PRAJNA BANAN (NPI# 1952902272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952902272 |
| Entity Type | Individual |
| Full Name | PRAJNA BANAN |
| Practice Address |
10833 Le Conte Ave Rm A0-156a Los Angeles CA 90095-3075 |
| Mailing Address |
11411 Ohio Ave Apt 1 Los Angeles CA 90025-3120 |
| Practice Telephone | 3108256510 |
| Mailing Telephone | 8329070661 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DDS102179 | CA | Dental Providers |
| Street Address |
10833 LE CONTE AVE RM A0-156A |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749508 | Jenna Benko | Dentist | 1849 Greenfield Ave Apt 201, Los Angeles, CA 90025 | 2017-09-15 |
| 1033635156 | Lee Professional Dental Corp | Dentist | 10921 Wilshire Blvd Ste 812, Los Angeles, CA 90024-4003 | 2017-08-21 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1235593351 | Eugenio Aquino | Dentist | 814 S Harvard Blvd, Apt 12, Los Angeles, CA 90005 | 2016-04-06 |
| 1710242847 | Stacy L Yu | Dentist | 1435 S Bundy Dr, Apt 5, Los Angeles, CA 90025-2131 | 2012-07-04 |
| 1477825677 | Sil Park | Dentist | 10833 Le Conte Ave Rm A0-156b, Uc Regents Maxillofacial Prosthetics, Los Angeles, CA 90095-1668 | 2012-02-02 |
| 1194013599 | Injoon Bernard Yoo | Dentist | 3600 Wilshire Blvd. Suite 220, Los Angeles, CA 90010 | 2011-07-19 |
| 1134411523 | Michelle Ikoma | Dentist | 925 W 34th St Ste 255, Los Angeles, CA 90089-0641 | 2011-05-04 |
| 1477875458 | Ryan Christopher Wallace | Dentist | 420 E 3rd St Ste 1008, Los Angeles, CA 90013-1648 | 2010-02-18 |
| 1467696278 | Jay Kenneth Huffaker | Dentist | 402 N Larchmont Blvd, Los Angeles, CA 90004-3014 | 2009-04-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.