Eugene A Goncharov Dds Inc

LBN: Eugene A Goncharov Dds Inc
Eugene A Goncharov Dds Inc is an health care organization with primary practice located at 6221 Wilshire Blvd Ste 303, Los Angeles CA 90048. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Eugene A Goncharov Dds Inc can be contacted via phone (323) 931-2000, or through Goncharov, Eugene A via phone (323) 931-2000.

Contact Information

Primary practice address
6221 Wilshire Blvd Ste 303 Los Angeles CA 90048
Phone: (323) 931-2000
Fax: (323) 634-9341
Website:
Map and Directions
Authorized official contact:
Name: Goncharov, Eugene A Doctor of Dental Surgery (DDS)
Phone: (323) 931-2000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40823 California

Profile Details

NPI number 1831251685
LBN Legal business name Eugene A Goncharov Dds Inc
DBA Doing business as
Authorized official Goncharov, Eugene A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1831251685 NPPES
California MEDICAID 040823

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