| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/06/2007 |
| Medicare PECOS PAC ID | 9830348838 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295858504 PECOS PAC ID: 0547419541 Enrollment ID: I20121008000523 |
Laurel Canyon Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6700 Laurel Canyon Blvd, Suite 3, North Hollywood, CA 91606 Phone: 818-764-5333 Fax: 818-765-0887 | |
Hollywood Smile Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12903 Victory Blvd, North Hollywood, CA 91606 Phone: 818-752-7525 Fax: 818-752-7527 | |
Altus Dental Care, Dizon Dental Group Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11509 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-753-4800 | |
A&e Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13112 Sherman Way, North Hollywood, CA 91605 Phone: 818-982-6162 Fax: 818-982-6214 | |
Studio City Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12840 Riverside Drive, Suite 508, North Hollywood, CA 91607 Phone: 818-506-2424 Fax: 818-763-5679 | |
Galina Stolyar Dds Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11755 Victory Blvd Ste 101, North Hollywood, CA 91606 Phone: 818-761-0010 Fax: 818-761-0012 | |
Arlene Aranes Zapanta Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Laurel Canyon Blvd, Suite 104, North Hollywood, CA 91605 Phone: 818-767-5782 Fax: 818-504-1959 |