| Sanjay Lala Dds, A Professional Corporation | |
|
5000 Van Nuys Blvd Ste 320 Sherman Oaks CA 91403-1717 | |
| (818) 508-2250 | |
| (818) 762-0681 |
| Full Name | Sanjay Lala Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 5000 Van Nuys Blvd Ste 320, Sherman Oaks, California |
| Authorized Official Name and Position | Sanjay Lala (OWNER) |
| Authorized Official Contact | 8185082250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Lala Dds, A Professional Corporation 5000 Van Nuys Blvd Ste 320 Sherman Oaks CA 91403-1717 Ph: (818) 508-2250 | Sanjay Lala Dds, A Professional Corporation 5000 Van Nuys Blvd Ste 320 Sherman Oaks CA 91403-1717 Ph: (818) 508-2250 |
| NPI Number | 1972727014 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 1153625918 |
|---|---|
| Medicare Enrollment ID | O20160215002608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972727014 | NPI | - | NPPES |
| 517741 | Other | CA | MEDI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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