Dr Ali Pootrakul, DDS - Dentist in Lawndale, CA

Dr Ali Pootrakul, DDS is a Dentist - Oral And Maxillofacial Surgery based in Lawndale, California. Dr Ali Pootrakul is licensed to practice in California (license number 60258) and his current practice location is 16002 Hawthorne Blvd, Lawndale, California. He can be reached at his office (for appointments etc.) via phone at (310) 371-4104.

NPI number for Dr Ali Pootrakul is 1386795961 and his current mailing address is 8811 169th St, Oral Surgeon Suite 1st Fl., Jamaica, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386795961.

Contact Information

Dr Ali Pootrakul, DDS
16002 Hawthorne Blvd,
Lawndale, CA 90260-2646
(310) 371-4104
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Ali Pootrakul
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location16002 Hawthorne Blvd, Lawndale, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386795961
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 11/18/2019

Medical Identifiers

Medical identifiers for Dr Ali Pootrakul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386795961NPI-NPPES
02891830MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 052450 (New York)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 60258 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ali Pootrakul is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ali Pootrakul, DDS
8811 169th St, Oral Surgeon Suite 1st Fl.,
Jamaica, NY 11432-4430

Ph: (718) 658-1200
Dr Ali Pootrakul, DDS
16002 Hawthorne Blvd,
Lawndale, CA 90260-2646

Ph: (310) 371-4104

Reviews and Comments


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