WESTERN DENTAL SERVICES, INC


Address: 4242 Beverly Blvd, Los Angeles, CA 90004-4430
Phone: 7144803000

WESTERN DENTAL SERVICES, INC (NPI# 1871883090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871883090
Entity Type Organization
Organization Name WESTERN DENTAL SERVICES, INC
Practice Address 4242 Beverly Blvd
Los Angeles
CA 90004-4430
Mailing Address 530 S Main St
Orange
CA 92868-4525
Practice Telephone 7144803000
Mailing Telephone 7144803000
Enumeration Date 2011-04-08
Last Update Date 2011-04-08
Authorized Official Name SILVIA S DIAZ (PPO COORDINATOR)
Authorized Official Telephone 7144803000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA G92150- 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952727281 Western Dental Services, Inc Dentist 2200 W Beverly Blvd Ste 400, Montebello, CA 90640-2302 2014-03-11
1235563495 Western Dental Services, Inc Dentist 730 Woollomes Ave, Suite 101-102, Delano, CA 93215-9550 2013-08-23
1639467061 Western Dental Services, Inc Dentist 780 1st St, Gilroy, CA 95020-4972 2011-07-19
1912298431 Western Dental Services, Inc Dentist 1310 Churn Creek Rd, Suite E3 - E4, Redding, CA 96003-4004 2011-05-02
1295025898 Western Dental Services, Inc Dentist 1110 S King Rd, Suite 60, San Jose, CA 95122-2118 2011-04-15
1205004124 Western Dental Services, Inc Dentist 19071 Bear Valley Rd., Suite #1, Apple Valley, CA 92308-6709 2008-02-13
1811186463 Western Dental Services, Inc Dentist 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 2007-10-19
1154677763 Western Dental Services, Inc Dentist 4100 S El Camino Real, San Mateo, CA 94403-5131 2012-08-01
1710266887 Western Dental Services, Inc Dentist 1260 Trancas St, Napa, CA 94558-2910 2011-08-08

Office Location

Street Address 4242 BEVERLY BLVD
City LOS ANGELES
State CA
Zip Code 90004-4430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497814214 Emad Moawad Dentist 4242 Beverly Blvd, Los Angeles, CA 90004-4430 2006-12-07
1689908923 Katerina Moawad Dentist 4242 Beverly Blvd, Los Angeles, CA 90004-4430 2009-09-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225504160 Jessica M. Louie Pharmacist 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 2018-10-18
1033615828 Javier G Ibarra Counselor 3910 Oakwood Ave., Los Angeles, CA 90004 2018-04-02
1558804351 Bhc Alhamba Hospital Psychiatric Residential Treatment Facility 115 N. Mccadden Place, Los Angeles, CA 90004 2016-11-28
1275907719 Rozalin Banafsheian Psychologist 522 N. Larchmont, Los Angeles, CA 90004 2015-11-20
1104214196 Estrellita Rubio Reyes Pediatrics 3908 Beverly Blvd., Los Angeles, CA 90004 2014-12-30
1760888226 Hardy Ophuls Marriage & Family Therapist 439 N. Larchmont Bl., Los Angeles, CA 90004 2014-11-11
1528462991 Latrice Nicole Hardison Licensed Vocational Nurse 225 N. Mariposa Ave, Los Angeles, CA 90004 2014-10-14
1215331947 Shonn Bunn Rehabilitation Practitioner 433 N. Hoover, Los Angeles, CA 90004 2014-10-09
1609296581 Michael Armen Kezian Dentist 581 N Larchmont Blvd, Los Angeles, CA 90004 2014-04-18
1427485549 Kir Medical Group Family Medicine 123 177th Street, Los Angeles, CA 90004 2013-10-03
Find all providers in zip 90004

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891394060 Jack Bayraymyan Dental Group Inc. Dentist 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 2020-10-20
1407487622 Lenise N. Yarber D.d.s, Professional Dental Corporation Dentist 5035 W Slauson Ave Ste G, Los Angeles, CA 90056-1647 2020-01-27
1790334134 Rodef & Yousefi Dental Corporation Dentist 3736 Crenshaw Blvd, Los Angeles, CA 90016 2019-09-09
1114489820 Dds Dental Corporation Dentist 140 S Robertson Blvd, Los Angeles, CA 90048-3208 2019-04-02
1053895565 Lili Mirtorabi D.d.s A Professional Corporation Dentist 2368 Pico Boulevard, Los Angeles, CA 90006 2018-09-20
1710466248 Sue Vin Kim Dentist 1308 Orchard Ave, Los Angeles, CA 90006-4712 2018-08-06
1013401082 Jonathan Shouhed Dds Inc Dentist 2320 S Robertson Blvd Ste 101, Los Angeles, CA 90034-2053 2018-06-21
1114419611 Jonathan Beroukhim Dentist 1666 Thayer Ave Apt 202, Los Angeles, CA 90024-6056 2018-05-31
1922450121 Chad Arthur, Dds, Ms, Inc Dentist 8540 S Sepulveda Blvd Ste 1115, Los Angeles, CA 90045-3828 2016-07-12
1669821633 Peter B Lee Dentist 1111 S Grand Ave Apt 706, Los Angeles, CA 90015-2169 2016-06-09
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90004

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Dataset Information

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.

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