| Mervat S. Bakhoum, D.d.s. | |
|
443 S Soto St Suite 100 Los Angeles CA 90033-4315 | |
| (323) 263-6103 | |
| Not Available |
| Full Name | Mervat S. Bakhoum, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 443 S Soto St, Los Angeles, California |
| Authorized Official Name and Position | Maneesh Bansal (ADMINISTRATOR) |
| Authorized Official Contact | 3232636103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mervat S. Bakhoum, D.d.s. 5540 N Figueroa St Los Angeles CA 90042-4120 Ph: (323) 478-1101 | Mervat S. Bakhoum, D.d.s. 443 S Soto St Suite 100 Los Angeles CA 90033-4315 Ph: (323) 263-6103 |
| NPI Number | 1548439284 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548439284 | NPI | - | NPPES |
| G94072-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39940 (California) | Primary |
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 |