| Dr Neema Bak, DDS, MS, PHD | |
|
18740 Ventura Blvd Ste 103, Tarzana, CA 91356 | |
| (213) 362-8076 | |
| Not Available |
| Full Name | Dr Neema Bak |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 18740 Ventura Blvd Ste 103, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710386974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 30394 (Texas) | Secondary |
| 1223P0300X | Dentist - Periodontics | 102047 (California) | Primary |
| Entity Name | Bakhshalian Dental Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922642057 PECOS PAC ID: 2668855792 Enrollment ID: O20220831003429 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Neema Bak, DDS, MS, PHD 18740 Ventura Blvd Ste 103, Tarzana, CA 91356-6301 Ph: (213) 362-8076 | Dr Neema Bak, DDS, MS, PHD 18740 Ventura Blvd Ste 103, Tarzana, CA 91356 Ph: (213) 362-8076 |
Mina Davar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5405 Lindley Ave Apt 209, Tarzana, CA 91356 Phone: 818-983-9942 | |
Dr. Robert Dennis Whitley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 19588 Ventura Blvd, Tarzana, CA 91356 Phone: 818-345-4383 Fax: 818-705-2513 | |
Dr. David E Dann, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd Ste 711, Tarzana, CA 91356 Phone: 818-996-4500 | |
Dr. Stephen J Howard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St, #306, Tarzana, CA 91356 Phone: 818-343-9119 Fax: 818-343-3908 | |
Dr. Susan J Lee, D.M.D., M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 18372 Clark St, Suite 224, Tarzana, CA 91356 Phone: 818-996-1200 Fax: 818-996-1325 | |
Dr. Frederick Christopher Hansing, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18740 Ventura Blvd, Suite 305, Tarzana, CA 91356 Phone: 818-609-1777 Fax: 818-609-9352 | |
Elisha Haykani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18232 Weddington St, Tarzana, CA 91356 Phone: 310-414-7703 |