| Makan Tarzana Dental Corporation | |
|
18372 Clark St Ste 224 Tarzana CA 91356-3559 | |
| (818) 996-1200 | |
| Not Available |
| Full Name | Makan Tarzana Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 18372 Clark St Ste 224, Tarzana, California |
| Authorized Official Name and Position | Sirish Makan (OFFICER) |
| Authorized Official Contact | 3108728681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Makan Tarzana Dental Corporation 1908 Rue Le Charlene Rancho Palos Verdes CA 90275-6372 Ph: (310) 872-8681 | Makan Tarzana Dental Corporation 18372 Clark St Ste 224 Tarzana CA 91356-3559 Ph: (818) 996-1200 |
| NPI Number | 1700536810 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Medicare PECOS PAC ID | 1759765605 |
|---|---|
| Medicare Enrollment ID | O20220826001676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700536810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jay B Reznick |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962519272 PECOS PAC ID: 7416030606 Enrollment ID: I20080211000878 |
| Provider Name | Jayini Thakker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1386847648 PECOS PAC ID: 0345476818 Enrollment ID: I20131112001434 |
| Provider Name | Sirish Makan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821386285 PECOS PAC ID: 6406144542 Enrollment ID: I20170614001122 |
| Provider Name | Jennifer Paress Caroline |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447698519 PECOS PAC ID: 1052604592 Enrollment ID: I20220927001674 |
| Provider Name | Julene Marlena Funk |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1851930457 PECOS PAC ID: 5890132773 Enrollment ID: I20240327002888 |
Southern California Center For Oral & Facial Surgery Dental Clinic Medicare: Medicare Enrolled Practice Location: 18372 Clark St, Suite 224, Tarzana, CA 91356 Phone: 818-996-1200 Fax: 818-996-1325 | |
Nooshi Akavan Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18919 Ventura Blvd, Suite B, Tarzana, CA 91356 Phone: 818-345-9601 Fax: 818-757-8901 | |
Marshall R. Lapin D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18399 Ventura Blvd., Suite 243, Tarzana, CA 91356 Phone: 818-345-1424 Fax: 818-345-1424 | |
Fara Salehi Dds A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18740 Ventura Blvd, Ste 105, Tarzana, CA 91356 Phone: 818-342-2000 Fax: 818-708-8000 | |
Karla Thompson, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18981 Ventura Blvd Ste 200, Tarzana, CA 91356 Phone: 818-654-7100 Fax: 818-654-7087 | |
Gottschalk And Lee Dental Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5620 Wilbur Ave. Suite 319, Tarzana, CA 91356 Phone: 818-344-4210 Fax: 818-344-4093 | |
Cute Smile Dental Clinic Medicare: Medicare Enrolled Practice Location: 18740 Ventura Blvd Ste 108, Tarzana, CA 91356 Phone: 818-776-1236 |