Comfort Dental Group | |
5815 Whittier Blvd Los Angeles CA 90022-4301 | |
(323) 721-1212 | |
(323) 721-2002 |
Full Name | Comfort Dental Group |
---|---|
Speciality | Dentist |
Location | 5815 Whittier Blvd, Los Angeles, California |
Authorized Official Name and Position | Vahag Mehrabian (PRESIDENT) |
Authorized Official Contact | 3237211212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Comfort Dental Group 5815 Whittier Blvd Los Angeles CA 90022-4301 Ph: (323) 721-1212 | Comfort Dental Group 5815 Whittier Blvd Los Angeles CA 90022-4301 Ph: (323) 721-1212 |
NPI Number | 1730667411 |
---|---|
Provider Enumeration Date | 08/03/2018 |
Last Update Date | 08/03/2018 |
Medicare PECOS PAC ID | 8820328180 |
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Medicare Enrollment ID | O20200924000740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730667411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 51108 (California) | Primary |
Provider Name | Vahag Mehrabian |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1255487617 PECOS PAC ID: 0547524795 Enrollment ID: I20180803002859 |
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