Elite Dental Clinic in Los Angeles, CA

Elite Dental Clinic is a medicare enrolled dental clinic (Clinic/center - Dental) in Los Angeles, California. The current practice location for Elite Dental Clinic is 3130 W Olympic Blvd Ste 320, Los Angeles, California. For appointments, you can reach them via phone at (323) 766-2888. The mailing address for Elite Dental Clinic is 3130 W Olympic Blvd Ste 320, Los Angeles, California and phone number is (323) 766-2888.

Elite Dental Clinic is licensed to practice in California (license number 54186). The clinic also participates in the medicare program and its NPI number is 1346605672. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 766-2888.

Contact Information

	Elite Dental Clinic
	3130 W Olympic Blvd Ste 320 Los Angeles CA 90006-2494
	(323) 766-2888
	Not Available

Map and Direction

Dental Care Clinic Profile

Full Name	Elite Dental Clinic
Speciality	Clinic/Center
Location	3130 W Olympic Blvd Ste 320, Los Angeles, California
Authorized Official Name and Position	Woo Sung Park (OWNER)
Authorized Official Contact	7145535977
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elite Dental Clinic 3130 W Olympic Blvd Ste 320 Los Angeles CA 90006-2494 Ph: (323) 766-2888	Elite Dental Clinic 3130 W Olympic Blvd Ste 320 Los Angeles CA 90006-2494 Ph: (323) 766-2888

NPI Details:

NPI Number	1346605672
Provider Enumeration Date	12/31/2015
Last Update Date	12/31/2015

Medicare PECOS Information:

Medicare PECOS PAC ID	5799064903
Medicare Enrollment ID	O20161110002067

Medical Identifiers

Medical identifiers for Elite Dental Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346605672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QD0000X	Clinic/center - Dental	54186 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elite Dental Clinic acts as a billing entity for following providers:

Provider Name	Woo Sung Park
Provider Type	Practitioner - Oral Surgery
Provider Identifiers	NPI Number: 1144454869 PECOS PAC ID: 8729380506 Enrollment ID: I20161110002123

Reviews and Comments

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Elite Dental Clinic - Medicare Dental Clinic in Los Angeles, CA