Regents Of The University Of California | |
10833 Le Conte Ave Box 951668 Rm A0-125chs Los Angeles CA 90095-0001 | |
(310) 825-8879 | |
(310) 794-9723 |
Full Name | Regents Of The University Of California |
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Speciality | Dentist |
Location | 10833 Le Conte Ave Box 951668, Los Angeles, California |
Authorized Official Name and Position | Fariba Simhai Younai (DIRECTOR) |
Authorized Official Contact | 3108258879 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Regents Of The University Of California 10833 Le Conte Ave Box 951668 Rm A0-125chs Los Angeles CA 90095-1668 Ph: (310) 825-8879 | Regents Of The University Of California 10833 Le Conte Ave Box 951668 Rm A0-125chs Los Angeles CA 90095-0001 Ph: (310) 825-8879 |
NPI Number | 1992831655 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 11/19/2011 |
Medicare PECOS PAC ID | 7911975131 |
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Medicare Enrollment ID | O20040923001287 |
Identifier | Type | State | Issuer |
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1992831655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223D0001X | Dentist - Dental Public Health | 2075 (California) | Primary |
Provider Name | Sherwin Arman |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1821135138 PECOS PAC ID: 9537327507 Enrollment ID: I20120222000155 |
Provider Name | Fariba Simhai Younai |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1417060385 PECOS PAC ID: 6901072743 Enrollment ID: I20120315000829 |
Provider Name | Diana V Messadi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1609881374 PECOS PAC ID: 2264691948 Enrollment ID: I20120322000489 |
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