| Shahin Shamsian D.d.s Inc | |
|
5620 Wilbur Ave Ste 309 Tarzana CA 91356-1311 | |
| (818) 881-1559 | |
| Not Available |
| Full Name | Shahin Shamsian D.d.s Inc |
|---|---|
| Speciality | Dentist |
| Location | 5620 Wilbur Ave Ste 309, Tarzana, California |
| Authorized Official Name and Position | Shahin Shamsian (DENTIST/OWNER) |
| Authorized Official Contact | 8188811559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahin Shamsian D.d.s Inc 5620 Wilbur Ave Ste 309 Tarzana CA 91356-1311 Ph: (818) 881-1559 | Shahin Shamsian D.d.s Inc 5620 Wilbur Ave Ste 309 Tarzana CA 91356-1311 Ph: (818) 881-1559 |
| NPI Number | 1720444250 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 1355702184 |
|---|---|
| Medicare Enrollment ID | O20230726003136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720444250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46961 (California) | Primary |
| Provider Name | Shahin Shamsian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730220104 PECOS PAC ID: 4082075817 Enrollment ID: I20230728003016 |
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