| Ivy O. Li D.d.s. Inc. | |
|
420 Ord St Suite #102 Los Angeles CA 90012-2834 | |
| (213) 617-0136 | |
| Not Available |
| Full Name | Ivy O. Li D.d.s. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 420 Ord St, Los Angeles, California |
| Authorized Official Name and Position | Ivy Oi-wan Li (PRESIDENT) |
| Authorized Official Contact | 2136170136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy O. Li D.d.s. Inc. 420 Ord St Suite #102 Los Angeles CA 90012-2834 Ph: (213) 617-0136 | Ivy O. Li D.d.s. Inc. 420 Ord St Suite #102 Los Angeles CA 90012-2834 Ph: (213) 617-0136 |
| NPI Number | 1891863361 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891863361 | NPI | - | NPPES |
| B26674-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26674 (California) | Primary |
Zacoalco Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
Monterey Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
James C. Castelo, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Santa Monica Blvd Ste 210, Los Angeles, CA 90029 Phone: 323-666-3852 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 |