DR. GENNADY M FUNDAMINSKY (NPI# 1295956357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295956357 |
| Entity Type | Individual |
| Full Name | DR. GENNADY M FUNDAMINSKY |
| Other Name | DR. GENNADY M FUNDAMINSKY |
| Credential | D.D.S |
| Practice Address |
9615 Brighton Way 216 Beverly Hills CA 90210 |
| Practice Telephone | 3102780814 |
| Practice Fax Number | 3102783487 |
| Mailing Telephone | 3102780814 |
| Mailing Fax Number | 3102783487 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
26062 | CA | Dental Providers |
| Street Address |
9615 BRIGHTON WAY 216 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407815707 | Karen Leah Bierman | Psychologist | 9615 Brighton Way, #402, Beverly Hills, CA 90210-5131 | 2006-03-23 |
| 1619413846 | Zanne Bech | Counselor | 9615 Brighton Way, 422, Beverly Hills, CA 90210-5131 | 2017-01-11 |
| 1932645363 | Business Betterlife | Community/Behavioral Health | 9615 Brighton Way, Suite 422, Beverly Hills, CA 90210-5131 | 2017-01-09 |
| 1326598699 | Dian M. Olah, D.m.d. A Dental Corporation | Dentist | 9615 Brighton Way, Suite 222, Beverly Hills, CA 90210-5131 | 2016-10-10 |
| 1063799252 | Izabela Caixeta | Dentist | 9615 Brighton Way, Suite 222, Beverly Hills, CA 90210-5131 | 2011-11-16 |
| 1174835797 | Rich Hirschinger | 9615 Brighton Way, Suite 323, Beverly Hills, CA 90210-5131 | 2010-07-12 | |
| 1952628166 | Surgi Art Inc | Plastic Surgery | 9615 Brighton Way, Suite 303, Beverly Hills, CA 90210-5131 | 2010-04-27 |
| 1356674345 | Joseph Teralis Arison | Acupuncturist | 9615 Brighton Way, Suite 320, Beverly Hills, CA 90210-5131 | 2009-09-09 |
| 1952538118 | Bernadette Jaeger | Dentist | 9615 Brighton Way, Suite 323, Beverly Hills, CA 90210-5131 | 2009-06-16 |
| 1285899948 | Timothy Scott Neavin | Plastic Surgery | 9615 Brighton Way, Suite 303, Beverly Hills, CA 90210-5131 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541826 | Joshua Danoush | Dentist | 124 N Clark Dr Apt 301, Beverly Hills, CA 90211-1737 | 2020-09-01 |
| 1356951792 | Lauren Povitz | Dentist | 9735 Wilshire Blvd Ste 320, Beverly Hills, CA 90212-2111 | 2020-07-31 |
| 1538643390 | Eugene Alexander Goncharov | Dentist | 8950 W Olympic Blvd Ste 262, Beverly Hills, CA 90211-3565 | 2018-09-18 |
| 1942788377 | Michael M Kerendian | Dentist | 9794 Donington Pl, Beverly Hills, CA 90210-1103 | 2018-07-28 |
| 1992221527 | Victor Chan Wong | Dentist | 450 N Bedford Dr Ste 209, Beverly Hills, CA 90210-4306 | 2017-08-15 |
| 1235663642 | Sam Baradaran | Dentist | 8641 Wilshire Blvd Ste 125, Beverly Hills, CA 90211-2945 | 2017-04-13 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1356736060 | Mkhail Keselbrener | Dentist | 9025 Wilshire Blvd Ste 305, Beverly Hills, CA 90211-1827 | 2015-03-30 |
| 1093106627 | Lr Rifkin A Professional Corp | Dentist | 414 N Camden Dr Ste 1280, Beverly Hills, CA 90210-4512 | 2015-02-18 |
| 1164827721 | Shirin Shahedi | Dentist | 328 S Elm Drive, Beverly Hills, CA 90212 | 2014-10-24 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.