ANDREI SOUCHITSKI D.D.S, INC. (NPI# 1417349556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417349556 |
| Entity Type | Organization |
| Organization Name | ANDREI SOUCHITSKI D.D.S, INC. |
| Other Organization Name | MC ARTHUR PARK DENTAL OFFICE |
| Practice Address |
2007 Wilshire Blvd Los Angeles CA 90057-3506 |
| Mailing Address |
2007 Wilshire Blvd. Suite 525 Los Angeles CA 90057 |
| Practice Telephone | 2139287297 |
| Practice Fax Number | 3102746067 |
| Mailing Telephone | 2138584007 |
| Mailing Fax Number | 2138584011 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | MR. ANDREI SOUCHITSKI (OWNER) |
| Authorized Official Telephone | 2138584007 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 43249 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mc Arthur Park Dental Office | Doing Business As Name - Organization |
| Street Address |
2007 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316968456 | Barros Management Corp. | Technician, Cardiology | 2007 Wilshire Blvd, Suite 604, Los Angeles, CA 90057-3519 | 2006-07-22 |
| 1356725899 | Downey Laser Institute, Inc. | Specialist | 2007 Wilshire Blvd, Ste 522, Los Angeles, CA 90057-3506 | 2015-07-15 |
| 1972982114 | Cmmp Clinica De Ojos | Clinic/Center | 2007 Wilshire Blvd, Suite 522, Los Angeles, CA 90057-3506 | 2015-05-20 |
| 1184924151 | Nationwide Diagnostics & Imaging Inc | Spec/Tech, Cardiovascular | 2007 Wilshire Blvd, Suite 903, Los Angeles, CA 90057-3506 | 2010-10-25 |
| 1750524997 | P. M. G. | Psychiatry & Neurology | 2007 Wilshire Blvd, Suite 714, Los Angeles, CA 90057-3506 | 2009-04-17 |
| 1013037142 | Luz Health Equipment, Inc | Durable Medical Equipment & Medical Supplies | 2007 Wilshire Blvd, Suite 826, Los Angeles, CA 90057-3506 | 2007-03-30 |
| 1922119155 | Frank Chinedu Nwabunwanne | Durable Medical Equipment & Medical Supplies | 2007 Wilshire Blvd, Suite 406, Los Angeles, CA 90057-3506 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1134729601 | Enas Tayyem | Dentist | 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 | 2020-10-26 |
| 1639776073 | Stephanie Jeanne Bauman | Dentist | 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 | 2020-10-08 |
| 1316544570 | Azzah Widatalla | Dentist | 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 | 2020-10-01 |
| 1104433796 | Irena Starchenko | Dentist | 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 | 2020-09-28 |
| 1134734353 | Mark Park | Dentist | 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 | 2020-09-14 |
| 1740895150 | Chantelle Aabedi | Dentist | 2711 Casiano Rd, Los Angeles, CA 90077-9007 | 2020-09-11 |
| 1801401542 | Yojeong Cho | Dentist | 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 | 2020-09-10 |
| 1518572247 | William Hwang | Dentist | 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 | 2020-09-10 |
| 1912511056 | Shervin Moshashaei | Dentist | 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 | 2020-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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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.