Vadim Konviser, DDS is a
Dentist based in Marine Del Rey, California. Vadim Konviser is licensed to practice in California (license number 51095) and his current practice location is
13155 Mindanao Way, Marine Del Rey, California. He can be reached at his office (for appointments etc.) via phone at
(310) 821-2611.
NPI number for Vadim Konviser is 1497912547 and his current mailing address is 13155 Mindanao Way, Marine Del Rey, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497912547.
Healthcare Provider's Profile
Full Name | Vadim Konviser |
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Gender | Male |
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Speciality | Dentist |
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Location | 13155 Mindanao Way, Marine Del Rey, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497912547
- Provider Enumeration Date: 05/16/2008
- Last Update Date: 08/15/2023
Medical Identifiers
Medical identifiers for Vadim Konviser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497912547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 51095 (California) | 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. Vadim Konviser 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 |
Vadim Konviser, DDS 13155 Mindanao Way, Marine Del Rey, CA 90292 Ph: () - | Vadim Konviser, DDS 13155 Mindanao Way, Marine Del Rey, CA 90292 Ph: (310) 821-2611 |
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