| H.r.imankhan,dds,inc | |
|
11395 Atlantic Ave Lynwood CA 90262-2485 | |
| (310) 639-0884 | |
| (310) 639-0013 |
| Full Name | H.r.imankhan,dds,inc |
|---|---|
| Speciality | Dentist |
| Location | 11395 Atlantic Ave, Lynwood, California |
| Authorized Official Name and Position | Hamid Reza Imankhan (PRESIDENT/OWNER) |
| Authorized Official Contact | 3106390884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H.r.imankhan,dds,inc 11395 Atlantic Ave Lynwood CA 90262-2485 Ph: (310) 639-0884 | H.r.imankhan,dds,inc 11395 Atlantic Ave Lynwood CA 90262-2485 Ph: (310) 639-0884 |
| NPI Number | 1003115312 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003115312 | NPI | - | NPPES |
| G893997-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46073 (California) | Primary |
Steve Kim D.d.s. Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11395 Atlantic Ave, Lynwood, CA 90262 Phone: 909-282-7776 |