Hollywood Braces
LBN: Yury B. Geylikman, A Professional Dental Corporation
Hollywood Braces is an health care organization with primary practice located at 12626 Riverside Dr. #408, Valley Village CA 91607-3453. The organization 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 the primary health care specialty.
Yury B. Geylikman, A Professional Dental Corporation can be contacted via phone (323) 656-9111, or through Geylikman, Yury B. via phone (323) 656-9111.
Contact Information
Primary practice address
12626 Riverside Dr. #408
Valley Village CA 91607-3453
Phone: (323) 656-9111
Fax:
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 | 1417070806 |
|---|---|
| LBN Legal business name | Yury B. Geylikman, A Professional Dental Corporation |
| DBA Doing business as | Hollywood Braces |
| Authorized official | Geylikman, Yury B. DMD, PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Feb 9th, 2016 - about 8 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 | 1417070806 | NPPES |
| California | Other | B41255 | MEDI-CAL |
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