| Michel Elyson Dds & Ramin Assili Dds,a Professional Corporation | |
|
9535 Reseda Blvd Ste 203 Northridge CA 91324-6027 | |
| (818) 349-6379 | |
| (818) 349-7539 |
| Full Name | Michel Elyson Dds & Ramin Assili Dds,a Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 9535 Reseda Blvd Ste 203, Northridge, California |
| Authorized Official Name and Position | Michel H Elyson (PRESIDENT) |
| Authorized Official Contact | 3232632125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michel Elyson Dds & Ramin Assili Dds,a Professional Corporation 9535 Reseda Blvd Ste 203 Northridge CA 91324-6027 Ph: (818) 349-6373 | Michel Elyson Dds & Ramin Assili Dds,a Professional Corporation 9535 Reseda Blvd Ste 203 Northridge CA 91324-6027 Ph: (818) 349-6379 |
| NPI Number | 1922513225 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 12/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922513225 | NPI | - | NPPES |
| 1235272287 | Medicaid | CA | |
| 1427187996 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40605 (California) | Primary |
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