Lekavich Dental Corporation

LBN: Lekavich Dental Corporation
Lekavich Dental Corporation is an health care organization with primary practice located at 217 Palos Verdes Blvd #105, Redondo Beach CA 90277-5820. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lekavich Dental Corporation can be contacted via phone (310) 373-5616, or through Lekavich, Timothy Floran via phone (310) 373-5616.

Contact Information

Primary practice address
217 Palos Verdes Blvd #105 Redondo Beach CA 90277-5820
Phone: (310) 373-5616
Fax: (310) 872-5459
Website:
Map and Directions
Authorized official contact:
Name: Lekavich, Timothy Floran Doctor of Dental Surgery (DDS)
Phone: (310) 373-5616

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 38866 California

Profile Details

NPI number 1013118686
LBN Legal business name Lekavich Dental Corporation
DBA Doing business as
Authorized official Lekavich, Timothy Floran Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Oct 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013118686 NPPES
California MEDICAID G89891-01

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