| Michael Shirvani Dds Inc | |
|
354 E Angeleno Ave Burbank CA 91502-1311 | |
| (818) 846-2858 | |
| (818) 846-5798 |
| Full Name | Michael Shirvani Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 354 E Angeleno Ave, Burbank, California |
| Authorized Official Name and Position | Michael Shirvani (DENTIST/OWNER) |
| Authorized Official Contact | 8188462858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Shirvani Dds Inc 354 E Angeleno Ave Burbank CA 91502-1311 Ph: (818) 846-2858 | Michael Shirvani Dds Inc 354 E Angeleno Ave Burbank CA 91502-1311 Ph: (818) 846-2858 |
| NPI Number | 1578014882 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 5395170120 |
|---|---|
| Medicare Enrollment ID | O20200124000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578014882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49995 (California) | Primary |
| Provider Name | Michael Shirvani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013035849 PECOS PAC ID: 6204261035 Enrollment ID: I20200124000045 |
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