Participating Dentist Directory

Los Angeles County • Orange County Riverside County • San Bernardino County

0717G020 © 2019 Dental Health Services

TABLE OF CONTENTS

Los Angeles.........................................................................................................................................................................1Orange...............................................................................................................................................................................69Riverside............................................................................................................................................................................86San Bernardino..................................................................................................................................................................114Providers Closed To New Members..................................................................................................................................136

Language ChoicesIn addition to English, many of our dental offices have doctors and office staff who speak other languages. The languages spoken at a particular office are noted at the end of each list-ing within this directory.

Arabic AArmenian AMAssyrian ASCambodian CACantonese CTChinese CCzech CZDutch DEnglish EFrench FFarsi FAGerman GGreek GRHebrew HHindi HIHungarian HUIndonesian ID

Italian ITJapanese JKorean KMandarin MANavajo NPolish POPortuguese PTRussian RSpanish SSign Language SLTagalog TGThai TTurkish TKUrdu UVietnamese VYiddish Y

Selecting Your DentistYou may choose any of the conveniently located dental offices listed in this directory. All den-tal care is received from the dentist you select, except in the case of an out-of-area emergency, or if you are referred to a specialist (if your plan has specialty coverage).

You can change dentists simply by contacting your Dental Member Services Specialist at 888.645.1261 or Online through dentalhealthservices.com.

To view a version of this list suitable for printing, select the option to view and print online. You may also request a printed copy be mailed to you by calling 800.223.4347 in California or email DentistCare@dentalhealthservices.com. You will receive your printed directory within 5 business days upon receiving your request.

You are encouraged to contact us if you find any errors or inaccuracies in the directory infor-mation. Please call 800.223.4347 in California or DentistCare@dentalhealthservices. com. We are always happy to assist you!

Enrollees are entitled to full and equal access to covered services, including enrollees with dis-abilities as required under the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. See Section 1367.27(g)(2).

Disclaimer: This directory provides a list of Dental Health Services providers. To get detailed information about your dental care coverage, please see your Evidence of Coverage.

Some dental providers may have been added or removed from the list after this directory was printed. To get the most up-to-date information about Dental Health Services providers in your area please visit our website at dentalhealthservices.com or call our Member Services Department at 888.645.1261, between the hours of 7:30 a.m. and 8:00 p.m., seven days a week. TTY/TDD users should call 711.

Dental Health Services

3780 Kilroy Airport Way, Suite 750, Long Beach, CA 90806888.645.1261 (Member Services), 711 (TTY)dentalhealthservices.com

An Employee-Owned Company

LOS ANGELESAGOURA HILLS

Rene Ghotanian, DDSProvider ID: CA277830300 Agoura Rd.Suite 230AGOURA HILLS, CA 91301encinodentalarts@gmail.com805-497-2260

Dr Zak Sea Breeze Dental CareProvider ID: CA50025029 Kanan RoadAGOURA HILLS, CA 91301agoura@zakdental.com818-991-9852Associates:Abazarnia, Nadia NPI: 1841631611 Language: Russian Spanish License: 49041 Specialty: DentistAbdulwahab, Abier NPI: 1083089668 Gender: Female License: 59827 Specialty: DentistAldabe, Ali NPI: 1316469844 Gender: Male License: 101575 Specialty: DentistAleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAsatani, Paul NPI: 1679784912 Language: Tajik License: 41343 Specialty: DentistBayat, Paul NPI: 1902964836 Gender: Male License: 54516 Specialty: Dentist

Chung, Charles NPI: 1619111465 Language: Spanish Russian License: 46372 Specialty: DentistDel Campo, Shellaine NPI: 1477725034 Language: Spanish Tagalog License: 45850 Specialty: DentistIbarra, Sergio NPI: 1720467145 Gender: Male License: 102991 Specialty: DentistKarnakova, Olga NPI: 1578602637 License: DDS47183 Specialty: DentistMomen, Roshanak NPI: 1255785408 Gender: Female License: DDS100152 Specialty: DentistOlson, William NPI: 1710288147 Language: Spanish Tagalog License: 35580 Specialty: DentistPhan, Tuyet Mai Thi NPI: 1346450889 Language: Vietnamese License: DDS44059 Specialty: DentistSanjari, Karsa NPI: 1558746388 Gender: Male License: 102295 Specialty: DentistShiraishi, Ronald NPI: 1922320639 Language: Russian Spanish License: DDS32654 Specialty: DentistWilliams, Frenda NPI: 1174788400 License: 44379 Specialty: DentistZak, Ilya NPI: 1023165255 License: 38238 Specialty: Dentist

AlhambraAlhambra Garfield DentalProvider ID: CA2405747 S Garfield AveAlhambra, CA 91801alhambradental@hotmail.com626-289-6815Associates:Nadir-Mohammadi, Shahla NPI: 1063549483 Language: Persian Spanish License: 44744 Specialty: DentistYazdani, Sohrab NPI: 1811023104 Language: Persian Spanish License: 44282 Specialty: Dentist

ARCADIAAD Dental CorpProvider ID: CA5109111 E Live Oak AvenueARCADIA, CA 91006info.arcadiadentalgroup@gmail.com626-445-1181*PCP assignment limitationsAssociates:Leung, Kon NPI: 1407079734 Language: Chinese Spanish License: 32576 Specialty: DentistMoreno, Julio NPI: 1881912459 Language: Amharic Vietnamese License: 58919 Specialty: DentistNguyen, Ngoc-chi NPI: 1609965821 Language: Spanish Chinese License: 47540 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Dental Group Of ArcadiaProvider ID: CA2597440 E Huntington Dr Ste 101Arcadia, CA 91006info@westcoastdental.com626-447-5126Associates:Ganjian, Shiva NPI: 1578834511 Gender: Female License: 60079 Specialty: DentistJain, Rushina NPI: 1295037638 Language: Spanish Vietnamese License: 60038 Specialty: DentistLee, Susan NPI: 1417094111 Language: Spanish Chinese License: 46286 Specialty: DentistLui, Rita NPI: 1164579835 Language: Chinese Spanish License: 50311 Specialty: DentistManavi, Farhad Language: Spanish Persian License: 38558 Specialty: DentistMartinez, Karen NPI: 1508048687 Language: Spanish Chinese License: 56270 Specialty: DentistSpurgeon, Christohpher NPI: 1255709648 Gender: Male License: 65056 Specialty: DentistWhitenhill, Amber NPI: 1629358536 Gender: Female License: 60632 Specialty: Dentist

Yousefzadeh, Kourosh NPI: 1841502663 Language: Spanish License: 59404 Specialty: Dentist

ArletaOsborne Dental Office, Inc.Provider ID: CA241813205 Osborne St Ste FArleta, CA 91331818-890-2426*PCP assignment limitationsAssociates:Azizian, Brian NPI: 1881715993 Language: Spanish License: 37781 Specialty: Dentist

Pacoima Family Dental CenterProvider ID: CA40649722 Laurel Canyon BlvdArleta, CA 91331pacoimadental@gmail.com818-897-1234Associates:Fakheri, Mehran NPI: 1093850695 Language: Persian License: 54426 Specialty: Dentist

ArtesiaSioe H. Ong, DDSProvider ID: CA103617906 Pioneer Blvd Ste 100Artesia, CA 90701ongddsinc@hotmail.com562-860-9612Associates:Ong, Hamlet NPI: 1137478043 Language: Spanish License: 36996 Specialty: Dentist

AzusaApple DentalProvider ID: CA2654891 E Arrow Hwy Ste BAzusa, CA 91702626-332-4788Associates:Min, Derek NPI: 1447319900 Language: Spanish License: 44217 Specialty: Dentist

Hesam Shahoveisi DMD INCProvider ID: CA5147483 S Citrus AvenueAZUSA, CA 91702citydentalcentersazusa@yahoo.com626-966-3400Associates:Shahoveisi, Hesam NPI: 1083764674 Language: Arabic Persian License: 47798 Specialty: Dentist

St. John DentalProvider ID: CA4954910 E Gladstone StAzusa, CA 91702hana@stjohndentalazusa.com626-332-3000Associates:Hana, Atef NPI: 1437219003 Language: Arabic Spanish License: 54147 Specialty: Dentist

Baldwin ParkPrakash P. Patel, DDS Inc.Provider ID: CA24464138 Maine Ave Ste N3Baldwin Park, CA 91706prakashppateldds@yahoo.com626-960-6395*PCP assignment limitations

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Patel, Prakash NPI: 1578698858 Language: Spanish License: 33352 Specialty: Dentist

West Coast Dental GroupProvider ID: CA46854000 La Rica Ave Ste DBaldwin Park, CA 91706bwp@westcoastdental.com626-430-9171Associates:Aranguren, Gustavo Gender: Male License: 103504 Specialty: DentistEdalat, Poria NPI: 1750734075 Gender: Male License: 100509 Specialty: DentistHemmati, Amir Gender: Male License: 49109 Specialty: DentistManavi, Farhad Language: Persian Spanish License: 38558 Specialty: DentistNunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: DentistWang, Charles NPI: 1831387307 Gender: Male License: 46386 Specialty: Dentist

BellA Dental Corp.Provider ID: CA29166334 Atlantic AveBell, CA 90201kamran_hakim@yahoo.com323-560-3646Associates:Hakim, Kamran NPI: 1346300886 Language: Spanish License: 34339 Specialty: Dentist

Gage Dental CareProvider ID: CA42114327 Gage AveBell, CA 90201gagedentalcare@gmail.com323-773-5029Associates:Abaian, Michael NPI: 1023263167 Language: Spanish License: 53049 Specialty: Dentist

Bell GardensA Dental Corp.Provider ID: CA24096815 Eastern Ave Ste ABell Gardens, CA 90201kamran_hakim@yahoo.com323-560-2595Associates:Hakim, Kamran NPI: 1346300886 Language: Spanish License: 34339 Specialty: Dentist

BellflowerRosecrans Dental GroupProvider ID: CA44129222 Rosecrans AveBellflower, CA 90706maryrosecransdentalgroup@gmail.com562-272-0222Associates:Badea, Marius NPI: 1730214909 License: 36222 Specialty: DentistSadighi, Ramin NPI: 1487782801 License: 36278 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA44859755 Alondra BlvdBellflower, CA 90706040bbf_om@westerndental.com562-925-4022Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbdelhadi, Hatem NPI: 1962658955 Language: Spanish Hindi License: 57440 Specialty: DentistAhuja, Ashley NPI: 1083056014 Language: Hindi Spanish License: 62487 Specialty: DentistAkhavan, Tarlan NPI: 1598828717 Language: Hindi Spanish License: 54323 Specialty: DentistAl-Salti, Rula NPI: 1922293570 Language: Hindi Spanish License: 54546 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Alani, Wesam NPI: 1285954354 Language: Hindi Spanish License: 59288 Specialty: DentistAmanfu, Emmanuel NPI: 1417025677 Language: Tagalog Spanish License: 37381 Specialty: DentistAsatryan, Sona NPI: 1114252384 Language: Hindi Spanish License: 58684 Specialty: DentistAshtiany, Azadeh NPI: 1639508278 Language: Hindi Spanish License: 63011 Specialty: DentistAzimi, Shideh NPI: 1811180839 Language: Hindi Spanish License: 44455 Specialty: DentistBasha, Mariana NPI: 1073888152 Language: Spanish Hindi License: 61130 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Hindi Spanish License: 63227 Specialty: DentistBouz, Maha NPI: 1558705574 Language: Spanish Hindi License: 55772 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Hindi Spanish License: 63541 Specialty: DentistCheng, Janice NPI: 1467529420 Language: Tagalog Spanish License: 55115 Specialty: Dentist

Choi, Dooyong NPI: 1972155398 License: 104038 Specialty: DentistChoi, Jo NPI: 1265768998 Language: Spanish Hindi License: 47245 Specialty: DentistDabbagh, Sarkis NPI: 1437207107 Language: Spanish Arabic License: 44303 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Spanish Hindi License: 42538 Specialty: DentistDesai, Himani NPI: 1871979351 Gender: Female License: 64888 Specialty: DentistDu, Tran NPI: 1184975880 Language: Hindi Spanish License: 61899 Specialty: DentistEmbry, Shahrzad NPI: 1669534848 Language: Spanish Hindi License: 41132 Specialty: DentistFarnad, Mahkameh NPI: 1922153121 Language: Hindi Spanish License: 50533 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Hindi Spanish License: 57437 Specialty: DentistFayoumi, Hassan NPI: 1831269489 Language: Spanish Hindi License: 52604 Specialty: Dentist

Gad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGhahremani, Shiva NPI: 1023247186 Language: Spanish Hindi License: 58347 Specialty: DentistGhalchi, Azita NPI: 1659437036 Language: Hindi Spanish License: 49529 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Hindi Spanish License: 43158 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistHabashy, James NPI: 1659682565 Language: Spanish Hindi License: 60988 Specialty: DentistHanna, Ihab NPI: 1528156049 Language: Spanish Persian License: 46602 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Spanish Hindi License: 63539 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Hindi Spanish License: 61469 Specialty: DentistHwang, Steve NPI: 1841614534 Language: Spanish Hindi License: 63035 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Izvernari, Paula NPI: 1639463888 Language: Spanish Hindi License: 60367 Specialty: DentistJames, Francis NPI: 1821157629 Language: Arabic Spanish License: 41424 Specialty: DentistKhamsei, Laila NPI: 1770775181 Language: Spanish Hindi License: 54594 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Spanish Arabic License: 48479 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Spanish Hindi License: 40255 Specialty: DentistLazo, Antonio NPI: 1225196165 Language: Spanish Hindi License: 51955 Specialty: DentistLe, Hanh NPI: 1619121811 Language: Spanish Hindi License: 57296 Specialty: DentistLee, Peter NPI: 1134139892 Language: Hindi Spanish License: 55223 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Hindi Spanish License: 48638 Specialty: Dentist

LLAGUNO-JINGCO , KATHERINE NPI: 1083882369 Language: Hindi Spanish License: 55739 Specialty: DentistLopez, Weena NPI: 1871934125 Gender: Female License: 62396 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Spanish Hindi License: 58621 Specialty: DentistMercado, Maria NPI: 1265618771 Language: Spanish Hindi License: 55872 Specialty: DentistMinasyan, Kharen NPI: 1447346762 Language: Spanish Korean License: 53088 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Hindi Spanish License: 58972 Specialty: DentistMorales, Ma Judina NPI: 1114077351 Gender: Female Language: Hindi Spanish License: 45927 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Arabic Spanish License: 40282 Specialty: Dentist

Muthal, Rashi NPI: 1184056970 Language: Hindi Spanish Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistNguyen, Tu-Uyen NPI: 1548306996 Language: Spanish Hindi License: 49166 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Hindi Spanish License: 56115 Specialty: DentistNojomian, Sima NPI: 1669537577 Language: Spanish Persian License: 52095 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Spanish Hindi License: 42690 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Spanish Hindi License: 63582 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Hindi Spanish License: 61902 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Spanish Hindi License: 55923 Specialty: DentistRiazi, Haleh NPI: 1245721349 License: 102466 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Rivera, Jose NPI: 1013058346 Language: Spanish Hindi License: 42599 Specialty: DentistRoboubi, Mojdeh NPI: 1902212053 Language: Hindi Spanish License: 63504 Specialty: DentistSaleh, Dawlat NPI: 1538434899 Gender: Female Language: Spanish Hindi License: 61200 Specialty: DentistSamra, Ed NPI: 1023202264 Language: Spanish Hindi License: 41335 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Spanish Hindi License: 41993 Specialty: DentistShen, Jianxiong NPI: 1427335421 Language: Hindi Spanish License: 60559 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Spanish Hindi License: 62498 Specialty: DentistSon, Jeemin NPI: 1972165736 License: 103880 Specialty: DentistTanious, Mariz NPI: 1528371457 Language: Hindi Spanish License: 62158 Specialty: DentistTewfik, Gamal NPI: 1396954681 Language: Spanish Hindi License: 55680 Specialty: Dentist

Tran, Michael NPI: 1487061107 Language: Spanish Hindi License: 63617 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Hindi Spanish License: 57668 Specialty: DentistVo, Colleen NPI: 1033277264 License: 41983 Specialty: DentistVo, Hanh NPI: 1942376975 Language: Arabic Spanish License: 54314 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Spanish Hindi License: 63551 Specialty: DentistYesayan, Eduard NPI: 1881760858 Language: Spanish Hindi License: 46155 Specialty: Dentist

BurbankBurbank/Glendale Dental GroupProvider ID: CA2204500 E Olive Ave Ste 430Burbank, CA 91501brenda.bgdetnal@gmail.com818-567-4662Associates:Ardestani, Behzad NPI: 1346461407 Language: Spanish French License: 37368 Specialty: Dentist

Daniel Boudaie Fam DentistryProvider ID: CA44161145 N Hollywood WayBURBANK, CA 91505maribel.castellanos@drboudaie.com818-509-1818

Western Dental Services, Inc.Provider ID: CA45681107 N San Fernando BlvdBurbank, CA 91504116bbk_om@westerndental.com818-295-2565Associates:Afshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAmour, Pierre NPI: 1558422246 Language: Spanish License: 45810 Specialty: DentistAsatryan, Sona NPI: 1114252384 Language: Hindi Spanish License: 58684 Specialty: DentistAwwad, Maher NPI: 1609936541 License: 46741 Specialty: DentistAzadeh, Ramin NPI: 1083804496 Language: Persian Spanish License: 55986 Specialty: DentistBartkowski, Kristina NPI: 1700935475 Language: Spanish Persian License: 38033 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Bilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDaoudian, Mehran NPI: 1891845236 Language: Persian Spanish License: 52369 Specialty: DentistDaryaei, Homa NPI: 1073662466 Language: Spanish Persian License: 53589 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Spanish Korean License: 44863 Specialty: DentistElnaggar, Maged NPI: 1912203100 Language: Persian Spanish License: 60170 Specialty: DentistEstrada, Elizabeth NPI: 1215117304 Language: Spanish Persian License: 56272 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Hindi Spanish License: 43158 Specialty: DentistGhularyan, Marianna NPI: 1356694061 Language: Persian Spanish License: 61407 Specialty: Dentist

Guindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistHusain, Mohammed NPI: 1972840346 Language: Spanish Persian License: 61869 Specialty: DentistJauregui, Hector NPI: 1467502815 Gender: Male Language: Spanish License: 53459 Specialty: DentistKaramanian, Hermineh NPI: 1477617033 Language: Korean Spanish License: 53462 Specialty: DentistKaur, Arvind NPI: 1902403900 Gender: Female License: 105644 Specialty: DentistKeschani, Anahita NPI: 1316295322 Gender: Female License: 63447 Specialty: DentistKhan, Amna NPI: 1902082381 Language: Arabic Spanish License: 52621 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Arabic Spanish License: 48479 Specialty: DentistKolchansky, Mark NPI: 1972667863 Language: Hindi Spanish License: 46082 Specialty: DentistLeon, Arlette NPI: 1235319989 Language: Spanish Arabic License: 56594 Specialty: Dentist

Looyzadeh, Melina NPI: 1487957874 Language: Persian Spanish License: 59551 Specialty: DentistManoel, Zarmine NPI: 1841597473 Language: Spanish Persian License: 60105 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMuralidharan, Asha NPI: 1942479639 Language: Spanish Persian License: 56745 Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Spanish Arabic License: 46905 Specialty: DentistNikoghosyan, Yulia NPI: 1841607827 Language: Spanish Persian License: 63599 Specialty: DentistReddy, Smitha NPI: 1528290699 Language: Arabic Spanish License: 58670 Specialty: DentistRudraprakasha, Tejaswini NPI: 1083162184 License: 100878 Specialty: DentistSadeghi, Janet NPI: 1205269875 Language: Persian Spanish License: 62846 Specialty: DentistSadeghi, Reza NPI: 1699069245 Language: Persian Spanish License: 60305 Specialty: DentistSaguin, Maria NPI: 1205040979 Language: Spanish License: 55208 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sharifi, Mina NPI: 1477619575 Language: Persian Spanish License: 45190 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Persian Spanish License: 60093 Specialty: DentistTajbakhsh, Anahita NPI: 1992088306 Language: Spanish License: 61947 Specialty: DentistToledo, Mary Aileen NPI: 1225377377 Language: Arabic Spanish License: 63759 Specialty: DentistTran, Henry NPI: 1174677686 Language: Arabic Spanish License: 49423 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistYe, Chong NPI: 1619036472 Language: Spanish Persian License: 54964 Specialty: DentistYu, Chunzhu NPI: 1245408871 Language: Spanish Persian License: 55717 Specialty: Dentist

Canoga ParkKishore Shah, DDSProvider ID: CA240721001 Sherman Way Ste 13Canoga Park, CA 91303latindentalcenter@gmail.com818-346-7032Associates:Shah, Kishore NPI: 1871645101 Language: Spanish Hindi Specialty: Dentist

Omega Dental GroupProvider ID: CA420021712 Sherman WayCanoga Park, CA 91303budmd@inbox.com818-883-6634Associates:Farshi, Tania NPI: 1497155956 Language: Hebrew Persian License: 63712 Specialty: DentistRassibi, Edmond NPI: 1265571350 Language: Persian Hebrew License: 54596 Specialty: Dentist

Canyon CountryCanyon Country Family Dent.Provider ID: CA51218507 Soledad Canyon RdCanyon Country, CA 91351ccfdental@gmail.com661-252-0020*PCP assignment limitationsAssociates:Cho, John NPI: 1215392238 Language: Spanish Russian License: 44464 Specialty: Dentist

Liberman, Anna NPI: 1447269964 Language: Russian Spanish License: 33618 Specialty: Dentist

Smiles Dental GroupProvider ID: CA462318520 Soledad Canyon Rd Ste GCanyon Country, CA 91351smilesdentalgroup@att.net661-252-2800Associates:Shahinyan, Irina NPI: 1336268531 Language: Spanish Armenian License: 53730 Specialty: Dentist

CarsonA Plus DentistryProvider ID: CA4948441 E Carson St Suite NCarson, CA 90745apluslosangelesca@gmail.com310-835-4021Associates:Uka, Ndidi NPI: 1700181880 Language: Spanish License: 60123 Specialty: Dentist

Smile Saver Dental GroupProvider ID: CA5015550 E Del Amo BlvdCARSON, CA 90746smilesaverdelamo@gmail.com310-515-5672Associates:Duong, Christina NPI: 1417471871 Gender: Female License: 101682 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Javaherian, Mehran NPI: 1922203512 License: 38060 Specialty: Dentist

Villacis Dental Corp.Provider ID: CA4055520 E Carson Plaza Court Ste 101Carson, CA 90746villacis.dental@yahoo.com310-313-5150Associates:Villacis, Saskia NPI: 1851493084 Language: Spanish License: 41690 Specialty: Dentist

CerritosBloomfield Dental CenterProvider ID: CA242112657 166th StCerritos, CA 90703front.bloomfielddentalcenter@gmail.com562-926-6502Associates:Guerguis, Ihaab NPI: 1568527521 Language: Arabic Spanish License: 40827 Specialty: DentistJo, Daniel NPI: 1003212549 Language: Spanish Arabic License: 64087 Specialty: Dentist

ChatsworthDevonshire Plaza Dental GroupProvider ID: CA65410230 Canoga AveChatsworth, CA 91311kashfianddsinc@gmail.com818-341-8400

