| Regents Of Univ. Of California Dental Anesthesia Service | |
|
10833 Leconte Ave 53-039 Chs Los Angeles CA 90095-1668 | |
| (310) 825-9300 | |
| (877) 352-0109 |
| Full Name | Regents Of Univ. Of California Dental Anesthesia Service |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 10833 Leconte Ave, Los Angeles, California |
| Authorized Official Name and Position | Steven Isaac Ganzberg (PROFESSOR AND CHAIR) |
| Authorized Official Contact | 3108259300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of Univ. Of California Dental Anesthesia Service 10833 Leconte Ave 53-039 Chs Los Angeles CA 90095-1668 Ph: (310) 825-9300 | Regents Of Univ. Of California Dental Anesthesia Service 10833 Leconte Ave 53-039 Chs Los Angeles CA 90095-1668 Ph: (310) 825-9300 |
| NPI Number | 1346303195 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346303195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | 60746 (California) | Primary |
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