Dr Gennady Landa, DDS, MD is a
Dentist - Oral And Maxillofacial Surgery physician based in Lancaster, California. Dr Gennady Landa is licensed to practice in California (license number 53917) and his current practice location is 44441 16th St W Ste 103, Lancaster, California. He can be reached at his office (for appointments etc.) via phone at
(661) 945-4040.
NPI number for Dr Gennady Landa is 1639334212 and his current mailing address is 44441 16th St W Ste 103, Lancaster, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639334212.
Physician's Profile
| Full Name | Dr Gennady Landa |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 44441 16th St W Ste 103, Lancaster, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639334212
- Provider Enumeration Date: 07/23/2008
- Last Update Date: 12/02/2024
Medical Identifiers
Medical identifiers for Dr Gennady Landa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639334212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | A115339 (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 53917 (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. Dr Gennady Landa 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 |
|---|
Dr Gennady Landa, DDS, MD
44441 16th St W Ste 103,
Lancaster, CA 93534-2873
Ph: (661) 945-4040 | Dr Gennady Landa, DDS, MD
44441 16th St W Ste 103,
Lancaster, CA 93534-2873
Ph: (661) 945-4040 |
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