Future Dental CareProvider ID: CA417310242 Canoga AveChatsworth, CA 91311818mydentist@gmail.com818-882-5252Associates:Rhayem, Ziad NPI: 1033374293 Language: Spanish Arabic License: 36421 Specialty: Dentist

CITY INDUSTRYManavi Family Dentistry IncProvider ID: CA5086161 South Hacienda BlvdCITY INDUSTRY, CA 91745info@tlcdentistry.us626-968-9601Associates:Maaanavi, Susan NPI: 1508911785 Language: Spanish Korean License: 35141 Specialty: Dentist

City Of IndustryPlaza DentalProvider ID: CA59917515 Colima Rd Ste CCity Of Industry, CA 91748plazadentaldds@gmail.com626-965-0971Associates:Lee, Kerry NPI: 1043501182 Language: Korean License: 48140 Specialty: DentistLee, Young NPI: 1639154131 Language: Korean License: 24822 Specialty: Dentist

ClaremontClaremont Design DentistryProvider ID: CA49061601 Monte Vista Ave Ste 210Claremont, CA 91711claremontdesigndentistry@gmail.com909-554-2188Associates:Sagman, Saad NPI: 1841551991 Gender: Male License: 61322 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA4484740 S Indian Hill Blvd Ste BClaremont, CA 91711042bct@westerndental.com909-625-1446Associates:Adame, James NPI: 1124340849 Language: Spanish Korean License: 32256 Specialty: DentistAl-Adami, Mustafa NPI: 1750739983 Language: Spanish License: 100193 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Korean Spanish License: 60391 Specialty: DentistAlani, Wesam NPI: 1285954354 Language: Spanish Hindi License: 59288 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Korean Spanish License: 62342 Specialty: Dentist

9

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Alexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBell, James NPI: 1710395983 Language: Korean Spanish License: 63678 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Korean Spanish License: 62218 Specialty: DentistChandarana, Mangal NPI: 1619109311 Language: Spanish Korean License: 59377 Specialty: DentistChen, Benson NPI: 1932395910 Language: Korean Spanish License: 56346 Specialty: DentistChoy, Maria NPI: 1003982075 Language: Spanish Korean License: 41906 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Spanish Korean License: 43434 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: Dentist

Drake, Michael NPI: 1750783601 Gender: Male License: 63505 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Korean Spanish License: 59237 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Korean Spanish License: 62327 Specialty: DentistElnaggar, Maged NPI: 1912203100 Language: Persian Spanish License: 60170 Specialty: DentistGendy, Sameh NPI: 1568539856 Language: Korean Spanish License: 49528 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Korean Spanish License: 56489 Specialty: DentistGuindy, Awny NPI: 1407127749 Language: Korean Spanish License: 61033 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Spanish Korean License: 51809 Specialty: DentistHoang, Anh NPI: 1134346257 Language: Korean Spanish License: 55573 Specialty: Dentist

Iskander, Afaf NPI: 1891856589 Language: Persian Spanish License: 43171 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKim, Katie NPI: 1336288893 Language: Spanish Korean License: 54464 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Korean Spanish License: 62067 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Hindi Spanish License: 48638 Specialty: DentistLLAGUNO-JINGCO , KATHERINE NPI: 1083882369 Language: Spanish Hindi License: 55739 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Korean Spanish License: 62457 Specialty: DentistMekhael, Youstina NPI: 1417568080 License: 105261 Specialty: DentistMinasyan, Kharen NPI: 1447346762 Language: Spanish Korean License: 53088 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: Dentist

10

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Nguyen, Henry NPI: 1184989170 Language: Korean Spanish License: 62270 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistPham, Quan NPI: 1932235652 Language: Spanish Korean License: 50175 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Korean Spanish License: 61141 Specialty: DentistRavisankar, Ashwin NPI: 1386097616 Language: Spanish License: 100516 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Spanish Korean License: 29441 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Spanish Korean License: 53864 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Spanish Hindi License: 41993 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: Dentist

Sen, Soumava NPI: 1013077536 Language: Spanish Korean License: 40883 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistShah, Megha NPI: 1679984439 Language: Korean Spanish License: 63398 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Spanish Korean License: 62410 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Spanish Korean License: 54212 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Persian Spanish License: 60093 Specialty: DentistTan, Annabel NPI: 1649543851 Language: Korean Spanish License: 60889 Specialty: DentistThompson, Cean NPI: 1467867747 License: 63458 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Spanish Hindi License: 57668 Specialty: Dentist

Vorperian, Vahe NPI: 1245371988 Language: Spanish Korean License: 53600 Specialty: DentistWang, Le NPI: 1639230733 Language: Korean Spanish License: 52789 Specialty: DentistYao, Parnell Joanne NPI: 1255984803 License: 104017 Specialty: DentistYe, Chong NPI: 1619036472 Language: Spanish Persian License: 54964 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Spanish Korean License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Spanish Korean License: 62560 Specialty: Dentist

CommerceSunshine Dental GroupProvider ID: CA48612319 S Atlantic BlvdCommerce, CA 90040sunshinedental2319@att.net323-266-2120Associates:De La Osa, Jorge NPI: 1336186618 Language: Spanish License: 54134 Specialty: Dentist

ComptonSmiles WestProvider ID: CA50882001 East Compton BlvdCompton, CA 90221compton@smileswest.com310-639-7970

11

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Ajayi, Adekunle NPI: 1336592682 License: 101954 Specialty: DentistBennett, Trevor NPI: 1881139103 Language: Spanish License: 101028 Specialty: DentistDeirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistElloway, Natasha NPI: 1598327710 Gender: Female License: 103789 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: DentistLau, Angela NPI: 1437703121 Gender: Female License: 104156 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA44741821 N Long Beach BlvdCompton, CA 90221024bcm@westerndental.com310-639-4300Associates:Abdelhadi, Hatem NPI: 1962658955 Language: Spanish Hindi License: 57440 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAhuja, Ashley NPI: 1083056014 Language: Hindi Spanish License: 62487 Specialty: Dentist

Al-Salti, Rula NPI: 1922293570 Language: Hindi Spanish License: 54546 Specialty: DentistAmanfu, Emmanuel NPI: 1417025677 Language: Spanish Tagalog License: 37381 Specialty: DentistAsatryan, Sona NPI: 1114252384 Language: Spanish Hindi License: 58684 Specialty: DentistAshtiany, Azadeh NPI: 1639508278 Language: Spanish Hindi License: 63011 Specialty: DentistBasha, Mariana NPI: 1073888152 Language: Hindi Spanish License: 61130 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Hindi Spanish License: 63227 Specialty: DentistBouz, Maha NPI: 1558705574 Language: Spanish Hindi License: 55772 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Hindi Spanish License: 63541 Specialty: DentistChoi, Jo NPI: 1265768998 Language: Spanish Hindi License: 47245 Specialty: DentistDabbagh, Sarkis NPI: 1437207107 Language: Spanish Arabic License: 44303 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: Dentist

Daryaei, Homa NPI: 1073662466 Language: Spanish Persian License: 53589 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Spanish Hindi License: 42538 Specialty: DentistDesai, Himani NPI: 1871979351 Gender: Female License: 64888 Specialty: DentistDu, Tran NPI: 1184975880 Language: Hindi Spanish License: 61899 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistEmbry, Shahrzad NPI: 1669534848 Language: Spanish Hindi License: 41132 Specialty: DentistFadaei, Behzad NPI: 1285066548 Language: Spanish Arabic License: 62751 Specialty: DentistFarnad, Mahkameh NPI: 1922153121 Language: Hindi Spanish License: 50533 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Spanish Hindi License: 57437 Specialty: DentistFayoumi, Hassan NPI: 1831269489 Language: Spanish Hindi License: 52604 Specialty: Dentist

12

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Gad, Mona NPI: 1962564013 Language: Spanish Hindi License: 50910 Specialty: DentistGhahremani, Shiva NPI: 1023247186 Language: Hindi Spanish License: 58347 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Hindi Spanish License: 43158 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistHanna, Amal NPI: 1043555162 Language: Persian Spanish License: 62068 Specialty: DentistHanna, Ihab NPI: 1528156049 Language: Spanish Persian License: 46602 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Spanish Hindi License: 63539 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Hindi Spanish License: 61469 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Spanish Hindi License: 59219 Specialty: DentistHwang, Steve NPI: 1841614534 Language: Spanish Hindi License: 63035 Specialty: Dentist

Izvernari, Paula NPI: 1639463888 Language: Hindi Spanish License: 60367 Specialty: DentistJames, Francis NPI: 1821157629 Language: Arabic Spanish License: 41424 Specialty: DentistKaramanian, Hermineh NPI: 1477617033 Language: Spanish Korean License: 53462 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistKyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLazo, Antonio NPI: 1225196165 Language: Hindi Spanish License: 51955 Specialty: DentistLe, Hanh NPI: 1619121811 Language: Spanish Hindi License: 57296 Specialty: DentistLee, Juliana NPI: 1699946384 Gender: Female License: 55930 Specialty: DentistLee, Peter NPI: 1134139892 Language: Hindi Spanish License: 55223 Specialty: Dentist

Liou, Jia-Kae Joseph NPI: 1447574413 Language: Hindi Spanish License: 48638 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Spanish Hindi License: 60096 Specialty: DentistMallette, Kermit NPI: 1750549549 Gender: Male License: 58205 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Spanish Hindi License: 58621 Specialty: DentistMercado, Maria NPI: 1265618771 Language: Hindi Spanish License: 55872 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Spanish Hindi License: 58972 Specialty: DentistMorales, Ma Judina NPI: 1114077351 Gender: Female Language: Hindi Spanish License: 45927 Specialty: DentistMuthal, Rashi NPI: 1184056970 Language: Spanish Hindi Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Arabic Spanish License: 46905 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: Dentist

13

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Nguyen, Tu-Uyen NPI: 1548306996 Language: Spanish Hindi License: 49166 Specialty: DentistPampaniya, Aditi NPI: 1134397342 Gender: Female Language: Spanish Hindi License: 55215 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Hindi Spanish License: 42690 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Hindi Spanish License: 63582 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Hindi Spanish License: 61902 Specialty: DentistPuri, Shikha NPI: 1922339340 Language: Arabic Spanish License: 58951 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Hindi Spanish License: 55923 Specialty: DentistRajvanshi, Roli NPI: 1467869370 Language: Hindi Spanish License: 63622 Specialty: DentistRizvi, Syed NPI: 1124271572 Language: Spanish Hindi License: 57825 Specialty: DentistRoboubi, Mojdeh NPI: 1902212053 Language: Hindi Spanish License: 63504 Specialty: Dentist

Saleh, Dawlat NPI: 1538434899 Gender: Female Language: Spanish Hindi License: 61200 Specialty: DentistSamra, Ed NPI: 1023202264 Language: Spanish Hindi License: 41335 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Spanish Hindi License: 41993 Specialty: DentistShen, Jianxiong NPI: 1427335421 Language: Spanish Hindi License: 60559 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Spanish Hindi License: 62498 Specialty: DentistStermer, David NPI: 1679704266 License: 35032 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Persian Spanish License: 60093 Specialty: DentistTanious, Mariz NPI: 1528371457 Language: Spanish Hindi License: 62158 Specialty: DentistTewfik, Gamal NPI: 1396954681 Language: Spanish Hindi License: 55680 Specialty: DentistTran, Henry NPI: 1174677686 Language: Spanish Arabic License: 49423 Specialty: Dentist

Tran, Michael NPI: 1487061107 Language: Spanish Hindi License: 63617 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Hindi Spanish License: 57668 Specialty: DentistVorperian, Vahe NPI: 1245371988 Language: Korean Spanish License: 53600 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Spanish Hindi License: 48693 Specialty: DentistWilson, Tiffany NPI: 1760741458 Language: Arabic Spanish License: 62605 Specialty: DentistWohn, Kumzoo NPI: 1770659716 Language: Hindi Spanish License: 43409 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Hindi Spanish License: 63551 Specialty: DentistYesayan, Eduard NPI: 1881760858 Language: Spanish Hindi License: 46155 Specialty: DentistYuliongsiu, Rey NPI: 1376606954 License: 46158 Specialty: Dentist

14

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

CovinaAhmed Saeed, DDS Inc.Provider ID: CA4892661 South Second AveCovina, CA 91723asaeeddds1@gmail.com626-966-3571Associates:Saeed, Ahmed NPI: 1093855652 Language: Spanish License: 43393 Specialty: Dentist

College St. Family DentistryProvider ID: CA4278153 W College StCovina, CA 91723management@collegestreetfamilydental.com626-339-9085

Covina Dental OfficeProvider ID: CA23651052 N Citrus AveCovina, CA 91722rafaela@covinadental.com626-967-6767*PCP assignment limitationsAssociates:Tran, Justin NPI: 1154499564 Language: Spanish License: 49686 Specialty: DentistZaltash, Falamack NPI: 1548316862 Language: Faroese License: 40769 Specialty: Dentist

Smiles West of CovinaProvider ID: CA4919470 W Badillo StCovina, CA 91723daisy@smilewest.com626-331-3354Associates:Deirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistDeirmenjian, Sandra NPI: 1104918333 Language: Armenian Spanish License: 52129 Specialty: DentistDeLa Fuente, Susana NPI: 1538379409 Gender: Female License: 37834 Specialty: DentistGochez, Jaime NPI: 1326151218 License: 39961 Specialty: DentistHammam, Mohamed NPI: 1598960445 License: 60616 Specialty: DentistHsieh, Jason NPI: 1922329721 Gender: Male License: 51476 Specialty: DentistQuan, Lawrence NPI: 1598904922 Gender: Male License: 26114 Specialty: DentistSabaghian, Anahita NPI: 1760814180 Gender: Female License: 62699 Specialty: DentistSabbaghian, Ramona NPI: 1487901682 Gender: Female License: 61658 Specialty: Dentist

Sami, Toni NPI: 1275917007 Gender: Male License: 104071 Specialty: DentistTadokoro, Mizuki NPI: 1992242275 Gender: Female License: 101055 Specialty: DentistTakarlekian, Hagop NPI: 1780836411 Gender: Male License: 57021 Specialty: DentistTokuza, Thomas NPI: 1285954263 Gender: Male License: 59149 Specialty: DentistTran, Cathy NPI: 1164805438 Gender: Female License: 64612 Specialty: Dentist

Dental Group of CovinaProvider ID: CA25671406 N Azusa Ave Ste CCovina, CA 91722covbilling@westcoastdental.com626-858-9940Associates:Aranguren, Gustavo Gender: Male License: 103504 Specialty: DentistBerman, Martha NPI: 1538129572 Gender: Female Language: Spanish License: 50039 Specialty: DentistCohen-Sedgh, Soleyman NPI: 1801939715 Language: Spanish License: DE60291773 Specialty: Dentist

15

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Edalat, Niosha NPI: 1205291671 Gender: Female License: 64688 Specialty: DentistEdalat, Poria NPI: 1750734075 Gender: Male License: 100509 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistKamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: DentistSlaven, Joel NPI: 1952314445 License: 52560 Specialty: DentistTom, Robert NPI: 1093970303 Gender: Male Language: Spanish License: 55394 Specialty: DentistVahdatinia, Sina NPI: 1538541701 Gender: Male License: 101138 Specialty: DentistVu, Anh NPI: 1003942384 Language: Spanish Korean License: 44554 Specialty: DentistWu, William NPI: 1285752618 Gender: Male License: 52955 Specialty: DentistYu, Quinn NPI: 1225183544 Language: Spanish Chinese License: 48698 Specialty: Dentist

Wong Dental CorporationProvider ID: CA4957626 S 2nd AveCovina, CA 91723linwongdmd@gmail.com626-332-0013Associates:Wong, Lin NPI: 1316485238 Gender: Male License: 63752 Specialty: Dentist

Culver CityAssure Dental Family Care BracesProvider ID: CA27525795 W Washington BlvdCulver City, CA 90232managermedia@assuredentalcare.com310-572-6167Associates:Soleimani, Soheil NPI: 1699950949 Language: Spanish Persian License: 37922 Specialty: Dentist

Dental CenterProvider ID: CA46255903 Sepulveda Blvd Ste BCulver City, CA 90230rad5903@gmail.com310-390-3565Associates:Rad, Shawn NPI: 1043412604 Language: Spanish License: 46294 Specialty: Dentist

SmileMax Dental CenterProvider ID: CA511410814 Jefferson Blvd Suite GCULVER CITY, CA 90230smilemaxdental@gmail.com310-204-0440Associates:Chen, Linda NPI: 1023218658 Language: French License: 51240 Specialty: Dentist

Diamond BarGolden Springs Family DentProvider ID: CA237323341 Golden Springs Dr Ste 206Diamond Bar, CA 91765esthermoniagadds@yahoo.com909-396-7774Associates:Moniaga, Esther NPI: 1770518326 Gender: Female Language: Spanish Indonesian License: 36623 Specialty: Dentist

DowneyDowney Dental centerProvider ID: CA49388515 Florence Ave Ste 200Downey, CA 90240562-869-4532Associates:Feizbakhsh, Farzad NPI: 1093871345 Gender: Male License: 40238 Specialty: Dentist

16

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Dr Zak Downey Dental CareProvider ID: CA500810501 Lakewood Blvd Suite A and BDowney, CA 90241downey@zakdental.com562-862-2341Associates:Abazarnia, Nadia NPI: 1841631611 Language: Russian Spanish License: 49041 Specialty: DentistAbdulwahab, Abier NPI: 1083089668 Gender: Female License: 59827 Specialty: DentistAldabe, Ali NPI: 1316469844 Gender: Male License: 101575 Specialty: DentistAleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAsatani, Paul NPI: 1679784912 Language: Tajik License: 41343 Specialty: DentistBayat, Paul NPI: 1902964836 Gender: Male License: 54516 Specialty: DentistChung, Charles NPI: 1619111465 Language: Russian Spanish License: 46372 Specialty: DentistDel Campo, Shellaine NPI: 1477725034 Language: Spanish Tagalog License: 45850 Specialty: Dentist

Ibarra, Sergio NPI: 1720467145 Gender: Male License: 102991 Specialty: DentistKarnakova, Olga NPI: 1578602637 License: DDS47183 Specialty: DentistKopel, Howard NPI: 1356584957 License: 26453 Specialty: DentistMomen, Roshanak NPI: 1255785408 Gender: Female License: DDS100152 Specialty: DentistOlson, William NPI: 1710288147 Language: Tagalog Spanish License: 35580 Specialty: DentistPhan, Tuyet Mai Thi NPI: 1346450889 Language: Vietnamese License: DDS44059 Specialty: DentistSanjari, Karsa NPI: 1558746388 Gender: Male License: 102295 Specialty: DentistShiraishi, Ronald NPI: 1922320639 Language: Spanish Russian License: DDS32654 Specialty: DentistWilliams, Frenda NPI: 1174788400 License: 44379 Specialty: DentistZak, Ilya NPI: 1023165255 License: 38238 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA44869906 Imperial HwyDowney, CA 90242089bdw@westerndental.com562-803-9600Associates:Abdelhadi, Hatem NPI: 1962658955 Language: Hindi Spanish License: 57440 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAhuja, Ashley NPI: 1083056014 Language: Hindi Spanish License: 62487 Specialty: DentistAkhavan, Tarlan NPI: 1598828717 Language: Hindi Spanish License: 54323 Specialty: DentistAl-Salti, Rula NPI: 1922293570 Language: Spanish Hindi License: 54546 Specialty: DentistAlani, Wesam NPI: 1285954354 Language: Hindi Spanish License: 59288 Specialty: DentistAsatryan, Sona NPI: 1114252384 Language: Spanish Hindi License: 58684 Specialty: DentistAshtiany, Azadeh NPI: 1639508278 Language: Spanish Hindi License: 63011 Specialty: DentistAwad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: Dentist

17

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Azimi, Shideh NPI: 1811180839 Language: Hindi Spanish License: 44455 Specialty: DentistBasha, Mariana NPI: 1073888152 Language: Hindi Spanish License: 61130 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Spanish Hindi License: 63227 Specialty: DentistBouz, Maha NPI: 1558705574 Language: Spanish Hindi License: 55772 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Hindi Spanish License: 63541 Specialty: DentistChoi, Hoyong NPI: 1821598988 License: 103619 Specialty: DentistChoi, Jo NPI: 1265768998 Language: Spanish Hindi License: 47245 Specialty: DentistChoudhry, Varuna NPI: 1104272301 License: 100196 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Hindi Spanish License: 42538 Specialty: Dentist

Desai, Himani NPI: 1871979351 Gender: Female License: 64888 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Spanish Korean License: 44863 Specialty: DentistDu, Tran NPI: 1184975880 Language: Hindi Spanish License: 61899 Specialty: DentistEmbry, Shahrzad NPI: 1669534848 Language: Hindi Spanish License: 41132 Specialty: DentistFarnad, Mahkameh NPI: 1922153121 Language: Hindi Spanish License: 50533 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Hindi Spanish License: 57437 Specialty: DentistFayoumi, Hassan NPI: 1831269489 Language: Hindi Spanish License: 52604 Specialty: DentistFrisancho Rodr, Miguel NPI: 1124271937 Language: Hindi Spanish License: 57851 Specialty: DentistGad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGhahremani, Shiva NPI: 1023247186 Language: Spanish Hindi License: 58347 Specialty: Dentist

Ghalchi, Azita NPI: 1659437036 Language: Hindi Spanish License: 49529 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Hindi Spanish License: 43158 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistHabashy, James NPI: 1659682565 Language: Hindi Spanish License: 60988 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Hindi Spanish License: 63539 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Hindi Spanish License: 61469 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Hindi Spanish License: 59219 Specialty: DentistHwang, Steve NPI: 1841614534 Language: Spanish Hindi License: 63035 Specialty: DentistIzvernari, Paula NPI: 1639463888 Language: Hindi Spanish License: 60367 Specialty: DentistKang, Jiyea NPI: 1710409800 Gender: Male License: 101492 Specialty: Dentist

18

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Khamsei, Laila NPI: 1770775181 Language: Spanish Hindi License: 54594 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKim, Jesse NPI: 1023398344 Language: Spanish License: 60554 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Spanish Hindi License: 40255 Specialty: DentistKolchansky, Mark NPI: 1972667863 Language: Hindi Spanish License: 46082 Specialty: DentistLazo, Antonio NPI: 1225196165 Language: Hindi Spanish License: 51955 Specialty: DentistLe, Hanh NPI: 1619121811 Language: Hindi Spanish License: 57296 Specialty: DentistLee, Peter NPI: 1134139892 Language: Hindi Spanish License: 55223 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Hindi Spanish License: 48638 Specialty: DentistLLAGUNO-JINGCO , KATHERINE NPI: 1083882369 Language: Hindi Spanish License: 55739 Specialty: Dentist

Mahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Hindi Spanish License: 58621 Specialty: DentistMercado, Maria NPI: 1265618771 Language: Spanish Hindi License: 55872 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Spanish Hindi License: 58972 Specialty: DentistMorales, Ma Judina NPI: 1114077351 Gender: Female Language: Spanish Hindi License: 45927 Specialty: DentistMuthal, Rashi NPI: 1184056970 Language: Hindi Spanish Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistNguyen, Tu-Uyen NPI: 1548306996 Language: Spanish Hindi License: 49166 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Hindi Spanish License: 56115 Specialty: DentistNiknafs, Kourosh NPI: 1982762985 Language: Spanish Hindi License: 43217 Specialty: Dentist

