| |
5000 Van Nuys Blvd Ste 320 Sherman Oaks CA 91403-1717 | |
(818) 508-2250 | |
(818) 762-0681 |
Full Name | |
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Speciality | Dentist |
Location | 5000 Van Nuys Blvd Ste 320, Sherman Oaks, California |
Authorized Official Name and Position | Sanjay Lala (OWNER) |
Authorized Official Contact | 8185082250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5000 Van Nuys Blvd Ste 320 Sherman Oaks CA 91403-1717 Ph: (818) 508-2250 | 5000 Van Nuys Blvd Ste 320 Sherman Oaks CA 91403-1717 Ph: (818) 508-2250 |
NPI Number | 1972727014 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 03/06/2024 |
Medicare PECOS PAC ID | 1153625918 |
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Medicare Enrollment ID | O20160215002608 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972727014 | NPI | - | NPPES |
517741 | Other | CA | MEDI CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sadighim Soleymani Dental Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12926 Riverside Dr Ste D, Sherman Oaks, CA 91423 Phone: 818-784-5889 | |
Gary Robert Johnson, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd, Suite 202, Sherman Oaks, CA 91403 Phone: 818-981-4824 Fax: 818-981-4096 | |
Anait Alabyan Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403 Phone: 818-788-2121 Fax: 818-981-5097 | |