Anatoly Vaisman D.D.S., Inc

LBN: Anatoly Vaisman D.D.S., Inc
Anatoly Vaisman D.D.S., Inc is an health care organization with primary practice located at 11273 Laurel Canyon Blvd Ste 3 , San Fernando CA 91340-4358. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Anatoly Vaisman D.D.S., Inc can be contacted via phone (818) 365-7191, or through Carlos, Maria via phone (818) 365-7191.

Contact Information

Primary practice address
11273 Laurel Canyon Blvd Ste 3 San Fernando CA 91340-4358
Phone: (818) 365-7191
Fax: (818) 361-7641
Website:
Map and Directions
Authorized official contact:
Name: Carlos, Maria
Phone: (818) 365-7191

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 43259 California

Profile Details

NPI number 1235371600
LBN Legal business name Anatoly Vaisman D.D.S., Inc
DBA Doing business as
Authorized official Carlos, Maria
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 1st, 2009
Last updated Apr 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235371600 NPPES
California MEDICAID G93630-01

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