| La Lux Dental | |
|
8540 S Sepulveda Blvd Ste 800 Los Angeles CA 90045-3828 | |
| (310) 670-1200 | |
| Not Available |
| Full Name | La Lux Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 8540 S Sepulveda Blvd Ste 800, Los Angeles, California |
| Authorized Official Name and Position | Andrew Finley (PRESIDENT) |
| Authorized Official Contact | 3106701200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Lux Dental 23323 Wade Ave Torrance CA 90505-3133 Ph: () - | La Lux Dental 8540 S Sepulveda Blvd Ste 800 Los Angeles CA 90045-3828 Ph: (310) 670-1200 |
| NPI Number | 1588170864 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 09/27/2022 |
| Medicare PECOS PAC ID | 3678828472 |
|---|---|
| Medicare Enrollment ID | O20200508001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588170864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 63451 (California) | Primary |
| Provider Name | Andrew P Finley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487061677 PECOS PAC ID: 5799049847 Enrollment ID: I20190204001416 |
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