Pampaniya, Aditi NPI: 1134397342 Gender: Female Language: Spanish Hindi License: 55215 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Hindi Spanish License: 42690 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Hindi Spanish License: 63582 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Hindi Spanish License: 61902 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Hindi Spanish License: 55923 Specialty: DentistRajvanshi, Roli NPI: 1467869370 Language: Spanish Hindi License: 63622 Specialty: DentistRivera, Jose NPI: 1013058346 Language: Spanish Hindi License: 42599 Specialty: DentistRizvi, Syed NPI: 1124271572 Language: Hindi Spanish License: 57825 Specialty: DentistRoboubi, Mojdeh NPI: 1902212053 Language: Hindi Spanish License: 63504 Specialty: DentistSadek, Maha NPI: 1043824378 Gender: Female License: 105268 Specialty: Dentist

19

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Saleh, Dawlat NPI: 1538434899 Gender: Female Language: Spanish Hindi License: 61200 Specialty: DentistSamra, Ed NPI: 1023202264 Language: Spanish Hindi License: 41335 Specialty: DentistSangani, Neil NPI: 1568836120 Gender: Male License: 63603 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Spanish Hindi License: 41993 Specialty: DentistShen, Jianxiong NPI: 1427335421 Language: Spanish Hindi License: 60559 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Hindi Spanish License: 62498 Specialty: DentistTanious, Mariz NPI: 1528371457 Language: Hindi Spanish License: 62158 Specialty: DentistTewfik, Gamal NPI: 1396954681 Language: Hindi Spanish License: 55680 Specialty: DentistTran, Michael NPI: 1487061107 Language: Spanish Hindi License: 63617 Specialty: Dentist

Vaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Hindi Spanish License: 57668 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistWohn, Kumzoo NPI: 1770659716 Language: Hindi Spanish License: 43409 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Hindi Spanish License: 63551 Specialty: DentistYesayan, Eduard NPI: 1881760858 Language: Hindi Spanish License: 46155 Specialty: Dentist

Ying Wu, DDSProvider ID: CA284612651 Lakewood Blvd Ste 101Downey, CA 90242ywdental@live.com562-904-1150

El MonteAnthony S. Pan, DMDProvider ID: CA47269328 Garvey Ave Ste AEl Monte, CA 91733freshdental1@yahoo.com626-350-0588Associates:Pan, Anthony NPI: 1376858811 Language: Chinese Spanish License: 59548 Specialty: Dentist

Comfort Dental GroupProvider ID: CA471610012 Garvey Ave Ste 11El Monte, CA 91733comfortdentalelmonte@yahoo.com626-433-1300Associates:Ambarachyan, Armen NPI: 1790845121 Language: Spanish Armenian License: 51039 Specialty: DentistThomas, William NPI: 1679641955 Language: Spanish License: 27387 Specialty: Dentist

Lower Azusa DentalProvider ID: CA240010755 Lower Azusa Rd Ste B and CEl Monte, CA 91731lowerazusadental@gmail.com626-448-2040Associates:Behjou, Shahriyar NPI: 1326174236 Language: Spanish Chinese License: 41352 Specialty: DentistFoo, Suanhow NPI: 1922319292 Gender: Male Language: Chinese License: 50252 Specialty: Dentist

Atlas Dental CareProvider ID: CA41932732 Santa Anita AveEl Monte, CA 91733frontdesk@atlasdental.com626-444-2605Associates:Du, Linh NPI: 1396863551 Language: Spanish License: 47614 Specialty: Dentist

20

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Select Dental PracticeProvider ID: CA42953116 Peck RdEl Monte, CA 91731selectdental@sbcglobal.net626-454-2444*PCP assignment limitationsAssociates:Guedikian, Raffi NPI: 1720142003 Language: Spanish Tagalog License: 37424 Specialty: Dentist

Sunshine Dental GroupProvider ID: CA48564161 Tyler AveEl Monte, CA 91731sunshinedental2319@att.net626-579-4274Associates:Casanova, Rudy NPI: 1457482069 Language: Spanish License: 50970 Specialty: DentistDe La Osa, Jorge NPI: 1336186618 Language: Spanish License: 54134 Specialty: Dentist

Tessie T Sy DDSProvider ID: CA51734565 North Peck RoadEL MONTE, CA 91732ttsy@888global.net626-350-3295Associates:Sy, Tessie NPI: 1124188941 Language: Spanish Tagalog License: 40887 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA447011450 Valley BlvdEl Monte, CA 91731026bem@westerndental.com626-575-5850Associates:Afshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: DentistChoi, Dooyong NPI: 1972155398 License: 104038 Specialty: Dentist

EncinoDan Rosen, DDSProvider ID: CA208816542 Ventura Blvd Ste 505Encino, CA 91436drdanrosen@yahoo.com818-907-6736Associates:Rosen, Dan NPI: 1124143102 Language: Spanish License: 38742 Specialty: Dentist

Rene Ghotanian, DDSProvider ID: CA22835363 Balboa Blvd Ste 346Encino, CA 91316encinodentalarts@gmail.com818-990-3551

GardenaWestern Dental Services, Inc.Provider ID: CA510315515 S Normandie AveGardena, CA 90247310-953-0900Associates:Dabbagh, Sarkis NPI: 1437207107 Language: Spanish Arabic License: 44303 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistElseisi, Tarek NPI: 1750854477 Gender: Male License: 103447 Specialty: DentistHan, Su In NPI: 1952533655 License: 101824 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: DentistLee, Betty NPI: 1467004853 License: 103906 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Spanish Hindi License: 58972 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Spanish Hindi License: 44751 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Korean Spanish License: 61141 Specialty: Dentist

21

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Riazi, Haleh NPI: 1245721349 License: 102466 Specialty: DentistSidarous, Nancy NPI: 1548872997 Gender: Female License: 105224 Specialty: DentistSon, Jeemin NPI: 1972165736 License: 103880 Specialty: DentistTran, Tam NPI: 1386782985 Language: Korean Arabic License: 48559 Specialty: Dentist

GlendaleCathleen Toshie Arima, DDSProvider ID: CA4831247 W Glenoaks BlvdGlendale, CA 91202lhgvca@yahoo.com818-246-5671

Glendale Dental ArtsProvider ID: CA4760230 N Maryland Ave Ste 205Glendale, CA 91206dentalspecialtycenter@yahoo.com818-547-2804Associates:Halajian, Vatche NPI: 1467444737 Language: Spanish Armenian License: 38192 Specialty: Dentist

Gregory L. Van Hale, DDSProvider ID: CA4832247 W Glenoaks BlvdGlendale, CA 91202lhgvca@yahoo.com818-246-5671

Associates:Van Hale, Gregory NPI: 1144401084 Language: Spanish Persian License: 31183 Specialty: Dentist

Irina M. Sahaki, DDSProvider ID: CA4460520 E Broadway Ste 402Glendale, CA 91205irina.sahaki.dds@att.net818-241-2424

Starlight Dental GroupProvider ID: CA4314207 N Central AveGlendale, CA 91203starlightdentalgroup@gmail.com818-243-8888Associates:Sooferi, Payam NPI: 1699836163 Language: Persian Armenian License: 54604 Specialty: Dentist

GlendoraAdvanced Dental SmilesProvider ID: CA4257455 W Foothill BlvdGlendora, CA 91741deanna@advancedentalsmiles.com626-914-9808Associates:Dao, Loan NPI: 1366655524 Language: Vietnamese License: 55534 Specialty: Dentist

Arnouk D.D.S., INCProvider ID: CA4973210 S GRAND AVE STE 420GLENDORA, CA 91741mario@foothillfamilydentalgroup.com626-963-3322Associates:Arnouk, Maher NPI: 1558651950 Language: Arabic Spanish License: 41341 Specialty: DentistArnouk, Reema NPI: 1316282981 Language: Arabic Spanish License: 41655 Specialty: DentistRabie, Ahmed NPI: 1356484927 Gender: Male Language: Spanish License: 47161 Specialty: Dentist

Glendora Dental CenterProvider ID: CA5021610 E Route 66Glendora, CA 91740francofamilydental@gmail.com626-335-7727Associates:Franco, Pacita NPI: 1336200237 Language: Tajik License: 40227 Specialty: DentistRaad, Vera NPI: 1609160498 Gender: Female Language: Spanish Arabic License: 43652 Specialty: Dentist

22

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

New Vision DentalProvider ID: CA44131814 E Route 66 Ste BGlendora, CA 91740newvisiondental@yahoo.com626-963-7000Associates:Au, Brandon NPI: 1538226808 Language: Spanish License: 46237 Specialty: Dentist

Hacienda HeightsComfort Smile Family DentistryProvider ID: CA249915724 Gale AveHacienda Heights, CA 91745comfortsmile@hotmail.com626-333-5244Associates:Huang, Phillip NPI: 1689721540 Language: Chinese Spanish License: 43974 Specialty: Dentist

HawthorneChoice Dental GroupProvider ID: CA468712730-D Hawthorne Blvd.Hawthorne, CA 90250hawbilling@westcoastdental.com310-644-4000Associates:Cohen-Sedgh, Soleyman NPI: 1801939715 Language: Spanish License: DE60291773 Specialty: DentistDawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: Dentist

Edalat, Poria NPI: 1750734075 Gender: Male License: 100509 Specialty: DentistHan, Jason NPI: 1114016672 Gender: Male Language: Korean Spanish License: DE60682744 Specialty: DentistMarini, Shabnam NPI: 1548676190 Language: Spanish Arabic License: 63566 Specialty: DentistMazloomi, Farzad NPI: 1427430016 Gender: Male License: 102653 Specialty: DentistShokohi, Armon NPI: 1205865375 Gender: Male License: 59279 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA457714248 Hawthorne BlvdHawthorne, CA 90250310-978-2973Associates:Abtin, Dilshad NPI: 1740519024 Language: Spanish Arabic License: 58822 Specialty: DentistAghakhan-Moheb, Ahmad NPI: 1982937850 Language: Spanish License: 58809 Specialty: DentistAlhassan, Melath NPI: 1912127093 Language: Spanish License: 48216 Specialty: Dentist

Amanfu, Emmanuel NPI: 1417025677 Language: Spanish Tagalog License: 37381 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Spanish Korean License: 44863 Specialty: DentistElnaggar, Maged NPI: 1912203100 Language: Spanish Persian License: 60170 Specialty: DentistElseisi, Tarek NPI: 1750854477 Gender: Male License: 103447 Specialty: DentistFadaei, Behzad NPI: 1285066548 Language: Spanish Arabic License: 62751 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Spanish Hindi License: 43158 Specialty: DentistGhularyan, Marianna NPI: 1356694061 Language: Persian Spanish License: 61407 Specialty: DentistGoshayeshi, Azadeh NPI: 1306480793 License: 104482 Specialty: Dentist

23

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Guindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistGulati, Neal NPI: 1184031429 Language: Arabic Spanish License: 63644 Specialty: DentistHan, Su In NPI: 1952533655 License: 101824 Specialty: DentistHana, Atef NPI: 1437219003 Language: Arabic Spanish License: 54147 Specialty: DentistHusain, Mohammed NPI: 1972840346 Language: Persian Spanish License: 61869 Specialty: DentistJames, Francis NPI: 1821157629 Language: Arabic Spanish License: 41424 Specialty: DentistJauregui, Hector NPI: 1467502815 Gender: Male Language: Spanish License: 53459 Specialty: DentistKatbamna, Dhanesh NPI: 1437217544 Language: Arabic Spanish License: 39972 Specialty: DentistLeon, Arlette NPI: 1235319989 Language: Arabic Spanish License: 56594 Specialty: DentistMazaheri, Shadi NPI: 1598005498 Language: Persian Spanish License: 62184 Specialty: DentistMeng, Zhi NPI: 1154442457 Language: Spanish Persian License: 41957 Specialty: Dentist

Mirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Hindi Spanish License: 58972 Specialty: DentistMorales, Ma Judina NPI: 1114077351 Gender: Female Language: Hindi Spanish License: 45927 Specialty: DentistNaffas, Shahriar NPI: 1427104223 Language: Persian License: 52651 Specialty: DentistNNodim, Sandra NPI: 1326601667 Gender: Female License: 105316 Specialty: DentistOletyramakrishnasetty, Raghavendr NPI: 1477704104 Language: Spanish License: 56998 Specialty: DentistPandya, Toral NPI: 1932450616 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Korean Spanish License: 61141 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Hindi Spanish License: 55923 Specialty: DentistReddy, Smitha NPI: 1528290699 Language: Arabic Spanish License: 58670 Specialty: DentistSadeghi, Janet NPI: 1205269875 Language: Spanish Persian License: 62846 Specialty: Dentist

Sadri, Iman NPI: 1538308473 Language: Hindi Korean License: 58426 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Hindi Spanish License: 41993 Specialty: DentistShah, Bhavi NPI: 1720113756 Language: Spanish License: 55565 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistSharifi, Mina NPI: 1477619575 Language: Persian Spanish License: 45190 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSon, Jeemin NPI: 1972165736 License: 103880 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Spanish Persian License: 60093 Specialty: DentistTewfik, Gamal NPI: 1396954681 Language: Spanish Hindi License: 55680 Specialty: DentistToledo, Mary Aileen NPI: 1225377377 Language: Spanish Arabic License: 63759 Specialty: DentistTran, Vinh NPI: 1174711253 License: 56291 Specialty: Dentist

24

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Vaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistVo, Hanh NPI: 1942376975 Language: Arabic Spanish License: 54314 Specialty: DentistWohn, Kumzoo NPI: 1770659716 Language: Hindi Spanish License: 43409 Specialty: DentistYe, Chong NPI: 1619036472 Language: Spanish Persian License: 54964 Specialty: DentistYoo, Joo NPI: 1881059335 Gender: Male License: 65242 Specialty: DentistYoung, Daniel NPI: 1962060194 License: 103729 Specialty: DentistYu, Chunzhu NPI: 1245408871 Language: Spanish Persian License: 55717 Specialty: Dentist

HollywoodSami Y. Nouhad, DDSProvider ID: CA22577080 Hollywood Blvd Ste 817Hollywood, CA 90028samnou10d@gmail.com323-466-3541*PCP assignment limitations

Huntington ParkAdel M Fransis, DDS, Inc.Provider ID: CA21116040 Pacific BlvdHuntington Park, CA 90255323-583-5677

Daniel A GarolanProvider ID: CA49932680 Saturn Ave Suite 180Huntington Park, CA 90255danielgaroian@dsleztreme.com323-560-4658Associates:Garoian, Daniel Gender: Male License: 43154 Specialty: DentistGaroian, Gary NPI: 1265522577 Language: Spanish License: 33579 Specialty: Dentist

Huntington Family DentalProvider ID: CA21072542 E Florence AveHuntington Park, CA 90255mojab@att.net323-582-0755Associates:Mojab, Payam NPI: 1265756027 Language: Persian Spanish License: 38334 Specialty: Dentist

Smiles WestProvider ID: CA49685501 Pacific BlvdHuntington Park, CA 90255ana.barron@smileswest.com323-586-0600Associates:Deirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistDeLa Fuente, Susana NPI: 1538379409 Gender: Female License: 37834 Specialty: Dentist

Sabaghian, Anahita NPI: 1760814180 Gender: Female License: 62699 Specialty: DentistSabbaghian, Ramona NPI: 1487901682 Gender: Female License: 61658 Specialty: DentistTadokoro, Mizuki NPI: 1992242275 Gender: Female License: 101055 Specialty: DentistTakarlekian, Hagop NPI: 1780836411 Gender: Male License: 57021 Specialty: DentistTokuza, Thomas NPI: 1285954263 Gender: Male License: 59149 Specialty: DentistTran, Cathy NPI: 1164805438 Gender: Female License: 64612 Specialty: DentistTran, Kevin NPI: 1770067571 Gender: Male License: 103122 Specialty: Dentist

Total Care Dental & OrthodontiProvider ID: CA49912630 Zoe AveHuntington Park, CA 90255totalcaredentalhp@gmail.com323-230-6366Associates:Abner, Emil NPI: 1861918831 License: 101925 Specialty: DentistDiego, Virginia NPI: 1700307071 Gender: Female License: 101443 Specialty: Dentist

25

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Kim, Samuel NPI: 1952841793 Gender: Male License: 100445 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistPalacios, Consuelo NPI: 1821466822 Gender: Female License: 64805 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Hindi Spanish License: 62498 Specialty: DentistTamaddon, Mojgan NPI: 1598881872 Gender: Female License: 49417 Specialty: Dentist

InglewoodNewhart Dental CenterProvider ID: CA46383516 W Imperial HwyInglewood, CA 90303lillian@newhartdental.com310-677-9101Associates:Ayyoub, Bashar NPI: 1811133325 Language: Spanish License: 57179 Specialty: DentistCapio, Michael NPI: 1538390562 Language: Spanish License: 58414 Specialty: DentistFinley, Andrew NPI: 1487061677 Language: Spanish License: 63451 Specialty: Dentist

Laaly, Faraz NPI: 1548588486 Language: Spanish License: 43626 Specialty: DentistOrtega, Anthony NPI: 1871648311 Gender: Male License: 28968 Specialty: DentistRodas, Melissa NPI: 1447563226 Language: Spanish License: 59437 Specialty: Dentist

La CrescentaFamily DentistryProvider ID: CA40033157 Foothill Blvd Ste ALa Crescenta, CA 91214mehrabiandds@gmail.com818-541-9724Associates:Mehrabian, Vahag NPI: 1255487617 Language: Armenian Spanish License: 51108 Specialty: Dentist

Healthy Smiles Of La CrescentaProvider ID: CA27532644 Foothill BlvdLa Crescenta, CA 91214rebeccacrescenta@gmail.com818-248-9988Associates:Hakimi, Sohail NPI: 1922298074 Language: Spanish License: 39643 Specialty: Dentist

LA MIRADADr Zak La Mirada Dental CareProvider ID: CA519011900 La Mirada Boulevard Unit 7LA MIRADA, CA 90638lamirada@zakdental.com562-947-3761Associates:Kopel, Howard NPI: 1356584957 License: 26453 Specialty: DentistRivero, Carlos NPI: 1942502596 Gender: Male License: 104466 Specialty: DentistSalehpour, Maysam NPI: 1083058986 Language: Spanish License: 61527 Specialty: DentistWong, Harrison NPI: 1053966705 Gender: Male License: 105081 Specialty: DentistZak, Ilya NPI: 1023165255 License: 38238 Specialty: Dentist

Imperial DentalProvider ID: CA68915769 Imperial HwyLa Mirada, CA 90638sergiocampodds@msn.com562-902-9898Associates:Ocampo, Sergio NPI: 1063503993 Language: Spanish License: 37888 Specialty: Dentist

26

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

New Age DentalProvider ID: CA240414545 Telegraph RdLa Mirada, CA 90638newagedental@yahoo.com562-777-1188Associates:Yadegar, Naghmeh NPI: 1467519934 Language: Persian Spanish License: 43270 Specialty: Dentist

La PuenteDr. Pharar's Dental OfficeProvider ID: CA56517311 E Valley Blvd Ste BLa Puente, CA 91744drphara1@gmail.com626-810-2444Associates:Pharar, Vijay NPI: 1962506972 Language: Spanish License: 34190 Specialty: Dentist

Fairgrove Dental CenterProvider ID: CA428815260 Fairgrove AveLa Puente, CA 91744fairgrovedentalcenter@gmail.com626-968-4733*PCP assignment limitationsAssociates:Luu, Peter NPI: 1104016419 Language: Vietnamese Spanish License: 55933 Specialty: Dentist

Smiles WestProvider ID: CA250915448 Amar RdLa Puente, CA 91744paola@smileswest.com626-810-8222Associates:Deirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistDeirmenjian, Sandra NPI: 1104918333 Language: Spanish Armenian License: 52129 Specialty: DentistDeLa Fuente, Susana NPI: 1538379409 Gender: Female License: 37834 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: DentistGochez, Jaime NPI: 1326151218 License: 39961 Specialty: DentistSabaghian, Anahita NPI: 1760814180 Gender: Female License: 62699 Specialty: DentistSabbaghian, Ramona NPI: 1487901682 Gender: Female License: 61658 Specialty: DentistShah, Neal NPI: 1588830962 Language: Spanish License: 55233 Specialty: Dentist

Tadokoro, Mizuki NPI: 1992242275 Gender: Female License: 101055 Specialty: DentistTakarlekian, Hagop NPI: 1780836411 Gender: Male License: 57021 Specialty: DentistTokuza, Thomas NPI: 1285954263 Gender: Male License: 59149 Specialty: DentistTran, Cathy NPI: 1164805438 Gender: Female License: 64612 Specialty: Dentist

LA VERNEDental Care Of La VerneProvider ID: CA50142323 Foothill BlvdLA VERNE, CA 91750lv.office@francodental.net909-596-1861Associates:Franco, Pacita NPI: 1336200237 Language: Tajik License: 40227 Specialty: Dentist

La Verne Dental and ImplantProvider ID: CA50992488 Foothill Blvd CLA VERNE, CA 91750lavernedentalimplant@gmail.com909-596-1155Associates:Nigoghosian, Johnny NPI: 1821402538 Gender: Male License: 63485 Specialty: Dentist

27

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

LakewoodLakewood Cerritos Dental CntrProvider ID: CA48945819 Adenmoor AveLakewood, CA 90713manager@lakewoodcerritosdental.com562-804-2296Associates:Antanesian, Vahe NPI: 1285838730 Gender: Male Language: Spanish Russian License: 46236 Specialty: DentistHariri, Abbas NPI: 1780753954 Language: Vietnamese Spanish License: 38008 Specialty: DentistLe, Hanh NPI: 1619121811 Language: Hindi Spanish License: 57296 Specialty: DentistPappas, Kosmas NPI: 1063542264 Language: Spanish Vietnamese License: 18745 Specialty: Dentist

Jiten M. Vasa, DDSProvider ID: CA48111455 Carson St Ste ELakewood, CA 90715vasadental@gmail.com562-860-7116

Lakewood Family Dental GroupProvider ID: CA46525203 Lakewood BlvdLakewood, CA 90712staff.drsamaan@gmail.com562-531-7373Associates:Samaan, Ehab NPI: 1417113697 Language: Arabic Spanish License: 49798 Specialty: Dentist

Turley, Jerrid NPI: 1285981936 Language: Arabic Spanish License: 30866 Specialty: Dentist

Lakewood Plaza Dental GroupProvider ID: CA44094346 South StLakewood, CA 90712lakewoodplazadentalgroup@yahoo.com562-408-3500Associates:Badea, Marius NPI: 1730214909 License: 36222 Specialty: DentistSadighi, Ramin NPI: 1487782801 License: 36278 Specialty: Dentist

Ocean Dental GroupProvider ID: CA50665037 Lakewood BoulevardLAKEWOOD, CA 90712lferreira@ocean.dental562-531-0221Associates:Ozder, Necdet NPI: 1063571313 Language: Turkmen Spanish License: 52446 Specialty: Dentist

LancasterElite Dental CareProvider ID: CA487744439 17th St. West Ste. 201Lancaster, CA 93534elitedental201@gmail.com661-723-1461Associates:Saharan, Sachin NPI: 1205021250 Gender: Male Language: Panjabi; Punjabi Hindi License: 56196 Specialty: Dentist

