Geylikman, Yury
Geylikman, Yury is an individual health care provider with primary practice located at 12626 Riverside Dr., 408, Valley Village CA 91607-3453. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Geylikman, Yury can be contacted via phone (323) 656-9111.Contact Information
Primary practice address
12626 Riverside Dr., 408
Valley Village CA 91607-3453
Phone: (323) 656-9111
Fax: (323) 650-9669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 41255 | California |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 41255 | California |
Profile Details
| NPI number | 1508932039 |
|---|---|
| LBN Legal business name | Geylikman, Yury |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Feb 9th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508932039 | NPPES |
| California | MEDICAID | B41255-02 | |
| California | MEDICAID | B41255-01 | |
| California | MEDICAID | B41255-04 |
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