Culver Westside Dental Group
LBN: John Pedersen D D S Inc
Culver Westside Dental Group is an health care organization with primary practice located at 12504 W Washington Blvd , Los Angeles CA 90066-5506. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
John Pedersen D D S Inc can be contacted via phone (310) 390-6272, or through Evans, Lois via phone (310) 390-6272.
Contact Information
Primary practice address
12504 W Washington Blvd
Los Angeles CA 90066-5506
Phone: (310) 390-6272
Fax: (310) 390-6674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1811180995 |
|---|---|
| LBN Legal business name | John Pedersen D D S Inc |
| DBA Doing business as | Culver Westside Dental Group |
| Authorized official | Evans, Lois |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Aug 22nd, 2007 - 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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