Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
5400 BALBOA BLVD STE 120
ENCINO, CA 91316-5200 US
PECOS Enrolled

Jay KhorsandI

General Dentist


Jay KhorsandI

Overview

Jay KhorsandI is a General Dentist in the ENCINO area. Jay KhorsandI primary office location is at 5400 BALBOA BLVD STE 120 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205855293 and the information was updated approximately 5 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
5400 BALBOA BLVD STE 120
ENCINO, CA 91316-5200 US
Phone: (818)-205-1122
Fax:
Practice Mailing Information
5400 BALBOA BLVD STE 120
ENCINO, CA 91316-5200 US
Phone: (818)-205-1122
Fax:
License NumberState
056821NY
49561CA

No Identifiers found

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) -