|
| |
|
4550 W Pico Blvd Ste C309 Los Angeles CA 90019-4271 | |
| (323) 602-0590 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 4550 W Pico Blvd Ste C309, Los Angeles, California |
| Authorized Official Name and Position | Lorilee Schmidt (PRESIDENT) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Spectrum Center Dr Ste 1500 Irvine CA 92618-4984 Ph: (714) 578-6358 | 4550 W Pico Blvd Ste C309 Los Angeles CA 90019-4271 Ph: (323) 602-0590 |
| NPI Number | 1518326321 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518326321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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 | |
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 |