Dr Larissa Gushansky, DDS | |
3175 Firestone Blvd # 200, South Gate, CA 90280-2951 | |
(323) 563-9124 | |
(323) 563-9814 |
Full Name | Dr Larissa Gushansky |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 3175 Firestone Blvd # 200, South Gate, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548478399 | NPI | - | NPPES |
B36156-01 | Medicaid | CA | |
B36156-02 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 36156 (California) | Secondary |
122300000X | Dentist | 36156 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Larissa Gushansky, DDS 211 Glenroy Pl, Los Angeles, CA 90049-2419 Ph: (310) 951-9500 | Dr Larissa Gushansky, DDS 3175 Firestone Blvd # 200, South Gate, CA 90280-2951 Ph: (323) 563-9124 |
Dr. Mi Young Han, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5720 Imperial Hwy, G, South Gate, CA 90280 Phone: 562-869-5554 | |
Dr. Sabina Wiederkehr, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4444 Tweedy Blvd, South Gate, CA 90280 Phone: 323-564-2444 Fax: 323-249-7565 | |
Dr. Chau N Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8420 California Ave, South Gate, CA 90280 Phone: 323-567-2137 Fax: 323-567-5514 | |
Dr. Ardeshir Hakhamian, D.D.S., M.P.H.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 10530 Atlantic Ave, South Gate, CA 90280 Phone: 323-569-5000 Fax: 323-569-4000 | |
Stephanie Galilea Banuelos Chavez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 888-499-9303 | |
Dr. Jose Luis Flores, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8617 California Ave, South Gate, CA 90280 Phone: 323-564-5858 Fax: 323-564-7212 | |
Dr. Victor H. Castellanos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10025 California Ave, South Gate, CA 90280 Phone: 323-569-0858 |