Family Dental Of LancasterProvider ID: CA41171025 West Avenue KSuite 105LANCASTER, CA 93534lan@westcoastdental.com661-723-1111Associates:Aleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAranguren, Gustavo Gender: Male License: 103504 Specialty: DentistBaha, Joseph NPI: 1669626511 Language: Arabic Spanish License: 62932 Specialty: DentistBaradaran, San NPI: 1235663642 Gender: Male License: 101275 Specialty: DentistBootenshaz, Robert NPI: 1932375300 Language: Spanish License: 56953 Specialty: DentistCamacho, Aaron NPI: 1386292324 Gender: Male License: 104372 Specialty: DentistEdalat, Sina NPI: 1790167336 Gender: Male License: 64563 Specialty: DentistEsraeli, David NPI: 1417435926 Gender: Male License: 102907 Specialty: Dentist

28

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Hemmati, Amir Gender: Male License: 49109 Specialty: DentistJavid, Mikzad NPI: 1770622912 Language: Spanish License: 36563 Specialty: DentistLuong, Donald NPI: 1003932948 Language: Spanish License: 42356 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistShafa, Farid NPI: 1073659777 Language: Spanish License: 49993 Specialty: DentistSheng, Anne NPI: 1730226291 Gender: Female License: 37915 Specialty: Dentist

Hi-Desert Dental CenterProvider ID: CA21881745 W Ave K Ste CLancaster, CA 93534lancasteradvanceddental@gmail.com661-723-5400Associates:Kohanoff, Sharona NPI: 1285751057 Language: Spanish License: 43622 Specialty: Dentist

Western Dental Services, IncProvider ID: CA50332004 W Avenue JLANCASTER, CA 93536salaniz@westerndental.com661-949-1970Associates:Afshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistBelaya, Alesia NPI: 1528531621 License: 103472 Specialty: DentistGuindy, Awny NPI: 1407127749 Language: Spanish Korean License: 61033 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistJacob, Evelinda NPI: 1033358593 License: 56122 Specialty: DentistMohammed, Naveed NPI: 1063005973 Specialty: DentistPatel, Tejal NPI: 1538544887 License: 64718 Specialty: DentistRubtsov, Valeriy NPI: 1073657524 License: 54304 Specialty: DentistRudraprakasha, Tejaswini NPI: 1083162184 License: 100878 Specialty: DentistSheng, Anne NPI: 1730226291 Gender: Female License: 37915 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA450944407 Challenger WayLancaster, CA 93535176wlc@westerndental.com661-341-3100Associates:Abdelhadi, Hatem NPI: 1962658955 Language: Spanish Hindi License: 57440 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAhuja, Ashley NPI: 1083056014 Language: Spanish Hindi License: 62487 Specialty: DentistAl-Salti, Rula NPI: 1922293570 Language: Hindi Spanish License: 54546 Specialty: DentistAlani, Wesam NPI: 1285954354 Language: Hindi Spanish License: 59288 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Spanish Korean License: 49946 Specialty: DentistAmour, Pierre NPI: 1558422246 Language: Spanish License: 45810 Specialty: DentistAnsari, Bita NPI: 1548808678 License: 104567 Specialty: DentistAsatryan, Sona NPI: 1114252384 Language: Hindi Spanish License: 58684 Specialty: Dentist

29

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Ashtiany, Azadeh NPI: 1639508278 Language: Hindi Spanish License: 63011 Specialty: DentistAzimi, Shideh NPI: 1811180839 Language: Hindi Spanish License: 44455 Specialty: DentistAzizzadeh, Katrin NPI: 1144525247 Language: Spanish Arabic License: 39597 Specialty: DentistBasha, Mariana NPI: 1073888152 Language: Spanish Hindi License: 61130 Specialty: DentistBayat-Mokhtari, Siamak NPI: 1760921878 License: 101173 Specialty: DentistBelaya, Alesia NPI: 1528531621 License: 103472 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistChilton, Chunhua NPI: 1124432695 Language: Spanish Arabic License: 63496 Specialty: DentistDabbagh, Sarkis NPI: 1437207107 Language: Spanish Arabic License: 44303 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: Dentist

Desai, Amit NPI: 1679848733 Language: Spanish Hindi License: 42538 Specialty: DentistDeukmedjian, Gary NPI: 1598908642 Gender: Male Language: Armenian Spanish License: 57866 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistDu, Tran NPI: 1184975880 Language: Hindi Spanish License: 61899 Specialty: DentistElnaggar, Maged NPI: 1912203100 Language: Spanish Persian License: 60170 Specialty: DentistEmbry, Shahrzad NPI: 1669534848 Language: Hindi Spanish License: 41132 Specialty: DentistFadaei, Behzad NPI: 1285066548 Language: Spanish Arabic License: 62751 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Spanish Hindi License: 57437 Specialty: DentistGad, Mona NPI: 1962564013 Language: Spanish Hindi License: 50910 Specialty: DentistGhahremani, Shiva NPI: 1023247186 Language: Spanish Hindi License: 58347 Specialty: Dentist

Ghalchi, Azita NPI: 1659437036 Language: Hindi Spanish License: 49529 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistGuindy, Awny NPI: 1407127749 Language: Korean Spanish License: 61033 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistHabashy, James NPI: 1659682565 Language: Hindi Spanish License: 60988 Specialty: DentistHanna, Amal NPI: 1043555162 Language: Persian Spanish License: 62068 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Hindi Spanish License: 61469 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Hindi Spanish License: 59219 Specialty: DentistHwang, Steve NPI: 1841614534 Language: Hindi Spanish License: 63035 Specialty: DentistJacob, Evelinda NPI: 1033358593 License: 56122 Specialty: Dentist

30

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Khan, Amna NPI: 1902082381 Language: Spanish Arabic License: 52621 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Hindi Spanish License: 60452 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Spanish Korean License: 62067 Specialty: DentistLe, Hanh NPI: 1619121811 Language: Spanish Hindi License: 57296 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: DentistManoel, Zarmine NPI: 1841597473 Language: Spanish Persian License: 60105 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Spanish Hindi License: 58621 Specialty: DentistMercado, Maria NPI: 1265618771 Language: Spanish Hindi License: 55872 Specialty: Dentist

Mirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Spanish Hindi License: 58972 Specialty: DentistMuralidharan, Asha NPI: 1942479639 Language: Persian Spanish License: 56745 Specialty: DentistMuthal, Rashi NPI: 1184056970 Language: Spanish Hindi Specialty: DentistNguyen, Kyle NPI: 1245892488 Gender: Male License: 103947 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Spanish Hindi License: 44751 Specialty: DentistNguyen, Tu-Uyen NPI: 1548306996 Language: Spanish Hindi License: 49166 Specialty: DentistNiknafs, Kourosh NPI: 1982762985 Language: Hindi Spanish License: 43217 Specialty: DentistOsma, Amalia NPI: 1871707083 Language: Spanish Arabic License: 55605 Specialty: DentistOzawa, Saido NPI: 1821686999 Gender: Male License: 105899 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Spanish Hindi License: 42690 Specialty: Dentist

Patel, Pragnesh NPI: 1346656600 Language: Hindi Spanish License: 63582 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Hindi Spanish License: 61902 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Hindi Spanish License: 55923 Specialty: DentistRajvanshi, Roli NPI: 1467869370 Language: Spanish Hindi License: 63622 Specialty: DentistRivera, Jose NPI: 1013058346 Language: Spanish Hindi License: 42599 Specialty: DentistRizvi, Syed NPI: 1124271572 Language: Spanish Hindi License: 57825 Specialty: DentistSafarian, Oshin NPI: 1023485125 Gender: Male License: 64622 Specialty: DentistSaguin, Maria NPI: 1205040979 Language: Spanish License: 55208 Specialty: DentistSaharan, Sachin NPI: 1205021250 Gender: Male Language: Hindi Panjabi; Punjabi License: 56196 Specialty: DentistSaleh, Dawlat NPI: 1538434899 Gender: Female Language: Spanish Hindi License: 61200 Specialty: Dentist

31

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Samra, Ed NPI: 1023202264 Language: Spanish Hindi License: 41335 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Spanish Hindi License: 41993 Specialty: DentistShen, Jianxiong NPI: 1427335421 Language: Spanish Hindi License: 60559 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Hindi Spanish License: 62498 Specialty: DentistTan, Annabel NPI: 1649543851 Language: Spanish Korean License: 60889 Specialty: DentistTanious, Mariz NPI: 1528371457 Language: Hindi Spanish License: 62158 Specialty: DentistTran, Tam NPI: 1386782985 Language: Korean Arabic License: 48559 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Hindi Spanish License: 50996 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Spanish Hindi License: 57668 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: Dentist

Wilson, Tiffany NPI: 1760741458 Language: Arabic Spanish License: 62605 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Spanish Hindi License: 63551 Specialty: Dentist

LawndaleDental Center Of Redondo BeachProvider ID: CA261916819 Hawthorne BlvdLawndale, CA 90260dcrbdds@gmail.com310-921-3938Associates:Gharibian, Alen NPI: 1154413466 Language: Spanish Armenian License: 45461 Specialty: Dentist

LomitaWestern Dental Services, Inc.Provider ID: CA46691929 Pacific Coast Hwy Unit ALomita, CA 90717811wlo@westerndental.com310-602-7092Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAhuja, Ashley NPI: 1083056014 Language: Hindi Spanish License: 62487 Specialty: DentistAkhavan, Tarlan NPI: 1598828717 Language: Hindi Spanish License: 54323 Specialty: Dentist

Awad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistBasha, Mariana NPI: 1073888152 Language: Hindi Spanish License: 61130 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Hindi Spanish License: 63227 Specialty: DentistCheng, Janice NPI: 1467529420 Language: Spanish Tagalog License: 55115 Specialty: DentistDu, Tran NPI: 1184975880 Language: Spanish Hindi License: 61899 Specialty: DentistEbrahimi Takaloo, Azadeh NPI: 1710468160 License: 102854 Specialty: DentistEmbry, Shahrzad NPI: 1669534848 Language: Hindi Spanish License: 41132 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Hindi Spanish License: 57437 Specialty: DentistFayoumi, Hassan NPI: 1831269489 Language: Hindi Spanish License: 52604 Specialty: DentistGhahremani, Shiva NPI: 1023247186 Language: Spanish Hindi License: 58347 Specialty: Dentist

32

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Goshayeshi, Azadeh NPI: 1306480793 License: 104482 Specialty: DentistHabashy, James NPI: 1659682565 Language: Spanish Hindi License: 60988 Specialty: DentistHaggard, David NPI: 1396915641 Gender: Male License: 32843 Specialty: DentistHan, Su In NPI: 1952533655 License: 101824 Specialty: DentistHanna, Amal NPI: 1043555162 Language: Spanish Persian License: 62068 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Spanish Hindi License: 59219 Specialty: DentistHwang, Steve NPI: 1841614534 Language: Hindi Spanish License: 63035 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Hindi Spanish License: 60452 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistKobrossi, Marcelle NPI: 1750423695 Language: Spanish Persian License: 55200 Specialty: Dentist

Le, Hanh NPI: 1619121811 Language: Hindi Spanish License: 57296 Specialty: DentistLee, Peter NPI: 1134139892 Language: Spanish Hindi License: 55223 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistMai, Anh-Thu NPI: 1235447525 Language: Spanish Persian License: 59479 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Spanish Hindi License: 58621 Specialty: DentistMohindra, Ankur NPI: 1336377571 Gender: Male License: 52434 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Hindi Spanish License: 58972 Specialty: DentistMuthal, Rashi NPI: 1184056970 Language: Hindi Spanish Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistPandya, Sunen NPI: 1326073958 License: 50805 Specialty: DentistPandya, Toral NPI: 1932450616 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Hindi Spanish License: 63582 Specialty: Dentist

Rahimzadeh, Parviz NPI: 1255515102 Language: Hindi Spanish License: 55923 Specialty: DentistRivera, Jose NPI: 1013058346 Language: Hindi Spanish License: 42599 Specialty: DentistSadek, Maha NPI: 1043824378 Gender: Female License: 105268 Specialty: DentistSadri, Iman NPI: 1538308473 Language: Korean Hindi License: 58426 Specialty: DentistShen, Jianxiong NPI: 1427335421 Language: Spanish Hindi License: 60559 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistTanious, Mariz NPI: 1528371457 Language: Spanish Hindi License: 62158 Specialty: DentistTran, Michael NPI: 1487061107 Language: Spanish Hindi License: 63617 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: Dentist

33

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Long BeachCoastal Dental CareProvider ID: CA5071816 W. Willow StLong Beach, CA 90806omegafamilydental@gmail.com562-595-7077Associates:Chan, Ted NPI: 1508997784 Language: Spanish License: 44153 Specialty: Dentist

Family Dental CareProvider ID: CA25891335 Long Beach BlvdLong Beach, CA 90813familydental1327@yahoo.com562-218-5555Associates:Farnoosh, Hekmat NPI: 1215142583 Language: Persian Spanish License: 42544 Specialty: DentistHakakha, Firoz NPI: 1750593026 Language: Spanish Persian License: 39002 Specialty: Dentist

Long Beach DentalProvider ID: CA4079308 Orange AveLong Beach, CA 90802longbeachdentalpractice@gmail.com562-436-4214Associates:Rezkalla, Atef NPI: 1578631800 Language: Spanish Arabic License: 48004 Specialty: Dentist

Perfect SmileProvider ID: CA48192530 Atlantic Ave Unit ELong Beach, CA 90806perfectsmiledentist@yahoo.com562-424-1004*PCP assignment limitationsAssociates:Rahimi, Ramon NPI: 1427139831 Language: Persian Spanish License: 45762 Specialty: Dentist

West Coast Dental Grp Of LbProvider ID: CA44401835 Ximeno AveLong Beach, CA 90815lgb@westcoastdental.com562-453-1111Associates:Arciniega, Patricia NPI: 1639394901 Language: Spanish License: 47445 Specialty: DentistDawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: DentistHeyrani, Nahal NPI: 1821247347 Language: Spanish Persian License: 57456 Specialty: DentistKamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: DentistManavi, Farhad Language: Persian Spanish License: 38558 Specialty: Dentist

Mercado, Patricia NPI: 1679720965 Gender: Female License: 57318 Specialty: DentistNunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: DentistPezold, Janet NPI: 1003302969 Gender: Female License: 102641 Specialty: DentistRobles, Josue NPI: 1104123728 Gender: Male License: 60186 Specialty: DentistShokohi, Armon NPI: 1205865375 Gender: Male License: 59279 Specialty: DentistTom, Robert NPI: 1093970303 Gender: Male Language: Spanish License: 55394 Specialty: DentistWong, Wendy NPI: 1780086017 Language: Spanish Tagalog License: 63791 Specialty: DentistZaman, Ifrana NPI: 1659892024 Gender: Female License: 102851 Specialty: Dentist

Western Dental Services, IncProvider ID: CA41432360 Pacific AveLong Beach, CA 90806832wip@westerndental.com562-595-0731Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: Dentist

34

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Awad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistBadii S, Kiavash NPI: 1437319035 Language: Vietnamese License: 54538 Specialty: DentistChoudhry, Varuna NPI: 1104272301 License: 100196 Specialty: DentistDa Fonseca, Renata NPI: 1033433727 Language: Vietnamese License: 59166 Specialty: DentistDao, Tu NPI: 1902972938 Language: Vietnamese License: 46176 Specialty: DentistDe Guzman, Arnel NPI: 1366500357 Language: Vietnamese License: 52847 Specialty: DentistDuong, Vicky NPI: 1013083047 Language: Vietnamese License: 48803 Specialty: DentistEmigh, Todd NPI: 1093093890 Language: Vietnamese License: 60598 Specialty: DentistGuo, Edmund NPI: 1407096407 Language: Vietnamese License: 52727 Specialty: DentistJoson, Glenda NPI: 1548337983 Language: Spanish Vietnamese Specialty: DentistKamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: Dentist

Kim, Jae Eun NPI: 1285287110 License: 104068 Specialty: DentistLin, Vickie NPI: 1467606517 Language: Vietnamese License: 57880 Specialty: DentistLiu, Edward NPI: 1467668012 Language: Vietnamese License: 54529 Specialty: DentistLy, Hoa NPI: 1154496768 Language: Vietnamese License: 46878 Specialty: DentistPham, Lanchi NPI: 1952558454 Language: Vietnamese License: 57639 Specialty: DentistPoblete, Editha NPI: 1942340583 License: 47993 Specialty: DentistSadek, Maha NPI: 1043824378 Gender: Female License: 105268 Specialty: DentistSadjadi, Amir NPI: 1871660670 Language: Vietnamese License: 52313 Specialty: DentistTawadrous, Joy NPI: 1669968228 License: 102562 Specialty: DentistVo, Hanhngoc NPI: 1376675447 Language: Vietnamese License: 51312 Specialty: DentistVo, Thach NPI: 1154462109 Language: Vietnamese License: 50841 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA47934516 Atlantic AveLong Beach, CA 90807818w/b_om@westerndental.com562-495-6237Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAwad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistCheng, Janice NPI: 1467529420 Language: Tagalog Spanish License: 55115 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistElseisi, Tarek NPI: 1750854477 Gender: Male License: 103447 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistYoung, Daniel NPI: 1962060194 License: 103729 Specialty: Dentist

35

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Western DentalProvider ID: CA44711150 E Anaheim StreetLong Beach, CA 90813562-506-1419Associates:Awad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistCalima, Donna Marie NPI: 1194850495 Language: Spanish License: 43584 Specialty: DentistDesai, Himani NPI: 1871979351 Gender: Female License: 64888 Specialty: DentistEnverga, Francisco NPI: 1356953517 License: 105292 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistNiknafs, Kourosh NPI: 1982762985 Language: Spanish Hindi License: 43217 Specialty: DentistQazi, Zumna NPI: 1780120451 License: 100967 Specialty: DentistRiazi, Haleh NPI: 1245721349 License: 102466 Specialty: DentistYoo, Joo NPI: 1881059335 Gender: Male License: 65242 Specialty: Dentist

Dr Zak Long Beach Dental CareProvider ID: CA50043620 Long Beach Blvd Ste B6Long Beach, CA 90807longbeach@zakdental.com562-426-6458Associates:Abazarnia, Nadia NPI: 1841631611 Language: Spanish Russian License: 49041 Specialty: DentistAldabe, Ali NPI: 1316469844 Gender: Male License: 101575 Specialty: DentistAleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAsatani, Paul NPI: 1679784912 Language: Tajik License: 41343 Specialty: DentistBayat, Paul NPI: 1902964836 Gender: Male License: 54516 Specialty: DentistChung, Charles NPI: 1619111465 Language: Spanish Russian License: 46372 Specialty: DentistDel Campo, Shellaine NPI: 1477725034 Language: Tagalog Spanish License: 45850 Specialty: DentistIbarra, Sergio NPI: 1720467145 Gender: Male License: 102991 Specialty: Dentist

Karnakova, Olga NPI: 1578602637 License: DDS47183 Specialty: DentistKopel, Howard NPI: 1356584957 License: 26453 Specialty: DentistMomen, Roshanak NPI: 1255785408 Gender: Female License: DDS100152 Specialty: DentistOlson, William NPI: 1710288147 Language: Spanish Tagalog License: 35580 Specialty: DentistPhan, Tuyet Mai Thi NPI: 1346450889 Language: Vietnamese License: DDS44059 Specialty: DentistSanjari, Karsa NPI: 1558746388 Gender: Male License: 102295 Specialty: DentistShiraishi, Ronald NPI: 1922320639 Language: Spanish Russian License: DDS32654 Specialty: DentistTasic, Michael NPI: 1679539068 Language: Spanish License: DDS27932 Specialty: DentistWilliams, Frenda NPI: 1174788400 License: 44379 Specialty: DentistZak, Ilya NPI: 1023165255 License: 38238 Specialty: Dentist

36

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Los AngelesAirport Center Family DentalProvider ID: CA27795304 W Century BlvdLos Angeles, CA 90045contactus@airportcenterfamilydental.com310-215-1455Associates:Sabet, Joseph NPI: 1952409211 Language: Persian Spanish License: 38223 Specialty: DentistSchultz, Michael NPI: 1447371950 Language: Persian Spanish License: 23868 Specialty: Dentist

Crystal DentalProvider ID: CA41772206 S Figueroa StLos Angeles, CA 90007cdla@crystaldentalcenters.com213-748-8448Associates:Moradzadeh, Alexander NPI: 1063677870 Language: Spanish Persian License: 57506 Specialty: DentistVillegas, Gloria NPI: 1659507440 Language: Persian Spanish License: 58271 Specialty: Dentist

Anthony S. Pan, DMDProvider ID: CA47183346 N Eastern AveLos Angeles, CA 90032freshdental1@yahoo.com323-227-1800

Associates:Pan, Anthony NPI: 1376858811 Language: Spanish Chinese License: 59548 Specialty: Dentist

Assure DentalProvider ID: CA24368740 S Sepulveda Blvd Ste 130Los Angeles, CA 90045asst.managerkrest@smilefinder.org310-410-9494Associates:Rashtian, Roya NPI: 1831297092 Language: Spanish Persian License: 53267 Specialty: DentistSoleimani, Farnaz NPI: 1770760498 Language: Spanish Persian License: 42001 Specialty: Dentist

Beverly Hills Prestige DentalProvider ID: CA28591125 S Beverly Dr Ste 400Los Angeles, CA 90035beverlyhillsdentistusa@gmail.com310-286-7447Associates:Javdan, David NPI: 1437483443 Language: Persian Spanish License: 44489 Specialty: Dentist

Bingham DentalProvider ID: CA223011905 S Central Ave Ste 203Los Angeles, CA 90059frontdesk203@gmail.com323-564-7504Associates:Bingham, Cheryl NPI: 1194792218 Gender: Female Language: Spanish License: 34818 Specialty: Dentist

California Family Dental CenterProvider ID: CA22904080 Whittier BlvdLOS ANGELES, CA 90023hpfd2711@yahoo.com323-582-4474Associates:Khoshrozeh, Mehrdad NPI: 1598802704 Language: Persian Spanish License: 43990 Specialty: Dentist

Centro Medico and DentalProvider ID: CA2564514 E Washington BlvdLos Angeles, CA 90015centromedico514@yahoo.com213-749-3934Associates:Nykolaychuk, Ivanna NPI: 1154447258 Language: Spanish Russian License: 48346 Specialty: DentistSouchitski, Andrei NPI: 1265543920 Language: Spanish Russian License: 43249 Specialty: Dentist

David Rabizadeh, DDSProvider ID: CA24402901 Whittier Blvd Ste DLos Angeles, CA 90023whittierdental@att.net323-526-1992Associates:Rabizadeh, David NPI: 1942423546 Language: Korean Spanish License: 41984 Specialty: Dentist

37

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Rabizadeh, Shawn NPI: 1487770558 Language: Spanish License: 46324 Specialty: Dentist

Dental Center Of Highland ParkProvider ID: CA23595807 N Figueroa StLos Angeles, CA 90042hlpbilling@westcoastdental.com323-982-0999Associates:Arkelakyan, Artur NPI: 1235662545 Gender: Male License: 101249 Specialty: DentistAzatyan, Artur NPI: 1467805523 Gender: Male License: 100421 Specialty: DentistBaradaran, San NPI: 1235663642 Gender: Male License: 101275 Specialty: DentistBootenshaz, Robert NPI: 1932375300 Language: Spanish License: 56953 Specialty: DentistHakimian, Edwin NPI: 1710269675 Language: Spanish License: 64181 Specialty: DentistHankins, Delano Gender: Male License: 103957 Specialty: DentistHassanzadeh, Elnaz NPI: 1255600888 Gender: Female License: 60823 Specialty: DentistKhachatryan, Hamlet NPI: 172052787 License: 102588 Specialty: Dentist

