Siderman, Yampolsky Dental Corporation
LBN: Siderman, Yampolsky Dental Corporation
Siderman, Yampolsky Dental Corporation is an health care organization with primary practice located at 6601 Rugby Ave #400, Huntington Park CA 90255-4040. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is the primary health care specialty.
Siderman, Yampolsky Dental Corporation can be contacted via phone (323) 585-1515, or through Siderman, Jerry via phone (323) 585-1515.
Contact Information
Primary practice address
6601 Rugby Ave #400
Huntington Park CA 90255-4040
Phone: (323) 585-1515
Fax:
Website:
Authorized official contact:
Name: Siderman, Jerry Doctor of Dental Surgery (DDS)
Phone: (323) 585-1515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1396949541 |
|---|---|
| LBN Legal business name | Siderman, Yampolsky Dental Corporation |
| DBA Doing business as | |
| Authorized official | Siderman, Jerry Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Aug 10th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396949541 | NPPES |
| California | MEDICAID | G91803 |
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