| Andrei Souchitski D.d.s, Inc. | |
|
2007 Wilshire Blvd Los Angeles CA 90057-3506 | |
| (213) 928-7297 | |
| (310) 274-6067 |
| Full Name | Andrei Souchitski D.d.s, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2007 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Andrei Souchitski (OWNER) |
| Authorized Official Contact | 2138584007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrei Souchitski D.d.s, Inc. 2007 Wilshire Blvd. Suite 525 Los Angeles CA 90057 Ph: (213) 858-4007 | Andrei Souchitski D.d.s, Inc. 2007 Wilshire Blvd Los Angeles CA 90057-3506 Ph: (213) 928-7297 |
| NPI Number | 1417349556 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 11/04/2019 |
| Medicare PECOS PAC ID | 2062844624 |
|---|---|
| Medicare Enrollment ID | O20191120000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417349556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43249 (California) | Primary |
| Provider Name | Andrei Souchitski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265543920 PECOS PAC ID: 3678863065 Enrollment ID: I20191120000407 |
Consuelo M Nogoy Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
William Lewczuk D.d.s. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
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 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 | |
Adriana R. Masi, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 S Robertson Blvd, Suite 2, Los Angeles, CA 90035 Phone: 310-550-5888 Fax: 310-550-5883 |