| Dan Rosen Dds A Proffesional Corporation | |
|
16542 Ventura Blvd Ste 505 Encino CA 91436-4576 | |
| (818) 907-6736 | |
| Not Available |
| Full Name | Dan Rosen Dds A Proffesional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 16542 Ventura Blvd Ste 505, Encino, California |
| Authorized Official Name and Position | Dan Rosen (OWNER) |
| Authorized Official Contact | 8189076736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Rosen Dds A Proffesional Corporation 16542 Ventura Blvd Ste 505 Encino CA 91436-4576 Ph: () - | Dan Rosen Dds A Proffesional Corporation 16542 Ventura Blvd Ste 505 Encino CA 91436-4576 Ph: (818) 907-6736 |
| NPI Number | 1073853495 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 11/11/2013 |
| Medicare PECOS PAC ID | 5799929899 |
|---|---|
| Medicare Enrollment ID | O20130911000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073853495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38742 (California) | Primary |
| Provider Name | Dennis G Smiler |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356354922 PECOS PAC ID: 2466645791 Enrollment ID: I20101019001494 |
| Provider Name | Dan Rosen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124143102 PECOS PAC ID: 6608010707 Enrollment ID: I20130911000254 |
| Provider Name | Shahram Ron Nourian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902947419 PECOS PAC ID: 0042544561 Enrollment ID: I20190717003142 |
| Provider Name | Babak Forooghi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841607652 PECOS PAC ID: 1658705009 Enrollment ID: I20191218001724 |
| Provider Name | Michael David Rosen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700499068 PECOS PAC ID: 9739509365 Enrollment ID: I20201020000991 |
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