Gentille Javidzad, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Gentille Javidzad is licensed to practice in NU (license number ) and her current practice location is
11301 Wilshire Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 500-0455.
NPI number for Gentille Javidzad is 1891425849 and her current mailing address is 1135 Carolyn Way, Beverly Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891425849.
Healthcare Provider's Profile
| Full Name | Gentille Javidzad |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11301 Wilshire Blvd, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891425849
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 10/04/2023
Medical Identifiers
Medical identifiers for Gentille Javidzad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891425849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 109161 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gentille Javidzad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gentille Javidzad,
1135 Carolyn Way,
Beverly Hills, CA 90210-2212
Ph: Not Available | Gentille Javidzad,
11301 Wilshire Blvd,
Los Angeles, CA 90073-1003
Ph: (310) 500-0455 |
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