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

Dr. Jay KhorsandI, D.D.S.

General Dentist


Dr. Jay KhorsandI, D.D.S.

Overview

Dr. Jay KhorsandI, D.D.S. is a General Dentist in the ENCINO area. Dr. Jay KhorsandI, D.D.S. 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 1 year 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:
PECOS PART B Yes
PECOS DME Yes
PECOS HHA Yes
PECOS PMD -
;