| Elena Shabani Dds Inc | |
|
2535 Foothill Blvd Ste 203 La Crescenta CA 91214-4580 | |
| (818) 600-4012 | |
| Not Available |
| Full Name | Elena Shabani Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2535 Foothill Blvd Ste 203, La Crescenta, California |
| Authorized Official Name and Position | Elena Shabani (DENTIST) |
| Authorized Official Contact | 8186004012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Shabani Dds Inc 2535 Foothill Blvd Ste 203 La Crescenta CA 91214-4580 Ph: (818) 600-4012 | Elena Shabani Dds Inc 2535 Foothill Blvd Ste 203 La Crescenta CA 91214-4580 Ph: (818) 600-4012 |
| NPI Number | 1972071389 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 6608109277 |
|---|---|
| Medicare Enrollment ID | O20190613001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972071389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Elena Shabani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306216544 PECOS PAC ID: 8123352986 Enrollment ID: I20190710003329 |
| Provider Name | Armand Keuroghlian |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1891182507 PECOS PAC ID: 0547688988 Enrollment ID: I20200916001344 |
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