID: 8224334107 Enrollment ID: I20190528000996 |
Zacoalco Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
Monterey Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
James C. Castelo, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Santa Monica Blvd Ste 210, Los Angeles, CA 90029 Phone: 323-666-3852 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 |