Korovin, Lev NPI: 1174051049 Gender: Male License: 101363 Specialty: DentistKyaw, Zay NPI: 1841332384 Gender: Male License: 49918 Specialty: DentistNunez, Flor NPI: 1063985158 Gender: Female License: 103473 Specialty: DentistNunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistSpurgeon, Christohpher NPI: 1255709648 Gender: Male License: 65056 Specialty: Dentist

Dental ProsProvider ID: CA29241018 1/2 N Vermont AveLos Angeles, CA 90029dentalprosmile@gmail.com323-953-7700*PCP assignment limitationsAssociates:Emanuel, Donny NPI: 1821208141 Language: Spanish License: 52721 Specialty: DentistGolnaz, Ghanooni Gender: Female License: 63546 Specialty: Dentist

Rabizadeh, David NPI: 1942423546 Language: Korean Spanish License: 41984 Specialty: DentistRabizadeh, Shawn NPI: 1487770558 Language: Spanish License: 46324 Specialty: Dentist

Green Dental CenterProvider ID: CA45593054 W 8th St Ste 106Los Angeles, CA 90005greendentalgroup@gmail.com213-387-2864Associates:Kim, Gitae NPI: 1407180342 Language: Spanish License: 58750 Specialty: Dentist

Happy Smiles DentalProvider ID: CA50096221 W Wilshire Blvd#307LOS ANGELES, CA 90048dalia@doctor.com323-931-9161Associates:Nosrati, Dalia NPI: 1104961135 License: 40182 Specialty: Dentist

Impressive DentalProvider ID: CA47281435 S Vermont Ave Ste 101Los Angeles, CA 90006213-739-3096Associates:Kalra, Amit NPI: 1497853725 Language: Hindi Spanish License: 54268 Specialty: Dentist

38

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

James T. Black Jr. DDSProvider ID: CA3713015 Crenshaw BlvdLos Angeles, CA 90016cpdc@sbcglobal.net323-731-0801*PCP assignment limitationsAssociates:Black, James NPI: 1801092648 Language: Spanish License: 44148 Specialty: DentistCortez-Pacheco, Carlos NPI: 1043435712 Language: Spanish License: 52845 Specialty: DentistLee, Paul NPI: 1114146784 License: 50773 Specialty: Dentist

La Paz Medical GroupProvider ID: CA51751107 S ALVARADO ST STE 102LOS ANGELES, CA 90006lapazmedicalgroup@gmail.com213-380-9999

Keromina Dental GroupProvider ID: CA49715711 E Beverly BlvdLos Angeles, CA 90022dentalkeromina@gmail.com323-213-3676Associates:Lotfy, Lilian NPI: 1629512157 Gender: Female License: 45912 Specialty: Dentist

Mark S. Laska, DDSProvider ID: CA6793460 Wilshire Blvd Ste 210Los Angeles, CA 90010dds346@prodigy.net213-386-3348Associates:Laska, Mark NPI: 1477700276 Language: Korean Spanish License: 21155 Specialty: DentistSuh, Peter NPI: 1669480240 Language: Korean Spanish License: 46435 Specialty: Dentist

Olga Mikhasko, DDSProvider ID: CA42945449 Hollywood Blvd Ste CLos Angeles, CA 90027olgamikkashodds@gmail.com323-463-1760Associates:Mikhasko, Olga NPI: 1609097757 Language: Armenian Russian License: 55212 Specialty: Dentist

Pico La Cienega DentalProvider ID: CA28138530 W Pico BlvdLos Angeles, CA 90035p.lacienegadental@yahoo.com310-854-6107Associates:Gharibian, Derick NPI: 1669695268 Language: Spanish Persian License: 48602 Specialty: DentistSonghorian, Robin NPI: 1770983959 Gender: Male License: 63975 Specialty: Dentist

Shahram Sayedna, DDS Inc.Provider ID: CA28901700 Westwood BlvdLos Angeles, CA 90024shahramjaan@yahoo.com310-470-3095

Smiles WestProvider ID: CA50171440 W. Manchester AveLos Angeles, CA 90047kim@smileswest.com323-753-1141Associates:Ajayi, Adekunle NPI: 1336592682 License: 101954 Specialty: DentistDeirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistElloway, Natasha NPI: 1598327710 Gender: Female License: 103789 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: DentistKhorram, Nasrin NPI: 1538212790 Language: Spanish License: 45475 Specialty: DentistLau, Angela NPI: 1437703121 Gender: Female License: 104156 Specialty: DentistQuan, Lawrence NPI: 1598904922 Gender: Male License: 26114 Specialty: Dentist

39

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Steven F. Stanley, DDSProvider ID: CA47276221 Wilshire Blvd Ste 307Los Angeles, CA 90048info@stevenfstanleydds.com323-931-1446Associates:Stanley, Steven NPI: 1841344389 License: 32399 Specialty: Dentist

Vermont Dental CareProvider ID: CA44068914 S Vermont AveLos Angeles, CA 90044vermontdental@gmail.com323-750-3370Associates:Romero, Miriam NPI: 1851524961 Language: Spanish License: 58565 Specialty: Dentist

West Coast Dental GroupProvider ID: CA40335162 Whittier BlvdLos Angeles, CA 90022ela@westcoastdental.com323-415-6161Associates:Herbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistIniguez, Julio NPI: 1205903903 Language: Spanish License: 36380 Specialty: DentistManavi, Farhad Language: Spanish Persian License: 38558 Specialty: Dentist

Nunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: DentistSheng, Anne NPI: 1730226291 Gender: Female License: 37915 Specialty: DentistVu, Anh NPI: 1003942384 Language: Korean Spanish License: 44554 Specialty: Dentist

West Coast Dental GroupProvider ID: CA46841423 E Gage Ave Ste ALos Angeles, CA 90001gag@westcoastdental.com323-983-4000Associates:Ganjian, Shiva NPI: 1578834511 Gender: Female License: 60079 Specialty: DentistKarimi, Ahmad NPI: 1063949493 Gender: Male License: 101328 Specialty: DentistLee, Mary NPI: 1780001511 Gender: Female License: 101362 Specialty: DentistMichel, Ana NPI: 1124031794 Language: Persian Spanish License: 36679 Specialty: DentistNaghibi, Azadi NPI: 1740764729 Gender: Female License: 102867 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: Dentist

Shafa, Farid NPI: 1073659777 Language: Spanish License: 49993 Specialty: DentistVu, Anh NPI: 1003942384 Language: Korean Spanish License: 44554 Specialty: Dentist

West Coast Dental Grp Of L.A.Provider ID: CA22802604 S Vermont Ave Ste FLos Angeles, CA 90007la@westcoastdental.com323-731-3333Associates:Abraham, Mina NPI: 1972894673 Language: Spanish License: 60206 Specialty: DentistArshadnia, Shahriar NPI: 1710193826 Language: Spanish License: 50561 Specialty: DentistChun, Faith Gender: Female License: 54542 Specialty: DentistLee, Jina NPI: 1134322720 Gender: Female License: 55179 Specialty: DentistLee, Jung NPI: 1619476470 Gender: Male License: 102079 Specialty: DentistMiller, Meagan NPI: 1356721302 Gender: Female License: 64991 Specialty: DentistNaghibi, Azadi NPI: 1740764729 Gender: Female License: 102867 Specialty: Dentist

40

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Oganesyan, John NPI: 1265988638 Gender: Male License: 100636 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistTong, Michael NPI: 1942579552 Gender: Male License: 60933 Specialty: DentistVu, Anh NPI: 1003942384 Language: Korean Spanish License: 44554 Specialty: DentistWin, Myo NPI: 1962500926 Language: Spanish Korean License: 47209 Specialty: Dentist

West Coast Dental/6th StProvider ID: CA43931725 W 6th StLos Angeles, CA 900176th@westcoastdental.com213-413-5151Associates:Arman, Marjani NPI: 1801455340 Gender: Female License: 103751 Specialty: DentistDeronian, Christin NPI: 1609246008 Gender: Male License: 65120 Specialty: DentistIssakharian, Michael NPI: 1699168583 Gender: Male License: 100934 Specialty: DentistKamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: Dentist

Khazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistLeboics, Joshua Gender: Male License: 100551 Specialty: DentistLefkof, Monica NPI: 1972098259 Gender: Female License: 102568 Specialty: DentistNaghibi, Azadi NPI: 1740764729 Gender: Female License: 102867 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistRobles, Josue NPI: 1104123728 Gender: Male License: 60186 Specialty: DentistShafa, Farid NPI: 1073659777 Language: Spanish License: 49993 Specialty: DentistShokohi, Armon NPI: 1205865375 Gender: Male License: 59279 Specialty: DentistVu, Anh NPI: 1003942384 Language: Korean Spanish License: 44554 Specialty: DentistWitkowsky, Mitchell NPI: 1568519551 Gender: Male License: 21668 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA459912420 Venice BlvdLos Angeles, CA 90066148wla@westerndental.com310-482-0014Associates:Abtin, Dilshad NPI: 1740519024 Language: Arabic Spanish License: 58822 Specialty: DentistAmanfu, Emmanuel NPI: 1417025677 Language: Tagalog Spanish License: 37381 Specialty: DentistAzadeh, Ramin NPI: 1083804496 Language: Spanish Persian License: 55986 Specialty: DentistBarakazyan, Artur NPI: 1851940126 License: 104404 Specialty: DentistBartkowski, Kristina NPI: 1700935475 Language: Persian Spanish License: 38033 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistChoi, Annie NPI: 1841636248 Language: Arabic Spanish License: 63428 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDaoudian, Mehran NPI: 1891845236 Language: Persian Spanish License: 52369 Specialty: Dentist

41

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Dio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Spanish Hindi License: 43158 Specialty: DentistGhularyan, Marianna NPI: 1356694061 Language: Persian Spanish License: 61407 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Korean Spanish License: 56297 Specialty: DentistHarb, Moayed NPI: 1508292160 Gender: Male License: 62693 Specialty: DentistHu, Christina NPI: 1417385055 Language: Spanish License: 62880 Specialty: DentistHusain, Mohammed NPI: 1972840346 Language: Persian Spanish License: 61869 Specialty: DentistKatbamna, Dhanesh NPI: 1437217544 Language: Spanish Arabic License: 39972 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistKyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLazo, Antonio NPI: 1225196165 Language: Hindi Spanish License: 51955 Specialty: Dentist

Mirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Arabic Spanish License: 46905 Specialty: DentistReddy, Smitha NPI: 1528290699 Language: Spanish Arabic License: 58670 Specialty: DentistRizvi, Syed NPI: 1124271572 Language: Hindi Spanish License: 57825 Specialty: DentistSadeghi, Janet NPI: 1205269875 Language: Persian Spanish License: 62846 Specialty: DentistSetareh, Sepehr NPI: 1932275062 Language: Spanish License: 54203 Specialty: DentistSharifi, Mina NPI: 1477619575 Language: Persian Spanish License: 45190 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Persian Spanish License: 60093 Specialty: DentistTajbakhsh, Anahita NPI: 1992088306 Language: Spanish License: 61947 Specialty: DentistTran, Henry NPI: 1174677686 Language: Spanish Arabic License: 49423 Specialty: Dentist

Vaughn, Lorenia NPI: 1033261730 Language: Hindi Spanish License: 50996 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistWohn, Kumzoo NPI: 1770659716 Language: Hindi Spanish License: 43409 Specialty: DentistYe, Chong NPI: 1619036472 Language: Spanish Persian License: 54964 Specialty: DentistYu, Chunzhu NPI: 1245408871 Language: Persian Spanish License: 55717 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA45891200 W Martin Luther King Jr BlvdLos Angeles, CA 90037323-295-8004Associates:Abtin, Dilshad NPI: 1740519024 Language: Spanish Arabic License: 58822 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: Dentist

42

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Western Dental Services, Inc.Provider ID: CA45971054 Vine StreetLOS ANGELES, CA 90038034why@westerndental.com323-465-9055Associates:Abtin, Dilshad NPI: 1740519024 Language: Spanish Arabic License: 58822 Specialty: DentistAsatryan, Sona NPI: 1114252384 Language: Spanish Hindi License: 58684 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistChoi, Annie NPI: 1841636248 Language: Arabic Spanish License: 63428 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDaoudian, Mehran NPI: 1891845236 Language: Spanish Persian License: 52369 Specialty: DentistDaryaei, Homa NPI: 1073662466 Language: Spanish Persian License: 53589 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistFadaei, Behzad NPI: 1285066548 Language: Spanish Arabic License: 62751 Specialty: Dentist

Gellad, Samer NPI: 1225161342 Language: Persian Spanish License: 46059 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Hindi Spanish License: 43158 Specialty: DentistGhularyan, Marianna NPI: 1356694061 Language: Spanish Persian License: 61407 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistHarb, Moayed NPI: 1508292160 Gender: Male License: 62693 Specialty: DentistHusain, Mohammed NPI: 1972840346 Language: Spanish Persian License: 61869 Specialty: DentistKatbamna, Dhanesh NPI: 1437217544 Language: Spanish Arabic License: 39972 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistKyu, E. NPI: 1164590881 Language: Arabic Spanish License: 46089 Specialty: DentistLe, Tommy NPI: 1639327836 Gender: Male License: 57630 Specialty: DentistLeon, Arlette NPI: 1235319989 Language: Arabic Spanish License: 56594 Specialty: Dentist

LLAGUNO-JINGCO , KATHERINE NPI: 1083882369 Language: Spanish Hindi License: 55739 Specialty: DentistManoel, Zarmine NPI: 1841597473 Language: Persian Spanish License: 60105 Specialty: DentistMazaheri, Shadi NPI: 1598005498 Language: Persian Spanish License: 62184 Specialty: DentistMinasyan, Kharen NPI: 1447346762 Language: Spanish Korean License: 53088 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Hindi Spanish License: 58972 Specialty: DentistNaffas, Shahriar NPI: 1427104223 Language: Persian License: 52651 Specialty: DentistNakhla, Ann NPI: 1851469134 License: 46897 Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Spanish Arabic License: 46905 Specialty: DentistReddy, Smitha NPI: 1528290699 Language: Spanish Arabic License: 58670 Specialty: DentistRestrepo, Laura NPI: 1407334972 License: 102959 Specialty: Dentist

43

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sadeghi, Janet NPI: 1205269875 Language: Persian Spanish License: 62846 Specialty: DentistSetareh, Sepehr NPI: 1932275062 Language: Spanish License: 54203 Specialty: DentistSharifi, Mina NPI: 1477619575 Language: Persian Spanish License: 45190 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistStermer, David NPI: 1679704266 License: 35032 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Persian Spanish License: 60093 Specialty: DentistToledo, Mary Aileen NPI: 1225377377 Language: Arabic Spanish License: 63759 Specialty: DentistTran, Henry NPI: 1174677686 Language: Spanish Arabic License: 49423 Specialty: DentistVo, Hanh NPI: 1942376975 Language: Spanish Arabic License: 54314 Specialty: DentistVorperian, Vahe NPI: 1245371988 Language: Korean Spanish License: 53600 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: Dentist

Ye, Chong NPI: 1619036472 Language: Spanish Persian License: 54964 Specialty: DentistYesayan, Eduard NPI: 1881760858 Language: Hindi Spanish License: 46155 Specialty: DentistYuliongsiu, Rey NPI: 1376606954 License: 46158 Specialty: DentistZolmajd Haghighi, Elaheh NPI: 1669857884 Gender: Female License: 64771 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA46111565 S Western AveLos Angeles, CA 90006035wwv_om@westerndental.com323-734-8843Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbtin, Dilshad NPI: 1740519024 Language: Arabic Spanish License: 58822 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistDaoudian, Mehran NPI: 1891845236 Language: Persian Spanish License: 52369 Specialty: Dentist

Li, Calvin NPI: 1629675681 Gender: Male License: 105634 Specialty: DentistNaffas, Shahriar NPI: 1427104223 Language: Persian License: 52651 Specialty: DentistNessim, Maged NPI: 1033399183 Language: Spanish License: 40864 Specialty: Dentist

LynwoodSmiles WestProvider ID: CA256211035 Long Beach Blvd Ste 5Lynwood, CA 90262lorena@smileswest.com310-608-7777Associates:Deirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistDeirmenjian, Sandra NPI: 1104918333 Language: Spanish Armenian License: 52129 Specialty: DentistDeLa Fuente, Susana NPI: 1538379409 Gender: Female License: 37834 Specialty: DentistElloway, Natasha NPI: 1598327710 Gender: Female License: 103789 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: Dentist

44

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Khorram, Nasrin NPI: 1538212790 Language: Spanish License: 45475 Specialty: DentistLau, Angela NPI: 1437703121 Gender: Female License: 104156 Specialty: DentistSabaghian, Anahita NPI: 1760814180 Gender: Female License: 62699 Specialty: DentistSabbaghian, Ramona NPI: 1487901682 Gender: Female License: 61658 Specialty: DentistTadokoro, Mizuki NPI: 1992242275 Gender: Female License: 101055 Specialty: DentistTakarlekian, Hagop NPI: 1780836411 Gender: Male License: 57021 Specialty: DentistTokuza, Thomas NPI: 1285954263 Gender: Male License: 59149 Specialty: DentistTran, Cathy NPI: 1164805438 Gender: Female License: 64612 Specialty: DentistTran, Kevin NPI: 1770067571 Gender: Male License: 103122 Specialty: Dentist

Farid Pakravan Dental Corp.Provider ID: CA26809910 Long Beach Blvd Ste ALynwood, CA 90262lyn@westcoastdental.com323-563-8900Associates:Bootenshaz, Robert NPI: 1932375300 Language: Spanish License: 56953 Specialty: DentistCarrasco, Cesar NPI: 1366814477 Gender: Male Language: Spanish License: 65173 Specialty: DentistDawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: DentistLeboics, Joshua Gender: Male License: 100551 Specialty: DentistNguyen, Anisha NPI: 1871653667 Language: Spanish License: 55386 Specialty: DentistNunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistSavangphol, Jeffery NPI: 1073772182 Gender: Male License: 55995 Specialty: DentistShehata, Christine NPI: 1588007108 Language: Spanish License: 61740 Specialty: Dentist

Western Dental Services, IncProvider ID: CA41473680 E Imperial Hwy Ste 100Lynwood, CA 90262866-427-0474*PCP assignment limitationsAssociates:Badii S, Kiavash NPI: 1437319035 Language: Vietnamese License: 54538 Specialty: DentistCarrasco, Cesar NPI: 1366814477 Gender: Male Language: Spanish License: 65173 Specialty: DentistDa Fonseca, Renata NPI: 1033433727 Language: Vietnamese License: 59166 Specialty: DentistDao, Tu NPI: 1902972938 Language: Vietnamese License: 46176 Specialty: DentistDe Guzman, Arnel NPI: 1366500357 Language: Vietnamese License: 52847 Specialty: DentistDuong, Vicky NPI: 1013083047 Language: Vietnamese License: 48803 Specialty: DentistEmigh, Todd NPI: 1093093890 Language: Vietnamese License: 60598 Specialty: DentistEnverga, Mark Francis NPI: 1093293672 License: 103004 Specialty: DentistGuo, Edmund NPI: 1407096407 Language: Vietnamese License: 52727 Specialty: Dentist

45

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Joson, Glenda NPI: 1548337983 Language: Vietnamese Spanish Specialty: DentistKamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: DentistLin, Vickie NPI: 1467606517 Language: Vietnamese License: 57880 Specialty: DentistLiu, Edward NPI: 1467668012 Language: Vietnamese License: 54529 Specialty: DentistLy, Hoa NPI: 1154496768 Language: Vietnamese License: 46878 Specialty: DentistPham, Lanchi NPI: 1952558454 Language: Vietnamese License: 57639 Specialty: DentistPoblete, Editha NPI: 1942340583 License: 47993 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Korean Spanish License: 61141 Specialty: DentistTawadrous, Joy NPI: 1669968228 License: 102562 Specialty: DentistVo, Colleen NPI: 1033277264 License: 41983 Specialty: DentistVo, Hanhngoc NPI: 1376675447 Language: Vietnamese License: 51312 Specialty: DentistVo, Thach NPI: 1154462109 Language: Vietnamese License: 50841 Specialty: Dentist

MARINA DEL REYDesign Dental CareProvider ID: CA6163206 WASHINGTON BLVD.MARINA DEL REY, CA 90292maxelladental@yahoo.com310-822-3833Associates:Partovy, Ramin NPI: 1184821449 Language: Russian Spanish License: 37892 Specialty: Dentist

Marina DentistryProvider ID: CA41244292 Lincoln BlvdMarina Del Rey, CA 90292marina.dentistry@hotmail.com310-578-5000Associates:Al-Janedi, Mohdsameer NPI: 1932314077 Language: Arabic Persian License: 41577 Specialty: DentistMirmarashi, Babak NPI: 1972772457 Language: Arabic Persian License: 55768 Specialty: Dentist

MaywoodSoutheast Dental GroupProvider ID: CA5364332 Slauson AveMaywood, CA 90270sedentalgroup@pacbell.net323-771-7777*PCP assignment limitationsAssociates:Feld, Leonard NPI: 1215010319 Language: Spanish Persian License: 24774 Specialty: Dentist

Mission HillsSmiles WestProvider ID: CA502310331 Sepulveda BlvdMission Hills, CA 91345myranda@smileswest.com818-810-3290Associates:Deirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistHammam, Mohamed NPI: 1598960445 License: 60616 Specialty: DentistKhorram, Nasrin NPI: 1538212790 Language: Spanish License: 45475 Specialty: DentistShir, Nushin NPI: 1902086895 License: 41042 Specialty: DentistYazdi, Kamran NPI: 1013134477 Language: Spanish License: 41151 Specialty: Dentist

MonroviaWest Coast Dental GroupProvider ID: CA4660154 W Foothill Blvd Ste C 2AMonrovia, CA 91016mon@westcoastdental.com626-263-3333Associates:Berman, Martha NPI: 1538129572 Gender: Female Language: Spanish License: 50039 Specialty: DentistCohen-Sedgh, Soleyman NPI: 1801939715 Language: Spanish License: DE60291773 Specialty: Dentist

46

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Edalat, Niosha NPI: 1205291671 Gender: Female License: 64688 Specialty: DentistLe, Ky NPI: 1306180708 Gender: Male License: 65322 Specialty: DentistMazloomi, Farzad NPI: 1427430016 Gender: Male License: 102653 Specialty: DentistNunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: DentistReyhani, Hadis NPI: 1336385509 Language: Spanish License: 57373 Specialty: DentistSpurgeon, Christohpher NPI: 1255709648 Gender: Male License: 65056 Specialty: DentistVito, Michael NPI: 1710078167 Language: Spanish License: 58164 Specialty: Dentist

MontebelloComfort Dental GroupProvider ID: CA4719249 E Beverly Blvd Ste AMontebello, CA 90640comfortdentalmontebello@yahoo.com323-726-7500Associates:Ambarachyan, Armen NPI: 1790845121 Language: Spanish Armenian License: 51039 Specialty: Dentist

