| Sahabi D D S Dental Corporation | |
|
4701 Eagle Rock Blvd Los Angeles CA 90041-2711 | |
| (323) 255-5572 | |
| (323) 258-8604 |
| Full Name | Sahabi D D S Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 4701 Eagle Rock Blvd, Los Angeles, California |
| Authorized Official Name and Position | Kamran Sahabi (PRESIDENT-CEO) |
| Authorized Official Contact | 8183954833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sahabi D D S Dental Corporation 4701 Eagle Rock Blvd Los Angeles CA 90041-2711 Ph: (323) 255-5572 | Sahabi D D S Dental Corporation 4701 Eagle Rock Blvd Los Angeles CA 90041-2711 Ph: (323) 255-5572 |
| NPI Number | 1356495865 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 11/04/2021 |
| Medicare PECOS PAC ID | 3274922463 |
|---|---|
| Medicare Enrollment ID | O20211109001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356495865 | NPI | - | NPPES |
| Provider Name | Kamran Sahabi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518387778 PECOS PAC ID: 6507168374 Enrollment ID: I20211007003567 |
| Provider Name | Eddie Karabidian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487139879 PECOS PAC ID: 7012309750 Enrollment ID: I20220110000963 |
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