DR. ALEKSANDER JOVANOVIC (NPI# 1568695922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568695922 |
| Entity Type | Individual |
| Full Name | DR. ALEKSANDER JOVANOVIC |
| Credential | DDS, MS |
| Practice Address |
12217 W Pico Blvd Los Angeles CA 90064-1134 |
| Practice Telephone | 3108209641 |
| Practice Fax Number | 3102079025 |
| Mailing Telephone | 3108209641 |
| Mailing Fax Number | 3102079025 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D6222 | AZ | Dental Providers |
| Street Address |
12217 W PICO BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1891136768 | Mahdad Nassiri | Dentist | 11740 Wilshire Blvd, Apt A1008, Los Angeles, CA 90025-6536 | 2013-07-08 |
| 1821336116 | Soheil Levi | Dentist | 31 Oakmont Dr, Los Angeles, CA 90049-1901 | 2013-01-22 |
| 1669716437 | Flavia Pirih | Dentist | 100 Ucla Medical Plaza, Suite 320, Los Angeles, CA 90095 | 2012-11-19 |
| 1932453198 | Marwa B Abulhasan | Dentist | 925 W 34th St # 108, Los Angeles, CA 90089-3075 | 2012-11-08 |
| 1588925010 | One Dental Specialties | Dentist | 621 S Western Ave, Suite 116, Los Angeles, CA 90005-3039 | 2012-05-31 |
| 1144591462 | Jacob Elisha | Dentist | 11600 Wilshire Blvd Ste 504, Los Angeles, CA 90025-1788 | 2012-01-18 |
| 1912278417 | Chloe Lea Cohen | Dentist | 655 S Hope St, Suite #1402, Los Angeles, CA 90017-3237 | 2012-01-16 |
| 1649427972 | Natasha Yashar | Dentist | 13529 Bayliss Rd, Los Angeles, CA 90049-1812 | 2008-08-18 |
| 1629234802 | Homan Hanasab D.d.s. Inc. | Dentist | 1580 Manning Ave Apt 302, Los Angeles, CA 90024-6086 | 2008-08-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on DR. ALEKSANDER JOVANOVIC.
| 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.