| Hengameh Anaraki, Dds, Inc | |
|
244 S Oxford Ave Suite 12 Los Angeles CA 90004-5173 | |
| (213) 388-5533 | |
| (213) 388-5549 |
| Full Name | Hengameh Anaraki, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 244 S Oxford Ave, Los Angeles, California |
| Authorized Official Name and Position | Hengameh Anaraki (PRESIDENT) |
| Authorized Official Contact | 2133885533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hengameh Anaraki, Dds, Inc 244 S Oxford Ave Suite 12 Los Angeles CA 90004-5173 Ph: (213) 388-5533 | Hengameh Anaraki, Dds, Inc 244 S Oxford Ave Suite 12 Los Angeles CA 90004-5173 Ph: (213) 388-5533 |
| NPI Number | 1346613593 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346613593 | NPI | - | NPPES |
| 1871801852 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39365 (California) | Primary |
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