David's Family DentistryProvider ID: CA24522100 W Beverly BlvdMontebello, CA 90640drdaviddds@att.net323-724-9536Associates:Moghimi, David NPI: 1558406520 Language: Korean Spanish License: 34386 Specialty: DentistWong, Edmund NPI: 1063436343 Language: Korean Spanish License: 36035 Specialty: Dentist

Montebello Dental GroupProvider ID: CA50483301 W. Beverly BlvdMontebello, CA 90640montebellodentalgroup@gmail.com323-722-6766Associates:Nadi, Hamid NPI: 1760578769 Language: Persian Spanish License: 50650 Specialty: Dentist

Montebello Family DentalProvider ID: CA5122711 West Whittier BlvdMONTEBELLO, CA 90640mfddrgonzalez@gmail.com323-278-0170Associates:Yahoodain, Vahid Gender: Male License: 100012 Specialty: Dentist

B Deirmenjian DDS IncProvider ID: CA50621451 North Montebello BlvdMontebello, CA 90640bcollins@smileswest.com323-724-9955Associates:Clark, Stephaine NPI: 1336792233 Gender: Female License: 10402 Specialty: DentistDeirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistElloway, Natasha NPI: 1598327710 Gender: Female License: 103789 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: DentistLau, Angela NPI: 1437703121 Gender: Female License: 104156 Specialty: DentistQuan, Lawrence NPI: 1598904922 Gender: Male License: 26114 Specialty: Dentist

Monterey ParkAntranig Gary Kelleyan, DDSProvider ID: CA4098616 N Garfield Ave Ste 404Monterey Park, CA 91754626-280-4122

47

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Pacific Dental GroupProvider ID: CA21062016 S Atlantic BlvdMonterey Park, CA 91754mpk@pacificdentalgroup.com323-725-6797Associates:Derhartounian, Harmik NPI: 1487837803 Language: Spanish License: 41394 Specialty: Dentist

NewhallMitra E. Simanian, DDS Inc.Provider ID: CA298723107 Lyons AveNewhall, CA 91321goldenoakdental@yahoo.com661-255-7338Associates:Kim, Eun NPI: 1184234684 Gender: Female License: 105175 Specialty: DentistSimanian, Mitra NPI: 1003097783 Language: Spanish Persian License: 43562 Specialty: Dentist

North HillsWest Coast DentalProvider ID: CA406315350 Nordhoff St Ste A and BNorth Hills, CA 91343nhinfo@westcoastdental.com818-672-8228Associates:Arshadnia, Shahriar NPI: 1710193826 Language: Spanish License: 50561 Specialty: Dentist

Edalat, Sina NPI: 1790167336 Gender: Male License: 64563 Specialty: DentistMalekzadeh, Reza NPI: 1750573366 Language: Spanish License: 54814 Specialty: DentistMardirosian, Armen NPI: 1861632010 Gender: Male Language: Armenian Spanish License: 58049 Specialty: Dentist

North HollywoodAshok R. Gandhi, DDSProvider ID: CA24975942 Lankershim BlvdNorth Hollywood, CA 91601agandhi8@yahoo.com818-985-7477*PCP assignment limitations

Assure DentalProvider ID: CA274210732 Riverside DrNorth Hollywood, CA 91602managermedia@assuredentalcare.com818-760-9494Associates:Soleimani, Farnaz NPI: 1770760498 Language: Persian Spanish License: 42001 Specialty: Dentist

Pacific Dental GroupProvider ID: CA22886801 Lankershim Blvd Ste 101North Hollywood, CA 91605nh@pacificdentalgroup.com818-764-0718

Associates:Derhartounian, Harmik NPI: 1487837803 Language: Spanish License: 41394 Specialty: Dentist

Sharam Nouri Dental Corp.Provider ID: CA43655216 Laurel Canyon BlvdNorth Hollywood, CA 91607dentalcenter5216@att.net818-769-1347Associates:Nouri, Shahram NPI: 1912069170 Language: Persian License: 48974 Specialty: Dentist

NorthridgeHamlin Dental GroupProvider ID: CA21598540 Reseda Blvd Ste 101Northridge, CA 91324tanmyj@hamlindentalgroup.com818-701-6667*PCP assignment limitations

North Valley Family DentalProvider ID: CA50269535 Reseda Blvd #313Northridge, CA 91324northvalleyfamilydental@gmail.com818-885-7230Associates:Hoffman, Angela NPI: 1104044635 Language: Spanish License: 49900 Specialty: Dentist

48

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

NorwalkBhavi Shah, DDS Inc.Provider ID: CA493913300 San Antonio DriveNorwalk, CA 90650norwalkdentalplace@gmail.com562-863-9396Associates:Shah, Bhavi NPI: 1720113756 Language: Spanish License: 55565 Specialty: Dentist

Norwalk Dental GroupProvider ID: CA490112065 Orange StNorwalk, CA 90650norwalkdental@smiledentalservices.com562-584-4288Associates:Kim, William NPI: 1366923146 Gender: Male License: 103124 Specialty: DentistPark, David NPI: 1942410501 Gender: Male Language: Korean License: 53724 Specialty: Dentist

Norwalk DentistryProvider ID: CA479211850 Firestone Blvd Ste 6Norwalk, CA 90650norwalkdentistry@gmail.com562-864-1011Associates:Zinabadi, Alvand NPI: 1669750972 Language: Spanish License: 60659 Specialty: Dentist

Paddison Dental GroupProvider ID: CA214312501 S Norwalk BlvdNorwalk, CA 90650info@paddisondentalgroup.com562-929-0880Associates:Mikail, Sherli NPI: 1780717819 Language: Spanish Persian License: 53086 Specialty: DentistParham, Sohail NPI: 1538280185 Language: Spanish Persian License: 38214 Specialty: Dentist

PacoimaAshok R. Patel, DDSProvider ID: CA51711208 Glenoaks BlvdPacoima, CA 91331docashok@aol.com818-890-1000Associates:Patel, Ashok NPI: 1861552176 License: 36998 Specialty: Dentist

Paradise Dental GroupProvider ID: CA423210059 Laurel Canyon Blvd Ste APacoima, CA 91331paradisedental@gmail.com818-896-0043Associates:Bakhtamian, Alen NPI: 1639350739 Language: Armenian Spanish License: 39753 Specialty: Dentist

PalmdaleAntelope Valley Comm. ClinicProvider ID: CA47072151 E Palmdale BlvdPalmdale, CA 93550yhones@avclinic.org661-942-2391Associates:Guevara, Gabriel NPI: 1649476672 Language: Tagalog License: 55724 Specialty: DentistShi, Christopher NPI: 1689015430 Language: Chinese Spanish License: 62524 Specialty: Dentist

Hi-Desert Dental CenterProvider ID: CA5842205 E Palmdale BlvdPalmdale, CA 93550661-273-1333Associates:Gordon, Leoneed NPI: 1013094135 Language: Spanish Russian License: 32936 Specialty: Dentist

Rwigema Dental CorporationProvider ID: CA49033025 East Ave S Ste A-14Palmdale, CA 93550drjrwigema@gmail.com661-265-7694Associates:Rwigema, Jean-Pierre NPI: 1770877524 Gender: Male Language: French License: 62254 Specialty: Dentist

49

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

West AV Dental GroupProvider ID: CA501638745 Tierra Subida Ave Suite 150Palmdale, CA 93551westavdental@smiledentalservices.com661-272-9091Associates:Lim, Sung NPI: 1043760598 Gender: Male License: 65274 Specialty: DentistPark, David NPI: 1942410501 Gender: Male Language: Korean License: 53724 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA4483510 W Rancho Vista BlvdPalmdale, CA 93551142wpd@westerndental.com661-273-9000Associates:Afshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAlani, Wesam NPI: 1285954354 Language: Spanish Hindi License: 59288 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Spanish Korean License: 49946 Specialty: DentistAnsari, Bita NPI: 1548808678 License: 104567 Specialty: DentistAsatryan, Sona NPI: 1114252384 Language: Spanish Hindi License: 58684 Specialty: Dentist

Azizzadeh, Katrin NPI: 1144525247 Language: Spanish Arabic License: 39597 Specialty: DentistBelaya, Alesia NPI: 1528531621 License: 103472 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistChilton, Chunhua NPI: 1124432695 Language: Arabic Spanish License: 63496 Specialty: DentistDabbagh, Sarkis NPI: 1437207107 Language: Spanish Arabic License: 44303 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistElnaggar, Maged NPI: 1912203100 Language: Spanish Persian License: 60170 Specialty: DentistFadaei, Behzad NPI: 1285066548 Language: Spanish Arabic License: 62751 Specialty: DentistGates, Lucas NPI: 1811985567 Language: Spanish Persian License: 51068 Specialty: Dentist

Ghahremani, Shiva NPI: 1023247186 Language: Spanish Hindi License: 58347 Specialty: DentistGuindy, Awny NPI: 1407127749 Language: Spanish Korean License: 61033 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Korean Spanish License: 56297 Specialty: DentistHabashy, James NPI: 1659682565 Language: Spanish Hindi License: 60988 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Spanish Hindi License: 61469 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Spanish Hindi License: 59219 Specialty: DentistHwang, Steve NPI: 1841614534 Language: Spanish Hindi License: 63035 Specialty: DentistKhan, Amna NPI: 1902082381 Language: Arabic Spanish License: 52621 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Spanish Arabic License: 48479 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: Dentist

50

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Labib, Arsany NPI: 1245575364 Language: Spanish Korean License: 62067 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistLLAGUNO-JINGCO , KATHERINE NPI: 1083882369 Language: Spanish Hindi License: 55739 Specialty: DentistManoel, Zarmine NPI: 1841597473 Language: Persian Spanish License: 60105 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMorales, Ma Judina NPI: 1114077351 Gender: Female Language: Spanish Hindi License: 45927 Specialty: DentistMuralidharan, Asha NPI: 1942479639 Language: Spanish Persian License: 56745 Specialty: DentistMuthal, Rashi NPI: 1184056970 Language: Spanish Hindi Specialty: DentistNguyen, Kyle NPI: 1245892488 Gender: Male License: 103947 Specialty: DentistOsma, Amalia NPI: 1871707083 Language: Arabic Spanish License: 55605 Specialty: Dentist

Patao, Derek NPI: 1730792797 Gender: Male License: 105389 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Spanish Hindi License: 63582 Specialty: DentistPatel, Tejal NPI: 1538544887 License: 64718 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Hindi Spanish License: 61902 Specialty: DentistRajvanshi, Roli NPI: 1467869370 Language: Hindi Spanish License: 63622 Specialty: DentistRivera, Jose NPI: 1013058346 Language: Hindi Spanish License: 42599 Specialty: DentistRoboubi, Mojdeh NPI: 1902212053 Language: Hindi Spanish License: 63504 Specialty: DentistRubtsov, Valeriy NPI: 1073657524 License: 54304 Specialty: DentistRudraprakasha, Tejaswini NPI: 1083162184 License: 100878 Specialty: DentistSaharan, Sachin NPI: 1205021250 Gender: Male Language: Hindi Panjabi; Punjabi License: 56196 Specialty: DentistSheng, Anne NPI: 1730226291 Gender: Female License: 37915 Specialty: Dentist

Sirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Hindi Spanish License: 62498 Specialty: DentistTan, Annabel NPI: 1649543851 Language: Spanish Korean License: 60889 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistWilson, Tiffany NPI: 1760741458 Language: Spanish Arabic License: 62605 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Spanish Hindi License: 63551 Specialty: Dentist

Panorama CityDan Rosen, DDSProvider ID: CA21568424 Van Nuys BlvdPanorama City, CA 914029to7dentalfamilycenter@gmail.com818-893-4222Associates:Nourian, Ron NPI: 1902947419 Language: Hebrew Spanish License: 32373 Specialty: DentistRosen, Dan NPI: 1124143102 Language: Spanish License: 38742 Specialty: Dentist

51

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Dental Center Of San MiguelProvider ID: CA42668781 Van Nuys Blvd Fl 2Panorama City, CA 91402panodental@sanmiguelipa.com818-892-2649Associates:Stuart, Fred NPI: 1417026469 Language: Spanish License: 24875 Specialty: Dentist

Gentle DentalProvider ID: CA400214526 Roscoe Blvd Ste 100Panorama City, CA 91402soledad@gentledentalpc.com818-893-7858Associates:Hughes, Brennan NPI: 1437225455 Language: Spanish Persian License: 39280 Specialty: DentistOrtega, Rodrigo NPI: 1619188638 Language: Persian Spanish License: 41504 Specialty: DentistOurshano, Sami NPI: 1639389919 Language: Spanish Persian License: 44050 Specialty: DentistPartovi, Ladan NPI: 1770793051 Language: Spanish Persian License: 44980 Specialty: Dentist

Panorama City DentalProvider ID: CA487013549 Roscoe BlvdPanorama City, CA 91402panoramacitydental@gmail.com818-782-5501Associates:Nikjoo, Ebi NPI: 1366603425 Language: Spanish License: 57117 Specialty: Dentist

Van Nuys Panorama Dental CtrProvider ID: CA2668227 Van Nuys BlvdPanorama City, CA 91402vnpanoramadental@aol.com818-989-3074Associates:Gereis, Mahfouz NPI: 1184765778 Language: Arabic Spanish License: 27432 Specialty: Dentist

ParamountJayanti G. Patel, DDSProvider ID: CA24448131 Rosecrans Ave Ste 101Paramount, CA 90723562-634-2984

Mahesh A. Sejpal, DDSProvider ID: CA3518040 Alondra Blvd Ste EParamount, CA 90723drsejpal@yahoo.com562-633-1213Associates:Sejpal, Mahesh NPI: 1972521573 Language: Spanish Tagalog License: 29661 Specialty: Dentist

Sol Cohen Sedgh DDSProvider ID: CA214614525 Lakewood Blvd Suite AParamount, CA 90723par@westcoastdental.com562-272-0000Associates:Cohen-Sedgh, Soleyman NPI: 1801939715 Language: Spanish License: DE60291773 Specialty: DentistDawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: DentistGanjian, Shiva NPI: 1578834511 Gender: Female License: 60079 Specialty: DentistHonda, Mekarsari NPI: 1427196815 Language: Spanish License: 42401 Specialty: DentistNunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: Dentist

PASADENATeodik BaghdasarianProvider ID: CA4985200 S El Molino Ave STE # 2PASADENA, CA 91101contact@genesisdentalesthetics.com626-314-3550Associates:Baghdasarian, Teodik NPI: 1609002047 Gender: Male License: 58831 Specialty: Dentist

52

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Pasadena Fam Cosmetic/ImplantProvider ID: CA4674800 Fairmount Ave Ste 100Pasadena, CA 91105info@pasadenafamilydental.com626-304-3004Associates:Karimyan, Altina NPI: 1295039782 Language: Armenian Persian License: 54269 Specialty: Dentist

Premier Care Dental GroupProvider ID: CA4628310 S Lake AvePasadena, CA 91101info@premiercaredentalgroup.com626-795-6855Associates:Halajian, Vatche NPI: 1467444737 Language: Spanish Armenian License: 38192 Specialty: DentistKhabbaz, Liliana NPI: 1437245305 Language: Arabic Persian License: 43987 Specialty: DentistRouhani, Morvarid Language: Spanish Armenian License: 37347 Specialty: Dentist

South Lake DentalProvider ID: CA4111903 E Del Mar BlvdPasadena, CA 91106southlakedental@yahoo.com626-844-6674*PCP assignment limitationsAssociates:Balikyan, Michael NPI: 1689621823 Language: Spanish Armenian License: 52966 Specialty: Dentist

Washington Dental GroupProvider ID: CA24101731 E Washington BlvdPasadena, CA 91104washingtondental@yahoo.com626-296-0056Associates:Nadir-Mohammadi, Shahla NPI: 1063549483 Language: Persian Spanish License: 44744 Specialty: DentistYazdani, Sohrab NPI: 1811023104 Language: Persian Spanish License: 44282 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA4482470 N Los Robles AvePasadena, CA 91101002wpa_om@westerndental.com626-578-1200Associates:Afshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAkhavan, Tarlan NPI: 1598828717 Language: Hindi Spanish License: 54323 Specialty: DentistAltunis, Chris NPI: 1811477763 Gender: Female License: 102958 Specialty: DentistAzadeh, Ramin NPI: 1083804496 Language: Spanish Persian License: 55986 Specialty: Dentist

Bartkowski, Kristina NPI: 1700935475 Language: Spanish Persian License: 38033 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Hindi Spanish License: 52583 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDaoudian, Mehran NPI: 1891845236 Language: Persian Spanish License: 52369 Specialty: DentistElnaggar, Maged NPI: 1912203100 Language: Persian Spanish License: 60170 Specialty: DentistEstrada, Elizabeth NPI: 1215117304 Language: Spanish Persian License: 56272 Specialty: DentistGates, Lucas NPI: 1811985567 Language: Persian Spanish License: 51068 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Persian Arabic License: 49753 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Spanish Hindi License: 43158 Specialty: DentistGhularyan, Marianna NPI: 1356694061 Language: Spanish Persian License: 61407 Specialty: DentistGuindy, Awny NPI: 1407127749 Language: Korean Spanish License: 61033 Specialty: Dentist

53

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Hana, Atef NPI: 1437219003 Language: Arabic Spanish License: 54147 Specialty: DentistHanna, Ihab NPI: 1528156049 Language: Persian Spanish License: 46602 Specialty: DentistHu, Christina NPI: 1417385055 Language: Spanish License: 62880 Specialty: DentistHusain, Mohammed NPI: 1972840346 Language: Spanish Persian License: 61869 Specialty: DentistIskander, Afaf NPI: 1891856589 Language: Persian Spanish License: 43171 Specialty: DentistJauregui, Hector NPI: 1467502815 Gender: Male Language: Spanish License: 53459 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistLooyzadeh, Melina NPI: 1487957874 Language: Persian Spanish License: 59551 Specialty: DentistManoel, Zarmine NPI: 1841597473 Language: Spanish Persian License: 60105 Specialty: DentistMazaheri, Shadi NPI: 1598005498 Language: Spanish Persian License: 62184 Specialty: DentistMeng, Zhi NPI: 1154442457 Language: Spanish Persian License: 41957 Specialty: Dentist

Mirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Hindi Spanish License: 58972 Specialty: DentistMuralidharan, Asha NPI: 1942479639 Language: Spanish Persian License: 56745 Specialty: DentistNikoghosyan, Yulia NPI: 1841607827 Language: Spanish Persian License: 63599 Specialty: DentistNojomian, Sima NPI: 1669537577 Language: Spanish Persian License: 52095 Specialty: DentistOgtong, Katherine NPI: 1033590948 License: 48975 Specialty: DentistSadeghi, Janet NPI: 1205269875 Language: Persian Spanish License: 62846 Specialty: DentistSadeghi, Reza NPI: 1699069245 Language: Persian Spanish License: 60305 Specialty: DentistSharifi, Mina NPI: 1477619575 Language: Persian Spanish License: 45190 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Spanish Persian License: 60093 Specialty: Dentist

Tewfik, Gamal NPI: 1396954681 Language: Spanish Hindi License: 55680 Specialty: DentistYe, Chong NPI: 1619036472 Language: Persian Spanish License: 54964 Specialty: DentistYu, Chunzhu NPI: 1245408871 Language: Spanish Persian License: 55717 Specialty: Dentist

Pico RiveraAshok S. Mehta, DDSProvider ID: CA20779514 Whittier BlvdPico Rivera, CA 90660mdgpico@gmail.com562-942-2345Associates:Mehta, Ashok NPI: 1316149370 Language: Hindi Spanish License: 28761 Specialty: Dentist

Danny Muditajaya, DDSProvider ID: CA1559123 Slauson AvePico Rivera, CA 90660natalie.salazar@direct-dental.net562-949-0177Associates:Muditajaya, Danny NPI: 1467572156 Language: Spanish License: 30419 Specialty: DentistMuditajaya, Winston NPI: 1366469017 Language: Spanish License: 44515 Specialty: Dentist

54

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Family DentistryProvider ID: CA24298532 Whittier Blvd.Pico Rivera, CA 90660raguden@hotmail.com562-695-5251Associates:Rangnath, Adinarayanappa NPI: 1932220464 Gender: Male Language: Spanish Hindi License: 29753 Specialty: Dentist

David Yoo DMD IncProvider ID: CA51138803 Whittier Blvd Suite 200PICO RIVERA, CA 90660dyooprimecare@gmail.com562-463-6163Associates:Yoo, David NPI: 1841487964 License: 51676 Specialty: Dentist

West Coast Dental Grp Of PicProvider ID: CA44419050 Whittier BlvdPico Rivera, CA 90660picinfo@westcoastdental.com562-456-1111Associates:Cohen-Sedgh, Soleyman NPI: 1801939715 Language: Spanish License: DE60291773 Specialty: DentistHabibi, Saman NPI: 1538128624 Language: Spanish Vietnamese License: 43166 Specialty: Dentist

Kamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: DentistLaurente, Rex NPI: 1104045814 Language: Vietnamese License: 50771 Specialty: DentistMartinez, Karen NPI: 1508048687 Language: Chinese Spanish License: 56270 Specialty: Dentist

PomonaArmen Mardirosian, DDS Inc.Provider ID: CA4888180 E Mission Blvd Ste APomona, CA 91766dentalclinicpomona@gmail.com909-623-5278Associates:Mardirosian, Armen NPI: 1861632010 Gender: Male Language: Spanish Armenian License: 58049 Specialty: Dentist

Family Dental ClinicProvider ID: CA24132280 S Garey AvePomona, CA 91766famdent@yahoo.com909-364-0633Associates:Mustafa, Abrahim NPI: 1033199112 Gender: Male Language: Spanish License: 42374 Specialty: Dentist

Pomona Dental GroupProvider ID: CA726850 Indian Hill BlvdPomona, CA 91767pomonadental@hotmail.com909-626-3541*PCP assignment limitationsAssociates:Lee, Steve NPI: 1538255435 Language: Korean Spanish License: 32574 Specialty: Dentist

Sahara DentalProvider ID: CA23192005 W Holt AvePomona, CA 91768pomona@sahara-dental.com909-623-9590*PCP assignment limitationsAssociates:Hadi, Nada NPI: 1942410261 Gender: Male Language: Arabic French License: 45869 Specialty: DentistJamal, Manar NPI: 1669522025 Language: Arabic French License: 43350 Specialty: Dentist

Ublester Gomez, DDSProvider ID: CA425312 Rancho Camino Dr Ste 102Pomona, CA 91766stmoisesdental@yahoo.com909-865-8500Associates:Gomez, Ublester NPI: 1386770568 Language: Spanish License: 46064 Specialty: Dentist

55

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

West Coast Dental GroupProvider ID: CA4759763 Rio Rancho Rd Ste 120Pomona, CA 91766909-242-7989Associates:Lewin, Enrique NPI: 1669843496 Gender: Male Language: Portuguese Spanish License: 65218 Specialty: DentistPeterson, Robert NPI: 1750420865 Language: Persian License: 28971 Specialty: DentistRefaat, Youhanna NPI: 1760535686 Gender: Male License: 57076 Specialty: DentistRomana, Harjinder NPI: 1194146472 License: 63192 Specialty: DentistTavakoli, Sarah NPI: 1275967267 Gender: Female License: 62838 Specialty: Dentist

