| Siamak Sahand, DMD | |
|
14440 Olympic Drive, Clearlake, CA 95422-8809 | |
| (707) 263-8383 | |
| (707) 263-5019 |
| Full Name | Siamak Sahand |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 14440 Olympic Drive, Clearlake, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609479567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 105775 (California) | Primary |
| Entity Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Siamak Sahand, DMD 7547 Quakertown Ave, Winnetka, CA 91306-2925 Ph: () - | Siamak Sahand, DMD 14440 Olympic Drive, Clearlake, CA 95422-8809 Ph: (707) 263-8383 |
Thomas Hewlett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3560 Old Highway 53, Clearlake, CA 95422 Phone: 707-994-7271 Fax: 707-995-1407 | |
Dr. Malcom Earl Dillon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14872 Lakeshore Dr Ste A, Clearlake, CA 95422 Phone: 707-994-6929 | |
Dr. James Kinsel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3560 Old Highway 53, Clearlake, CA 95422 Phone: 707-994-9414 Fax: 707-994-6328 | |
Dr. Mark Allen Cooper, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3560 Old Highway 53, Clearlake, CA 95422 Phone: 707-994-9414 Fax: 707-994-6328 | |
Dr. Trina Chung, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4540 |