Sevak Elyaspoor Dds Professional Corp. | |
12125 Vanowen St Ste 2 North Hollywood CA 91605-5665 | |
(818) 764-4679 | |
(818) 764-6382 |
Full Name | Sevak Elyaspoor Dds Professional Corp. |
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Speciality | Clinic/Center |
Location | 12125 Vanowen St Ste 2, North Hollywood, California |
Authorized Official Name and Position | Sevak Elyaspoor (PRESIDENT) |
Authorized Official Contact | 8187644679 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sevak Elyaspoor Dds Professional Corp. 12125 Vanowen St Ste 2 North Hollywood CA 91605-5665 Ph: (818) 764-4679 | Sevak Elyaspoor Dds Professional Corp. 12125 Vanowen St Ste 2 North Hollywood CA 91605-5665 Ph: (818) 764-4679 |
NPI Number | 1164617783 |
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Provider Enumeration Date | 09/06/2007 |
Last Update Date | 09/06/2007 |
Medicare PECOS PAC ID | 9830348838 |
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Medicare Enrollment ID | O20121008000496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164617783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 53593 (California) | Primary |
Provider Name | Sevak Elyaspoor |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1295858504 PECOS PAC ID: 0547419541 Enrollment ID: I20121008000523 |
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