ResedaSmile Brite DentalProvider ID: CA494918909 Sherman WayReseda, CA 91335ramintourddsreseda@yahoo.com818-345-1343*PCP assignment limitationsAssociates:Tour, Ramin NPI: 1851412001 Language: Spanish Persian License: 48044 Specialty: Dentist

Rubtsov DDS IncProvider ID: CA465319301 Saticoy St Ste DReseda, CA 91335orubtsovadds@yahoo.com818-772-4222Associates:Rubtsova, Olga NPI: 1770642985 Language: Russian Spanish License: 54436 Specialty: Dentist

RosemeadGlenrose Dental GroupProvider ID: CA27608951 Glendon WayRosemead, CA 91770626-288-7667Associates:Tsoi, Kelvin NPI: 1073856290 Language: Spanish License: 48776 Specialty: Dentist

San DimasDr ZaK Plaza Dental CareProvider ID: CA50061120 Via VerdeSan Dimas, CA 91773sandimas@zakdental.com909-599-2444Associates:Abazarnia, Nadia NPI: 1841631611 Language: Russian Spanish License: 49041 Specialty: DentistAbdulwahab, Abier NPI: 1083089668 Gender: Female License: 59827 Specialty: DentistAldabe, Ali NPI: 1316469844 Gender: Male License: 101575 Specialty: Dentist

Aleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAsatani, Paul NPI: 1679784912 Language: Tajik License: 41343 Specialty: DentistBayat, Paul NPI: 1902964836 Gender: Male License: 54516 Specialty: DentistChung, Charles NPI: 1619111465 Language: Russian Spanish License: 46372 Specialty: DentistDel Campo, Shellaine NPI: 1477725034 Language: Tagalog Spanish License: 45850 Specialty: DentistIbarra, Sergio NPI: 1720467145 Gender: Male License: 102991 Specialty: DentistKarnakova, Olga NPI: 1578602637 License: DDS47183 Specialty: DentistMomen, Roshanak NPI: 1255785408 Gender: Female License: DDS100152 Specialty: DentistOlson, William NPI: 1710288147 Language: Spanish Tagalog License: 35580 Specialty: DentistPhan, Tuyet Mai Thi NPI: 1346450889 Language: Vietnamese License: DDS44059 Specialty: DentistSanjari, Karsa NPI: 1558746388 Gender: Male License: 102295 Specialty: Dentist

56

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Shiraishi, Ronald NPI: 1922320639 Language: Russian Spanish License: DDS32654 Specialty: DentistTasic, Michael NPI: 1679539068 Language: Spanish License: DDS27932 Specialty: DentistWilliams, Frenda NPI: 1174788400 License: 44379 Specialty: DentistZak, Ilya NPI: 1023165255 License: 38238 Specialty: Dentist

SAN FERNANDOAswani Dental CorporationProvider ID: CA466512940 Foothill Blvd Ste CSAN FERNANDO, CA 91340ezdentalgroup@gmail.com818-408-5100Associates:Aswani, Pooja NPI: 1306982723 Language: Hindi Spanish License: 49282 Specialty: DentistNguyen, Khoi License: 53722 Specialty: Dentist

California DentalProvider ID: CA40801009 Glenoaks BlvdSan Fernando, CA 91340drpetrosyan@yahoo.com818-361-3889Associates:Petrosyan, Arman NPI: 1285776245 Language: Spanish License: 51129 Specialty: Dentist

Heavenly DentalProvider ID: CA4108321 N Maclay Ave Ste ASan Fernando, CA 91340manager@heavenly-dental.com818-837-9744*PCP assignment limitationsAssociates:Naffas, Shahriar NPI: 1427104223 Language: Persian License: 52651 Specialty: DentistPartovi, Elham NPI: 1336233063 Language: Spanish License: 48660 Specialty: Dentist

San Fernando Dental CareProvider ID: CA4296500 San Fernando Mission Blvd Ste200San Fernando, CA 91340sfdentalcare@aol.com818-365-7107Associates:Baker, Allen NPI: 1417132838 Language: Spanish Vietnamese License: 20609 Specialty: Dentist

San GabrielSan Gabriel Family DentistryProvider ID: CA2482531 W Las Tunas Dr Ste BSan Gabriel, CA 91776626-281-1628*PCP assignment limitationsAssociates:Li, Cassy NPI: 1578575643 Language: Spanish Chinese License: 41754 Specialty: Dentist

Sun Dental Corp.Provider ID: CA22491720 S San Gabriel Blvd Ste 101San Gabriel, CA 91776sundentalcorp1@gmail.com626-288-9055Associates:Kor, Joseph NPI: 1053464347 Language: Vietnamese Chinese License: 37126 Specialty: Dentist

San PedroSan Pedro Dental CareProvider ID: CA4690520 W 7th StSan Pedro, CA 90731sanpedrodental@yahoo.com310-832-5361Associates:Kaiser, Arthur NPI: 1043437866 Language: Spanish License: 20546 Specialty: Dentist

Santa ClaritaLyons Dental CareProvider ID: CA280424036 Lyons AveSanta Clarita, CA 91321sunlanddentalcare@yahoo.com661-255-1015Associates:Emami, Mahvash NPI: 1891905626 Language: Persian Spanish License: 38049 Specialty: Dentist

57

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Vista Village Dental GroupProvider ID: CA271424355 Lyons Ave Ste 212Santa Clarita, CA 91321vistavillage@skydentalmgmt.com661-259-5001Associates:Hakimi, Sohail NPI: 1922298074 Language: Spanish License: 39643 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA447623130 Lyons AveSANTA CLARITA, CA 91321661-260-3200Associates:Abtin, Dilshad NPI: 1740519024 Language: Arabic Spanish License: 58822 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAlani, Wesam NPI: 1285954354 Language: Hindi Spanish License: 59288 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAlhaddadin, Marwan NPI: 1639518699 Language: Spanish License: 62477 Specialty: DentistAlvisse, Carlo NPI: 1982740296 Language: Spanish License: 54568 Specialty: Dentist

Azadeh, Ramin NPI: 1083804496 Language: Persian Spanish License: 55986 Specialty: DentistAzizzadeh, Katrin NPI: 1144525247 Language: Spanish Arabic License: 39597 Specialty: DentistBayat-Mokhtari, Siamak NPI: 1760921878 License: 101173 Specialty: DentistBelaya, Alesia NPI: 1528531621 License: 103472 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistChoi, Annie NPI: 1841636248 Language: Spanish Arabic License: 63428 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDaoudian, Mehran NPI: 1891845236 Language: Spanish Persian License: 52369 Specialty: DentistDesai, Himani NPI: 1871979351 Gender: Female License: 64888 Specialty: Dentist

Dio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistElnaggar, Maged NPI: 1912203100 Language: Spanish Persian License: 60170 Specialty: DentistEstrada, Elizabeth NPI: 1215117304 Language: Persian Spanish License: 56272 Specialty: DentistFadaei, Behzad NPI: 1285066548 Language: Spanish Arabic License: 62751 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Hindi Spanish License: 43158 Specialty: DentistGuindy, Awny NPI: 1407127749 Language: Korean Spanish License: 61033 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Korean Spanish License: 56297 Specialty: DentistHusain, Mohammed NPI: 1972840346 Language: Persian Spanish License: 61869 Specialty: DentistKhan, Amna NPI: 1902082381 Language: Arabic Spanish License: 52621 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Spanish Arabic License: 48479 Specialty: DentistKim, Jesse NPI: 1023398344 Language: Spanish License: 60554 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Labib, Arsany NPI: 1245575364 Language: Korean Spanish License: 62067 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Hindi Spanish License: 48638 Specialty: DentistLooyzadeh, Melina NPI: 1487957874 Language: Persian Spanish License: 59551 Specialty: DentistManoel, Zarmine NPI: 1841597473 Language: Persian Spanish License: 60105 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMorales, Ma Judina NPI: 1114077351 Gender: Female Language: Hindi Spanish License: 45927 Specialty: DentistMuralidharan, Asha NPI: 1942479639 Language: Spanish Persian License: 56745 Specialty: DentistNikoghosyan, Yulia NPI: 1841607827 Language: Persian Spanish License: 63599 Specialty: DentistOgtong, Katherine NPI: 1033590948 License: 48975 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Korean Spanish License: 61141 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Spanish Hindi License: 55923 Specialty: Dentist

Reddy, Smitha NPI: 1528290699 Language: Arabic Spanish License: 58670 Specialty: DentistSadeghi, Janet NPI: 1205269875 Language: Persian Spanish License: 62846 Specialty: DentistSadeghi, Reza NPI: 1699069245 Language: Spanish Persian License: 60305 Specialty: DentistSaguin, Maria NPI: 1205040979 Language: Spanish License: 55208 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: DentistSharifi, Mina NPI: 1477619575 Language: Persian Spanish License: 45190 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Hindi Spanish License: 39886 Specialty: DentistTajbakhsh, Anahita NPI: 1992088306 Language: Spanish License: 61947 Specialty: DentistTan, Annabel NPI: 1649543851 Language: Korean Spanish License: 60889 Specialty: DentistTerteryan, Shant NPI: 1437759164 Gender: Male License: 105667 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Hindi Spanish License: 50996 Specialty: Dentist

Gentle Dental Daly CityProvider ID: CA487627661 Bouquet Canyon RdSanta Clarita, CA 91350andersonje@interdent.com661-430-2001

Santa Fe SpringsSanta Fe DentalProvider ID: CA245110009 Orr And Day RDSanta Fe Springs, CA 90670santafedental562@gmail.com562-484-0808Associates:Marquez, Francisco NPI: 1336388727 License: 43370 Specialty: Dentist

Santa MonicaAmerican Family DentalProvider ID: CA24611044 Pico BlvdSanta Monica, CA 90405info@yoursantamonicadentist.com310-576-1341Associates:Farzam, Ramin NPI: 1497815708 Language: Spanish Persian License: 45254 Specialty: Dentist

Santa Monica DentalProvider ID: CA43181244 7th St Ste 101Santa Monica, CA 90401contactus@santamonicadentalpractice.com310-393-0743Associates:Sabet, Joseph NPI: 1952409211 Language: Spanish Persian License: 38223 Specialty: Dentist

59

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sherman OaksSherman Oaks Dental GroupProvider ID: CA45114955 Van Nuys Blvd Ste 520Sherman Oaks, CA 91403info@shermanoaksdentalgroup.com818-990-4121Associates:Ardestani, Behzad NPI: 1003827551 Language: Spanish Persian License: 37638 Specialty: DentistMikail, Sherli NPI: 1780717819 Language: Spanish Persian License: 53086 Specialty: DentistParham, Sohail NPI: 1538280185 Language: Persian Spanish License: 38214 Specialty: Dentist

Southland Dental CareProvider ID: CA47174312 Woodman AveSherman Oaks, CA 91423smiles@southlanddentalcare.com818-788-8787Associates:Abaian, Michael NPI: 1023263167 Language: Spanish License: 53049 Specialty: Dentist

South GateDr. Naziri Dental Clinic Corp.Provider ID: CA24284186 Tweedy BlvdSouth Gate, CA 90280dranaziri@yahoo.com323-569-7131*PCP assignment limitations

Associates:Naziri, Aman NPI: 1750420162 Language: French Persian License: 38888 Specialty: Dentist

Perfect SmileProvider ID: CA29785863 Imperial Hwy Ste 2ASouth Gate, CA 90280perfectsmiledentist@yahoo.com562-862-1345*PCP assignment limitationsAssociates:Rahimi, Ramon NPI: 1427139831 Language: Persian Spanish License: 45762 Specialty: Dentist

West Coast Dental GroupProvider ID: CA6684149 Tweedy Blvd Suite JSouth Gate, CA 90280sg@westcoastdental.com323-567-3333Associates:Alluri, Santisree NPI: 1336368091 Language: Persian License: 41888 Specialty: DentistCohen-Sedgh, Soleyman NPI: 1801939715 Language: Spanish License: DE60291773 Specialty: DentistDawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: DentistEsmeraldo, Victor NPI: 1790169613 Gender: Male License: 102536 Specialty: Dentist

Hankins, Delano Gender: Male License: 103957 Specialty: DentistManavi, Farhad Language: Persian Spanish License: 38558 Specialty: DentistRobles, Josue NPI: 1104123728 Gender: Male License: 60186 Specialty: DentistSheng, Anne NPI: 1730226291 Gender: Female License: 37915 Specialty: DentistWong, Wendy NPI: 1780086017 Language: Tagalog Spanish License: 63791 Specialty: Dentist

South PasadenaNew Vision DentalProvider ID: CA49691506 Huntington DriveSouth Pasadena, CA 91030newvisiondental.southpas@yahoo.com626-799-2888Associates:Au, Brandon NPI: 1538226808 Language: Spanish License: 46237 Specialty: Dentist

Studio CityLaurel Chandler Dental CareProvider ID: CA6784717 Laurel Canyon Blvd Ste 200Studio City, CA 91607laurelchandler@yahoo.com818-508-2250

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Lala, Sanjay NPI: 1336573476 Language: Spanish License: 40645 Specialty: Dentist

Royal Dental SpaProvider ID: CA299511711 Moorpark StStudio City, CA 91604818-505-1211*PCP assignment limitationsAssociates:Lipkin, Artur NPI: 1437334778 Language: Russian Persian License: 45909 Specialty: Dentist

S.C. Dental CareProvider ID: CA40354366 Tujunga AveStudio City, CA 91604info@studiocitydentalcare.com818-985-5462Associates:Ardestani, Behzad NPI: 1346461407 Language: Spanish French License: 37368 Specialty: DentistGroslieb, Michelle NPI: 1043467731 Language: Spanish French License: 55833 Specialty: DentistMinas, Aris NPI: 1720257306 Language: French Spanish License: 55198 Specialty: DentistSazgar, Negar NPI: 1144390584 Language: Spanish French License: 50526 Specialty: Dentist

Suresh Iyengar, DDSProvider ID: CA4653959 Laurel Canyon Blvd Ste MStudio City, CA 91604drsueshiyengardds@gmail.com818-762-0307Associates:Iyengar, Suresh NPI: 1780890756 Language: Spanish Specialty: Dentist

Sun ValleyFamily DentistryProvider ID: CA21638805 Sunland BlvdSun Valley, CA 91352fdentistry@hotmail.com818-767-5243Associates:Nouri, Hamid NPI: 1699978320 Language: Persian Spanish License: 39689 Specialty: Dentist

SunlandSunland Dental CareProvider ID: CA28037902 Foothill BlvdSunland, CA 91040sunlanddentalcare@yahoo.com818-353-5520Associates:Emami, Mahvash NPI: 1891905626 Language: Spanish Persian License: 38049 Specialty: Dentist

Sunland Family DentistryProvider ID: CA40698522 Foothill BlvdSunland, CA 91040sunlanddentist@verizon.net818-352-8888Associates:Goldenberg, Iovanna NPI: 1265550016 Language: Spanish Russian License: 44313 Specialty: DentistMeyerkova, Kira NPI: 1154440261 Language: Spanish Russian License: 41958 Specialty: Dentist

TarzanaFara Salehi, DDS Inc.Provider ID: CA281118740 Ventura Blvd Ste 105Tarzana, CA 91356dental21@att.net818-342-2000

Tarzana Dental SpecialistsProvider ID: CA456418663 Ventura Blvd Ste 200Tarzana, CA 91356tarzanadentalspecialist@gmail.com818-881-9000Associates:Nikjoo, Ebi NPI: 1366603425 Language: Spanish License: 57117 Specialty: Dentist

Toluca LakeEsteban Bonilla, DDSProvider ID: CA68310745 Riverside Dr Ste BToluca Lake, CA 91602bonilladds@gmail.com818-980-2887

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Bonilla, Esteban NPI: 1114148723 Language: Tagalog Spanish License: 36135 Specialty: Dentist

TorranceAll Care DentalProvider ID: CA425519019 Hawthorne Blvd Ste 100BTorrance, CA 90503allcaredentalbilling@yahoo.com310-371-0113Associates:Lee, Danny NPI: 1528292190 Language: Spanish Korean License: 47114 Specialty: DentistSamaan, Ehab NPI: 1417113697 Language: Spanish Arabic License: 49798 Specialty: Dentist

Sorour DMD Dental Group CorpProvider ID: CA5022923 W Carson StTorrance, CA 90502allkiddentalcare@gmail.com310-533-1300Associates:Bilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistFlachner, Stewart NPI: 1215023189 Language: Chinese Spanish License: 28687 Specialty: DentistKhorram, Nasrin NPI: 1538212790 Language: Spanish License: 45475 Specialty: Dentist

Lee, Peter NPI: 1134139892 Language: Spanish Hindi License: 55223 Specialty: DentistMarashli, DDS, Salaheddin License: 45493 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistSorour, Selvana NPI: 1679641146 Gender: Female License: 54394 Specialty: DentistSorour, Tharwat NPI: 1073672879 Gender: Male License: 54393 Specialty: DentistTurkmani, DDS, Wasim NPI: 1508899592 Gender: Male License: 48396 Specialty: Dentist

Dental Associates Of TorranceProvider ID: CA439521229 Hawthorne Blvd Ste ATorrance, CA 90503datinfo@westcoastdental.com310-792-5600Associates:Arciniega, Patricia NPI: 1639394901 Language: Spanish License: 47445 Specialty: DentistAudi, Amal NPI: 1001083803 Gender: Female License: 45221 Specialty: DentistCohen-Sedgh, Soleyman NPI: 1801939715 Language: Spanish License: DE60291773 Specialty: Dentist

Dawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: DentistDrewberry, David NPI: 1467006031 Gender: Male License: 104183 Specialty: DentistElseisi, Tarek NPI: 1750854477 Gender: Male License: 103447 Specialty: DentistEskandar, Beshoy NPI: 1346892221 Gender: Male License: 103997 Specialty: DentistKarimi, Ahmad NPI: 1063949493 Gender: Male License: 101328 Specialty: DentistShokohi, Armon NPI: 1205865375 Gender: Male License: 59279 Specialty: DentistTom, Robert NPI: 1093970303 Gender: Male Language: Spanish License: 55394 Specialty: DentistWong, Wendy NPI: 1780086017 Language: Spanish Tagalog License: 63791 Specialty: DentistZaman, Ifrana NPI: 1659892024 Gender: Female License: 102851 Specialty: Dentist

62

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Lomita Torrance DentalProvider ID: CA482123520 Crenshaw BlvdTorrance, CA 90505claudialtdo@gmail.com310-539-7835Associates:Fong, Gordon NPI: 1437345824 Language: Tagalog License: 34486 Specialty: DentistHung, Pei-Hsuan NPI: 1881092930 Language: Tagalog License: 55027 Specialty: DentistPark, Dawnelle NPI: 1295021533 Language: Tagalog License: 61775 Specialty: Dentist

Maha M Hanna DDS INCProvider ID: CA49753710 PACIFIC COAST HWY STE 101TORRANCE, CA 90505beanbitellc@gmail.com310-534-2633Associates:Hanna, Maha NPI: 1205022431 Language: Arabic Spanish License: 42543 Specialty: Dentist

West Coast Dental Group TorranceProvider ID: CA43691730 Sepulveda Blvd Ste 1Torrance, CA 90501westcoastdental@torrance.com310-325-8888Associates:Abraham, Mina NPI: 1972894673 Language: Spanish License: 60206 Specialty: Dentist

Cohen-Sedgh, Soleyman NPI: 1801393715 Language: Spanish Specialty: DentistPezold, Janet NPI: 1003302969 Gender: Female License: 102641 Specialty: DentistWoldeabezgie, Elias NPI: 1962790592 Language: Spanish License: 61816 Specialty: Dentist

ValenciaAesthetic DentistryProvider ID: CA412523333 Cinema Dr Ste 190Valencia, CA 91355aestheticdentistryvalencia@gmail.com661-254-9494Associates:Abri, David NPI: 1447392956 Language: Spanish Tagalog License: 49833 Specialty: Dentist

Baywood Dental GroupProvider ID: CA414024121 Baywood LnValencia, CA 91355baywooddentalgroup@gmail.com661-291-1200Associates:Fatahi, Sepi NPI: 1447532684 Language: Russian Spanish License: 61574 Specialty: DentistKorobkin, Israel NPI: 1164883997 Gender: Male License: 101434 Specialty: Dentist

Movassaghi, Alireza NPI: 1902903909 Language: Spanish License: 39189 Specialty: DentistSanabria, Angela NPI: 1649416470 Language: Spanish License: 49401 Specialty: Dentist

Canyon Dental GroupProvider ID: CA439728237 Newhall Ranch RdSuite 101Valencia, CA 91355val@westcoastdental.com661-257-4242Associates:Andrabi, Ambreen NPI: 1437607967 Gender: Female License: 100810 Specialty: DentistBaradaran, San NPI: 1235663642 Gender: Male License: 101275 Specialty: DentistEdalat, Poria NPI: 1750734075 Gender: Male License: 100509 Specialty: DentistEdalat, Sina NPI: 1790167336 Gender: Male License: 64563 Specialty: DentistKeschani, Anahita NPI: 1316295322 Gender: Female License: 63447 Specialty: DentistKorovin, Lev NPI: 1174051049 Gender: Male License: 101363 Specialty: Dentist

63

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Manavi, Farhad Language: Persian Spanish License: 38558 Specialty: DentistReyes, Jeffrey NPI: 1487720603 Language: Persian Spanish License: 53268 Specialty: DentistSlaven, Joel NPI: 1952314445 License: 52560 Specialty: Dentist

Dr Zak Dental Care & OrthoProvider ID: CA500323838 Valencia Blvd #150Valencia, CA 91355valencia@zakdental.com661-253-4000Associates:Abdulwahab, Abier NPI: 1083089668 Gender: Female License: 59827 Specialty: DentistAldabe, Ali NPI: 1316469844 Gender: Male License: 101575 Specialty: DentistAleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAsatani, Paul NPI: 1679784912 Language: Tajik License: 41343 Specialty: DentistBayat, Paul NPI: 1902964836 Gender: Male License: 54516 Specialty: DentistChung, Charles NPI: 1619111465 Language: Spanish Russian License: 46372 Specialty: Dentist

Del Campo, Shellaine NPI: 1477725034 Language: Tagalog Spanish License: 45850 Specialty: DentistIbarra, Sergio NPI: 1720467145 Gender: Male License: 102991 Specialty: DentistKarnakova, Olga NPI: 1578602637 License: DDS47183 Specialty: DentistKopel, Howard NPI: 1356584957 License: 26453 Specialty: DentistMomen, Roshanak NPI: 1255785408 Gender: Female License: DDS100152 Specialty: DentistOlson, William NPI: 1710288147 Language: Spanish Tagalog License: 35580 Specialty: DentistPhan, Tuyet Mai Thi NPI: 1346450889 Language: Vietnamese License: DDS44059 Specialty: DentistSanjari, Karsa NPI: 1558746388 Gender: Male License: 102295 Specialty: DentistShiraishi, Ronald NPI: 1922320639 Language: Spanish Russian License: DDS32654 Specialty: DentistWilliams, Frenda NPI: 1174788400 License: 44379 Specialty: DentistZak, Ilya NPI: 1023165255 License: 38238 Specialty: Dentist

Mayo DentalProvider ID: CA464825864 Tournament Rd Ste FValencia, CA 91355mydentaloffice@gmail.com661-291-6500Associates:Taheri, Mark NPI: 1598095572 Language: Spanish Persian License: 58659 Specialty: Dentist

