| La Brea Family Dental Group | |
|
3400 S La Brea Ave Los Angeles CA 90016-5217 | |
| (323) 734-2284 | |
| (323) 734-3178 |
| Full Name | La Brea Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3400 S La Brea Ave, Los Angeles, California |
| Authorized Official Name and Position | Jeong-ho Roh (OWNER) |
| Authorized Official Contact | 3237342284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Brea Family Dental Group 3400 S La Brea Ave Los Angeles CA 90016-5217 Ph: (323) 734-2284 | La Brea Family Dental Group 3400 S La Brea Ave Los Angeles CA 90016-5217 Ph: (323) 734-2284 |
| NPI Number | 1760828776 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 05/16/2013 |
| Medicare PECOS PAC ID | 3274753769 |
|---|---|
| Medicare Enrollment ID | O20141006000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760828776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52921 (California) | Primary |
| Provider Name | Jeong-ho Roh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770758344 PECOS PAC ID: 4183844673 Enrollment ID: I20141006000378 |
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 |