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)
License Number | State |
---|---|
056821 | NY |
49561 | CA |
Taxonomy | State | Primary? |
---|---|---|
General Dentist - Taxonomy Code 1223G0001X | CA | Y |
General Dentist - Taxonomy Code 1223G0001X | NY | N |
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) | - |