DR. OZ SIMEL (NPI# 1558775718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558775718 |
| Entity Type | Individual |
| Full Name | DR. OZ SIMEL |
| Credential | D.D.S., MD |
| Practice Address |
10833 Le Conte Ave Rm 53-076 Chs Los Angeles CA 90095-3075 |
| Mailing Address |
1453 Yukon Dr Sunnyvale CA 94087-4451 |
| Practice Telephone | 3108253241 |
| Practice Fax Number | 3108257232 |
| Mailing Telephone | 4084311783 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 63191 | CA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
63191 | CA | Dental Providers |
| Street Address |
10833 LE CONTE AVE RM 53-076 CHS |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761942 | Dennis Goldfinger | Specialist | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2005-06-21 |
| 1972129427 | Matthew Joseph Heinz | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-06-21 |
| 1255955803 | Airton D Soares | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1073137626 | Gonzalo Nicolas Olaverria Salavaggione | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1780204990 | Maira Hinojosa | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-17 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1972122778 | Mojan Mirnia | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-11 |
| 1902435779 | Kaitlin Elizabeth Fusco | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-03 |
| 1487283313 | Jonathan Douglas Gatto | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-02 |
| 1578191839 | Abhishek Venkataramana | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-1430 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1346803897 | Jason Yoo Dds Inc | Dentist | 3660 Wilshire Blvd Ste 102, Los Angeles, CA 90010-2716 | 2019-04-19 |
| 1003384579 | David Cedeno Md Dds Professional Corporation | Dentist | 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017-4006 | 2018-11-02 |
| 1043747827 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd # 200, Los Angeles, CA 90006-2807 | 2017-05-11 |
| 1699168583 | Michael Issakharian | Dentist | 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948 | 2015-03-16 |
| 1962829143 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2807 | 2014-03-25 |
| 1447697107 | Samuel Liu | Dentist | 11600 Wilshire Blvd Ste 316, Los Angeles, CA 90025 | 2013-06-04 |
| 1215291059 | Steve Lim | Dentist | 722 S Los Angeles St Apt 415, Los Angeles, CA 90014-4507 | 2012-06-26 |
| 1952663080 | William H Noh | Dentist | 3640 Wilshire Blvd Apt 236, Los Angeles, CA 90010-2644 | 2012-06-14 |
| 1225322019 | Kevin Coppelson | Dentist | 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024 | 2011-06-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.