| Tmj & Sleep Therapy Centre Of Los Angeles | |
|
11980 San Vicente Blvd Suite 619 Los Angeles CA 90049-5012 | |
| (805) 496-5700 | |
| (805) 496-5719 |
| Full Name | Tmj & Sleep Therapy Centre Of Los Angeles |
|---|---|
| Speciality | Dentist |
| Location | 11980 San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | David E Shirazi (OWNER) |
| Authorized Official Contact | 8054965700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmj & Sleep Therapy Centre Of Los Angeles 11980 San Vicente Blvd Suite 619 Los Angeles CA 90049-5012 Ph: (805) 496-5700 | Tmj & Sleep Therapy Centre Of Los Angeles 11980 San Vicente Blvd Suite 619 Los Angeles CA 90049-5012 Ph: (805) 496-5700 |
| NPI Number | 1215391289 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215391289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48020 (California) | Primary |
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