| Usc School Of Dentistry | |
|
925 W 34th St Room #151 Los Angeles CA 90089-0641 | |
| (213) 740-7405 | |
| (213) 740-4813 |
| Full Name | Usc School Of Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 925 W 34th St, Los Angeles, California |
| Authorized Official Name and Position | Todd Dickey (SENIOR VICE PRESIDENT, ADMINISTRATI) |
| Authorized Official Contact | 2137408184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usc School Of Dentistry 925 W 34th St Room #151 Los Angeles CA 90089-0641 Ph: (213) 740-7405 | Usc School Of Dentistry 925 W 34th St Room #151 Los Angeles CA 90089-0641 Ph: (213) 740-7405 |
| NPI Number | 1821168113 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 03/08/2010 |
| Medicare PECOS PAC ID | 5597658633 |
|---|---|
| Medicare Enrollment ID | O20040203001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821168113 | NPI | - | NPPES |
| G9059502 | Other | CA | DENTICAL |
| ZZZ34010Z | Other | BLUE SIELD | |
| DC6562 | Other | CA | RAILROAD MEDICARE |
| ZZZ34010Z | Other | CA | BLUE CROSS |
| G0100701 | Other | CA | HEALTHY FAMILIES |
| 9117717 | Other | CA | UNITED CONCORDIA |
| U0100701 | Other | CA | DENTICAL |
| G0100701 | Other | CA | DENTICAL |
| Provider Name | Parish P Sedghizadeh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760488167 PECOS PAC ID: 6406945484 Enrollment ID: I20071128000380 |
| Provider Name | Kamal Ah Al-eryani |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356860290 PECOS PAC ID: 6608137310 Enrollment ID: I20180220002778 |
| Provider Name | Mariela Padilla |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124583323 PECOS PAC ID: 1951730308 Enrollment ID: I20200406001598 |
| Provider Name | Anette P Vistoso Monreal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982387403 PECOS PAC ID: 7214372093 Enrollment ID: I20240302000594 |
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David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
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