Dr Julene Funk, DDS | |
2540 W 7th St, Los Angeles, CA 90057-3802 | |
(213) 381-7400 | |
Not Available |
Full Name | Dr Julene Funk |
---|---|
Gender | Female |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2540 W 7th St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851930457 | NPI | - | NPPES |
300075895 | Medicaid | IN | |
DDS104577 | Other | CA | CALIFORNIA DENTAL BOARD LICENSURE |
12014042A | Other | IN | INDIANA DENTAL LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12014042A (Indiana) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DDS104577 (California) | Primary |
Entity Name | Makan Tarzana Dental Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700536810 PECOS PAC ID: 1759765605 Enrollment ID: O20220826001676 |
Entity Name | Makan Dental Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790433001 PECOS PAC ID: 6709256456 Enrollment ID: O20221221002564 |
Mailing Address | Practice Location Address |
---|---|
Dr Julene Funk, DDS 3630 S 4th St, Terre Haute, IN 47802-5543 Ph: (812) 243-6305 | Dr Julene Funk, DDS 2540 W 7th St, Los Angeles, CA 90057-3802 Ph: (213) 381-7400 |
Dr. Kyung A Lim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 827 S Berendo St Apt 202, Los Angeles, CA 90005 Phone: 213-219-2530 | |
Sonia Khullar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 132 S Vermont Avenue, Suite #210, Los Angeles, CA 90004 Phone: 213-389-2625 Fax: 213-389-4736 | |
Dr. William W Morgan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095 Phone: 310-794-5750 | |
Dr. Clarice Law Eyre, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095 Phone: 310-794-5750 | |
Dr. Arjang Vahidnia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7162 Beverly Blvd, #543, Los Angeles, CA 90036 Phone: 310-443-3030 | |
Dr. Adrian Sanchez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6114 York Blvd, Suite C, Los Angeles, CA 90042 Phone: 323-255-6698 | |
Dr. Bindu Vasudevan Pillai, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5207 Whittier Blvd, Los Angeles, CA 90022 Phone: 323-269-0266 |