| Nabizadeh Dental Corporation | |
|
7111 Winnetka Ave Ste 3 Winnetka CA 91306-3673 | |
| (310) 435-7586 | |
| Not Available |
| Full Name | Nabizadeh Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 7111 Winnetka Ave Ste 3, Winnetka, California |
| Authorized Official Name and Position | Benny Nabizadeh (DENTIST) |
| Authorized Official Contact | 3104357586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nabizadeh Dental Corporation 7111 Winnetka Ave Ste 3 Winnetka CA 91306-3673 Ph: (310) 435-7586 | Nabizadeh Dental Corporation 7111 Winnetka Ave Ste 3 Winnetka CA 91306-3673 Ph: (310) 435-7586 |
| NPI Number | 1083844468 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 01/31/2022 |
| Medicare PECOS PAC ID | 6800288663 |
|---|---|
| Medicare Enrollment ID | O20220128000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083844468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56220 (California) | Primary |
| 302R00000X | Health Maintenance Organization | 56220 (California) | Secondary |
| Provider Name | Benny Nabizadeh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659564052 PECOS PAC ID: 7618369471 Enrollment ID: I20220201000905 |
Regina G Espinoza Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20173 Saticoy St, Winnetka, CA 91306 Phone: 818-717-9066 Fax: 818-717-8551 | |
David Chang Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20439 Sherman Way, Winnetka, CA 91306 Phone: 818-883-3922 | |
Katherine Grace Ogtong, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20200 Saticoy St, Suite E, Winnetka, CA 91306 Phone: 818-775-9994 Fax: 818-775-9696 | |
Edmundo Ayala, D.d.s A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20109 Sherman Way, Winnetka, CA 91306 Phone: 818-993-4284 Fax: 818-993-4265 | |
Edwin Papazian Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7616 Winnetka Ave Ste 1, Winnetka, CA 91306 Phone: 818-772-6222 Fax: 818-772-9640 | |
El Proyecto Del Barrio, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 20800 Sherman Way, Winnetka, CA 91306 Phone: 818-883-2273 Fax: 818-347-4257 |