Eugene A Goncharov Dds Inc in Los Angeles - Dentist
Eugene A Goncharov Dds Inc - NPI 1831251685
Eugene A Goncharov Dds Inc is a Dentist in Los Angeles, California. Eugene A Goncharov Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eugene A Goncharov Dds Inc is 1831251685. The last update date is 2020-08-22.
Eugene A Goncharov Dds Inc's current location address is 6221 Wilshire Bl, Los Angeles, California. You can contact this provider via phone number 3239312000 and fax number 3236349341. The mailing address for Eugene A Goncharov Dds Inc is 6221 Wilshire Bl, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eugene A Goncharov Dds Inc |
|---|---|
| Address | 6221 Wilshire Bl, Los Angeles, California |
| Phone Number | 3239312000 |
| Fax Number | 3236349341 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Goncharov A Eugene |
| Credentials | DDS |
| Telephone Number | 3239312000 |
NPI Number Detail
| NPI Number | 1831251685 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6221 Wilshire Bl |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90048 |
| Phone Number | 3239312000 |
| Fax Number | 3236349341 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 40823 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40823 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eugene A Goncharov Dds Inc by the Centers for Medicare & Medicaid Services?
The Eugene A Goncharov Dds Inc has been assigned the NPI (National Provider Identifier) 1831251685 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Eugene A Goncharov Dds Inc is physically located?
The Eugene A Goncharov Dds Inc is physically situated at the following address: 6221 Wilshire Bl, Los Angeles, CA, 90048.
What is the Eugene A Goncharov Dds Inc's specialty and taxonomy code?
The Eugene A Goncharov Dds Inc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831251685 to Eugene A Goncharov Dds Inc?
The Centers for Medicare & Medicaid Services originally issued the 1831251685 to Eugene A Goncharov Dds Inc on 2006-12-15.
When was the Eugene A Goncharov Dds Inc's information last updated?
The Eugene A Goncharov Dds Inc's information was last updated on 2020-08-22.
NPI Number: 1528061793
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