Van NuysBayaz Dental GroupProvider ID: CA410314435 Hamlin St Ste 104Van Nuys, CA 91401bayazdentalgroup@gmail.com818-781-0004Associates:Bayaz, Abdul NPI: 1134134729 Language: Spanish Russian License: 49469 Specialty: Dentist

David Esraeli DDS PCProvider ID: CA513517651 Vanowen Street, Suite AVAN NUYS, CA 91406drrbodental@gmail.com818-574-4438Associates:Esraeli, David NPI: 1417435926 Gender: Male License: 102907 Specialty: Dentist

64

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Family DentistryProvider ID: CA293715355 Sherman Way Suite KVan Nuys, CA 91406thevalleydentist2@yahoo.com818-997-7797Associates:Suarez, Henry NPI: 1639377831 Language: Spanish License: 49675 Specialty: Dentist

Golden Care DentistryProvider ID: CA42336330 Van Nuys Blvd Ste BVan Nuys, CA 91401goldencaredds@yahoo.com818-785-9944Associates:Rashtian, Roya NPI: 1831297092 Language: Persian Spanish License: 53267 Specialty: Dentist

Hamlin Dental GroupProvider ID: CA409214401 Hamlin StVan Nuys, CA 91401vn@hamlindentalgroup.com818-782-6919*PCP assignment limitationsAssociates:Koshkerian, Hovsep NPI: 1356499693 Language: Persian Spanish License: 53719 Specialty: DentistReza, Hamid NPI: 1807827001 Language: Spanish Persian License: 41307 Specialty: Dentist

Yessaian, Anoush NPI: 1699817916 Language: Persian Spanish License: 55245 Specialty: Dentist

The Dental Care CenterProvider ID: CA43677068 Sepulveda BlvdVan Nuys, CA 91405info@vannuysdds.com818-781-1533Associates:Suh, Peter NPI: 1669480240 Language: Spanish Korean License: 46435 Specialty: Dentist

West Coast Dental GroupProvider ID: CA403213716 Sherman WayVan Nuys, CA 91405van@westcoastdental.com818-988-2020Associates:Akhavan, Perline NPI: 1902096258 Language: Spanish License: 56003 Specialty: DentistBaradaran, San NPI: 1235663642 Gender: Male License: 101275 Specialty: DentistBootenshaz, Robert NPI: 1932375300 Language: Spanish License: 56953 Specialty: DentistGalofre, Lina NPI: 1467917161 Gender: Female License: 103520 Specialty: DentistHernandez, Melisa NPI: 1669675377 Gender: Female License: 48288 Specialty: Dentist

Ossaian, Caroline NPI: 1831386689 Gender: Female License: 45514 Specialty: DentistWitkowsky, Mitchell NPI: 1568519551 Gender: Male License: 21668 Specialty: Dentist

Western Dental Services, IncProvider ID: CA415014600 Sherman Way Ste 100BVan Nuys, CA 91405866-427-0474Associates:Badii S, Kiavash NPI: 1437319035 Language: Vietnamese License: 54538 Specialty: DentistBelaya, Alesia NPI: 1528531621 License: 103472 Specialty: DentistDa Fonseca, Renata NPI: 1033433727 Language: Vietnamese License: 59166 Specialty: DentistDao, Tu NPI: 1902972938 Language: Vietnamese License: 46176 Specialty: DentistDe Guzman, Arnel NPI: 1366500357 Language: Vietnamese License: 52847 Specialty: DentistDuong, Vicky NPI: 1013083047 Language: Vietnamese License: 48803 Specialty: DentistEmigh, Todd NPI: 1093093890 Language: Vietnamese License: 60598 Specialty: Dentist

65

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Guo, Edmund NPI: 1407096407 Language: Vietnamese License: 52727 Specialty: DentistHu, Christina NPI: 1417385055 Language: Spanish License: 62880 Specialty: DentistKamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: DentistLe, Mai NPI: 1982755591 Language: Vietnamese License: 50633 Specialty: DentistLin, Vickie NPI: 1467606517 Language: Vietnamese License: 57880 Specialty: DentistLiu, Edward NPI: 1467668012 Language: Vietnamese License: 54529 Specialty: DentistLooyzadeh, Melina NPI: 1487957874 Language: Persian Spanish License: 59551 Specialty: DentistLy, Hoa NPI: 1154496768 Language: Vietnamese License: 46878 Specialty: DentistPham, Lanchi NPI: 1952558454 Language: Vietnamese License: 57639 Specialty: DentistPoblete, Editha NPI: 1942340583 License: 47993 Specialty: DentistSargsyan, Lusine NPI: 1356854681 Gender: Female License: 102124 Specialty: Dentist

Stermer, David NPI: 1679704266 License: 35032 Specialty: DentistVo, Hanhngoc NPI: 1376675447 Language: Vietnamese License: 51312 Specialty: DentistVo, Thach NPI: 1154462109 Language: Vietnamese License: 50841 Specialty: Dentist

WalnutTien Chun D. Wang, DMD Inc.Provider ID: CA6911309 N Grand AveWalnut, CA 91789909-594-7899

West CovinaApex Implant Cntr and DentistryProvider ID: CA4809360 S Glendora Ave Ste 1West Covina, CA 91790info@aicdental.com626-671-5800Associates:Uppal, Gagan NPI: 1154487924 Language: Spanish License: 55640 Specialty: Dentist

Family DentistryProvider ID: CA23101312 W Francisquito Ave Ste D4West Covina, CA 91790msddswc@yahoo.com626-918-0171Associates:Singh, Maninder NPI: 1053491993 Language: Spanish License: 32993 Specialty: Dentist

American Dental of West CovinaProvider ID: CA4930436 N Sunset AveWest Covina, CA 91790info@mywestcovinadentist.com626-337-7271Associates:Kim, Steven NPI: 1730506676 Gender: Male License: 52411 Specialty: Dentist

Rafik Yanni, DDSProvider ID: CA23092413 S Azusa Ave.WEST COVINA, CA 91792rafikyannidds@yahoo.com626-913-1421

Smile Young DentistryProvider ID: CA4900151 N Azusa Ave.WEST COVINA, CA 91791alphadentapinfo@gmail.com626-915-8880*PCP assignment limitationsAssociates:Cha, Young NPI: 1144322447 Gender: Male Language: Korean License: 49287 Specialty: Dentist

West HollywoodVictoria Olshansky, DDS Inc.Provider ID: CA47761136 N Fairfax AveWest Hollywood, CA 90046dentalcare3142@yahoo.com323-650-6936Associates:Olshansky, Victoria NPI: 1194910588 Language: Russian Hebrew License: 46315 Specialty: Dentist

66

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

West Los AngelesCentury City Dental GroupProvider ID: CA279510350 Santa Monica Blvd Ste 190West Los Angeles, CA 90025centurycitygroup@aol.com310-557-1704Associates:Nayssan, Fred NPI: 1861567836 Language: Spanish Tagalog Specialty: Dentist

Dental Center Of West L.A.Provider ID: CA40111964 Westwood Blvd Ste 145West Los Angeles, CA 90025drjslutsky@yahoo.com310-474-5575Associates:Slutsky, Jacob NPI: 1902019912 Language: Spanish Russian License: 40311 Specialty: Dentist

WhittierDr. Reddy Family DentistryProvider ID: CA10237910 Norwalk BlvdWhittier, CA 90606rocio1097@gmail.com562-699-0343Associates:Reddy, Krishna NPI: 1831263086 Language: Spanish License: 30106 Specialty: Dentist

Uptown Dental GroupProvider ID: CA20026711 Greenleaf AveWhittier, CA 90601uptowndental6711@yahoo.com562-698-0054Associates:Hannani, Bahram NPI: 1750449997 Gender: Male Language: Spanish Persian License: 31277 Specialty: DentistPerez, Marcela NPI: 1215060769 Gender: Female Language: Persian Spanish License: 32163 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA447214880 Whittier BlvdWhittier, CA 90605044wwh_om/om/office/wds@wds.com562-698-6555Associates:Abtin, Dilshad NPI: 1740519024 Language: Arabic Spanish License: 58822 Specialty: DentistAdib, Habib NPI: 1770101081 Gender: Male License: 104971 Specialty: DentistAmanfu, Emmanuel NPI: 1417025677 Language: Spanish Tagalog License: 37381 Specialty: DentistAwad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: Dentist

Bilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistChoi, Annie NPI: 1841636248 Language: Spanish Arabic License: 63428 Specialty: DentistChoi, Hoyong NPI: 1821598988 License: 103619 Specialty: DentistContreras, Dina NPI: 1275959843 Language: Arabic Spanish License: 63224 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Hindi Spanish License: 42538 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Spanish Korean License: 44863 Specialty: DentistDu, Tran NPI: 1184975880 Language: Hindi Spanish License: 61899 Specialty: DentistFierros, Rocio NPI: 1255830865 License: 102271 Specialty: DentistGad, Mona NPI: 1962564013 Language: Spanish Hindi License: 50910 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Ghularyan, Marianna NPI: 1356694061 Language: Persian Spanish License: 61407 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistGulati, Neal NPI: 1184031429 Language: Spanish Arabic License: 63644 Specialty: DentistHoang, Anh NPI: 1134346257 Language: Spanish Korean License: 55573 Specialty: DentistJames, Francis NPI: 1821157629 Language: Arabic Spanish License: 41424 Specialty: DentistKatbamna, Dhanesh NPI: 1437217544 Language: Arabic Spanish License: 39972 Specialty: DentistKim, Jae Eun NPI: 1285287110 License: 104068 Specialty: DentistLeon, Arlette NPI: 1235319989 Language: Arabic Spanish License: 56594 Specialty: DentistLLAGUNO-JINGCO , KATHERINE NPI: 1083882369 Language: Spanish Hindi License: 55739 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Korean Spanish License: 62457 Specialty: DentistMarini, Shabnam NPI: 1548676190 Language: Spanish Arabic License: 63566 Specialty: Dentist

Minasyan, Kharen NPI: 1447346762 Language: Korean Spanish License: 53088 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Spanish Hindi License: 58972 Specialty: DentistMorales, Ma Judina NPI: 1114077351 Gender: Female Language: Hindi Spanish License: 45927 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistOletyramakrishnasetty, Raghavendr NPI: 1477704104 Language: Spanish License: 56998 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistQazi, Zumna NPI: 1780120451 License: 100967 Specialty: DentistRajoub, Lin NPI: 1306339098 License: 103044 Specialty: DentistReddy, Smitha NPI: 1528290699 Language: Arabic Spanish License: 58670 Specialty: DentistSadeghi, Reza NPI: 1699069245 Language: Persian Spanish License: 60305 Specialty: Dentist

Sareh, Atefeh NPI: 1265573950 Language: Spanish Hindi License: 41993 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Spanish Persian License: 60093 Specialty: DentistTawadrous, Joy NPI: 1669968228 License: 102562 Specialty: DentistToledo, Mary Aileen NPI: 1225377377 Language: Spanish Arabic License: 63759 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Hindi Spanish License: 50996 Specialty: DentistVo, Hanh NPI: 1942376975 Language: Spanish Arabic License: 54314 Specialty: DentistVorperian, Vahe NPI: 1245371988 Language: Spanish Korean License: 53600 Specialty: DentistYe, Chong NPI: 1619036472 Language: Persian Spanish License: 54964 Specialty: DentistYesayan, Eduard NPI: 1881760858 Language: Hindi Spanish License: 46155 Specialty: DentistYoo, Joo NPI: 1881059335 Gender: Male License: 65242 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Yu, Chunzhu NPI: 1245408871 Language: Persian Spanish License: 55717 Specialty: Dentist

Whittier DentalProvider ID: CA469116406 Whittier BlvdWhittier, CA 90603whittierdental90603@gmail.com562-694-0396Associates:Ramzi, Nader-Sedigh NPI: 1104924935 Gender: Male Language: Persian License: 41670 Specialty: Dentist

Whittier Square DentistryProvider ID: CA443513215 Penn St Ste 200Whittier, CA 90602jeannette@dentistinwhittier.com562-696-2862Associates:Hwang, Chih-Wei NPI: 1972713808 Language: Spanish License: 53603 Specialty: DentistMuditajaya, Winston NPI: 1366469017 Language: Spanish License: 44515 Specialty: Dentist

WilmingtonDonald H. Youn, DDS Inc.Provider ID: CA4437851 W Pacific Coast HwyWilmington, CA 90744handonyounyo@sbcglobal.net310-830-3620

Woodland HillsEdward L. Rosen, DDS Inc.Provider ID: CA67321500 Ventura Blvd Ste 200Woodland Hills, CA 91364varina@edwardsrosendds.com818-999-6165

Topanga Dental CareProvider ID: CA431721839 Ventura BlvdWoodland Hills, CA 91364sanchez.diana30@yahoo.com818-347-8444Associates:Youssef, Joesef NPI: 1093842460 Language: Spanish License: 50550 Specialty: Dentist

ORANGEAnaheim

7 Day DentalProvider ID: CA4331637 N Euclid StAnaheim, CA 92801euclid@7daydental.com714-772-2893*PCP assignment limitationsAssociates:Bailey, Michael NPI: 1245358522 Language: Spanish Vietnamese License: 28512 Specialty: DentistCapiral, Maria Rhodora NPI: 1659529360 Language: Vietnamese Spanish License: 46032 Specialty: DentistLe, Chuck NPI: 1427072545 Language: Vietnamese Spanish License: 37342 Specialty: Dentist

Nguyen, Thinh NPI: 1346341740 Language: Spanish Vietnamese License: 41970 Specialty: DentistShen, Ching-Ming NPI: 1154415016 Language: Vietnamese Spanish License: 36453 Specialty: Dentist

7 Day DentalProvider ID: CA43322265 W Lincoln AveAnaheim, CA 92801lincoln@7daydental.com714-491-8600*PCP assignment limitationsAssociates:Capiral, Maria Rhodora NPI: 1659529360 Language: Vietnamese Spanish License: 46032 Specialty: DentistLe, Chuck NPI: 1427072545 Language: Vietnamese Spanish License: 37342 Specialty: DentistShen, Ching-Ming NPI: 1154415016 Language: Spanish Vietnamese License: 36453 Specialty: DentistTran, Lisa NPI: 1952494437 Language: Spanish Vietnamese License: 42436 Specialty: Dentist

State College DentalProvider ID: CA5131330 N State College Blvd Suite 105ANAHEIM, CA 92806adriana.ststaecollegedental@yahoo.com714-772-5005

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Mehta, Ashok NPI: 1316149370 Language: Spanish Hindi License: 28761 Specialty: Dentist

Beach Dental CareProvider ID: CA47522940 W Lincoln Ave Ste LANAHEIM, CA 92801beachdentalcare@yahoo.com714-995-4000Associates:Han, Thomas NPI: 1467671693 Language: Spanish License: 52393 Specialty: Dentist

Brite Dental GroupProvider ID: CA29381221 N Harbor BlvdAnaheim, CA 92801mdbritedental@gmail.com714-224-5255Associates:Tavakoli-Parsa, Ali NPI: 1619193950 Language: Spanish License: 46985 Specialty: Dentist

Ca Dental Grp Of Anaheim HillsProvider ID: CA4375140 S Fairmont BlvdAnaheim, CA 92808cdganahills@yahoo.com714-974-0054Associates:Morgan, Jason NPI: 1992008080 Language: Vietnamese Spanish License: 50648 Specialty: Dentist

California Dent Grp South AnahProvider ID: CA42612300 S Harbor BlvdAnaheim, CA 92802cdgsanaheim@yahoo.com714-750-3030Associates:Morgan, Jason NPI: 1992008080 Language: Spanish Vietnamese License: 50648 Specialty: Dentist

California Dental group of norProvider ID: CA28771221 N Euclid StAnaheim, CA 92801mattardental@yahoo.com714-491-2732Associates:Mattar, Dina NPI: 1902244668 License: 62382 Specialty: Dentist

P.Dholakiya and Assoc, DDS IncProvider ID: CA538815 N Euclid StAnaheim, CA 92801dentalcareofanaheim@hotmail.com714-758-0791Associates:Dholakiya, Pragnesh NPI: 1376577544 Language: Hindi Spanish License: 27982 Specialty: DentistQuan, Norman NPI: 1033236179 Language: Hindi Spanish License: 31360 Specialty: Dentist

V.Mai DDS, IncProvider ID: CA4976922 South Euclid StAnaheim, CA 92802jamiealfaro@icloud.com714-776-7015Associates:Mai, Vu NPI: 1578781118 Gender: Male License: 47942 Specialty: Dentist

P.DholakiyaProvider ID: CA49729672 Ball RoadAnaheim, CA 92804smilesforoc@yahoo.com714-772-0102Associates:Dholakiya, Pragnesh NPI: 1376577544 Language: Hindi Spanish License: 27982 Specialty: Dentist

Village Dental GroupProvider ID: CA43291210 S Brookhurst StAnaheim, CA 92804villagedentalgrouponline@yahoo.com714-535-7500Associates:Bilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Western Dental Services, Inc.Provider ID: CA45871696 W Katella AveAnaheim, CA 9280200swan@westerndental.com714-635-6000Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbtin, Dilshad NPI: 1740519024 Language: Spanish Arabic License: 58822 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAwad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistContreras, Dina NPI: 1275959843 Language: Spanish Arabic License: 63224 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Hindi Spanish License: 42538 Specialty: Dentist

Dio, Marivel NPI: 1700941622 Language: Korean Spanish License: 44863 Specialty: DentistGendy, Sameh NPI: 1568539856 Language: Spanish Korean License: 49528 Specialty: DentistGhularyan, Marianna NPI: 1356694061 Language: Spanish Persian License: 61407 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistGulati, Neal NPI: 1184031429 Language: Spanish Arabic License: 63644 Specialty: DentistGupta, Shilpa NPI: 1750419578 Language: Spanish License: 51256 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistHoang, Anh NPI: 1134346257 Language: Spanish Korean License: 55573 Specialty: DentistJames, Francis NPI: 1821157629 Language: Arabic Spanish License: 41424 Specialty: DentistKhamsei, Laila NPI: 1770775181 Language: Spanish Hindi License: 54594 Specialty: DentistLee, Betty NPI: 1467004853 License: 103906 Specialty: Dentist

Lee, Kiwoong NPI: 1245308667 Language: Spanish License: 46863 Specialty: DentistMarini, Shabnam NPI: 1548676190 Language: Spanish Arabic License: 63566 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Spanish Hindi License: 58621 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Spanish Hindi License: 58972 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistNiknafs, Kourosh NPI: 1982762985 Language: Hindi Spanish License: 43217 Specialty: DentistPampaniya, Aditi NPI: 1134397342 Gender: Female Language: Spanish Hindi License: 55215 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistSadeghi, Reza NPI: 1699069245 Language: Spanish Persian License: 60305 Specialty: Dentist

71

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sareh, Atefeh NPI: 1265573950 Language: Spanish Hindi License: 41993 Specialty: DentistTadros, Sameeh NPI: 1356645303 Language: Persian Spanish License: 60093 Specialty: DentistWohn, Kumzoo NPI: 1770659716 Language: Spanish Hindi License: 43409 Specialty: DentistYe, Chong NPI: 1619036472 Language: Spanish Persian License: 54964 Specialty: Dentist

Your DentistProvider ID: CA47113174 W Lincoln Ave Ste 102Anaheim, CA 92801youranaheimdentist@gmail.com714-826-5000Associates:Le, Michael NPI: 1255533972 Language: Spanish Vietnamese License: 47509 Specialty: Dentist

BreaPeterson DentistryProvider ID: CA5010503 E. Imperial HwyBrea, CA 92821breadentalgroup@yahoo.com714-672-9000Associates:Peterson, Gregory NPI: 1437311370 Gender: Male License: 57102 Specialty: Dentist

California Dental Group of BreaProvider ID: CA49162820 E Imperial HwyBrea, CA 92821isamar.martinez@morgandentalcorp.com714-572-2818Associates:Morgan, Jason NPI: 1992008080 Language: Spanish Vietnamese License: 50648 Specialty: Dentist

Cosmetic and Dental Implant CtrProvider ID: CA4678782 N Brea BlvdBrea, CA 92821brea@cdicdental.com714-257-0330Associates:Nguyen, Trinh NPI: 1861611097 Language: Spanish Vietnamese License: 50658 Specialty: Dentist

Gentle Dental BreaProvider ID: CA4922715 E Birch St Ste 4ABrea, CA 92821brea@gentlel.com714-332-1006Associates:Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistJain, Shweta NPI: 1225646706 Gender: Female License: 104998 Specialty: Dentist

Zobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Imperial Dental CareProvider ID: CA2872200 E Imperial HwyBrea, CA 92821dentalcare173@gmail.com714-671-9999Associates:Le, Michael NPI: 1255533972 Language: Spanish Vietnamese License: 47509 Specialty: DentistMehta, Ashok NPI: 1316149370 Language: Hindi Spanish License: 28761 Specialty: Dentist

David Pham Dental CorporationProvider ID: CA51921000 E Imperial Hwy Suite A-1BREA, CA 92821infor@smilespotbrea.com714-257-6453Associates:Pham, David NPI: 1295841997 Gender: Male Language: Spanish License: 48662 Specialty: Dentist

Buena ParkAll Smiles DentalProvider ID: CA44427938 Valley View StBuena Park, CA 90620buenaparkdental@gmail.com714-670-7657Associates:Chu, Pen-Mao NPI: 1346477023 Language: Tagalog Spanish License: 51244 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Adrian Acosta DDS A ProfessionProvider ID: CA51284600 Beach Blvd Ste ABuena Park, CA 90621lauren@goldcoastdental.com714-332-1621Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: DentistAlbaghdadi, Amro NPI: 1891355525 Gender: Male License: 103749 Specialty: DentistBoval, Diane Lee NPI: 1467554394 Language: Spanish License: 48630 Specialty: DentistChow, Alvin NPI: 116456944 Gender: Male License: 41905 Specialty: DentistDabek, Leva NPI: 1962807537 Gender: Female License: 102194 Specialty: DentistDolas, Peter NPI: 1619972726 Language: Spanish License: 32296 Specialty: DentistFollico, Anthony NPI: 1568565653 Gender: Male Language: Persian Spanish License: 41078 Specialty: DentistFuruichi, Richard NPI: 1356542666 License: 44477 Specialty: DentistKim, Insoo NPI: 1104094580 Gender: Male License: 30377 Specialty: Dentist

Kim, Michael NPI: 1174945273 Gender: Male License: 101618 Specialty: DentistLoomis, Robert NPI: 1437205739 License: 48640 Specialty: DentistNguyen, Bryant NPI: 1003125204 License: 59840 Specialty: DentistPatel, Mili NPI: 1851723472 Language: Spanish License: 63215 Specialty: Dentist

P Zakhary DDS IncProvider ID: CA51158402 Commonwealth AvenueBUENA PARK, CA 90621buenaparkdentalcenter@yahoo.com714-739-2051Associates:Zakhary, Peter Gender: Male License: 58487 Specialty: Dentist

Valley View DentalProvider ID: CA412310102 Valley View StBuena Park, CA 90620thetswe9@yahoo.com714-229-4898Associates:Swe, Thet NPI: 1316095417 Language: Spanish License: 50682 Specialty: Dentist

West Coast Dental GroupProvider ID: CA40348381 La Palma Ave Ste B and CBuena Park, CA 90620bnpbilling@westcoast.com714-228-9990Associates:Atalla, Joseph NPI: 1912243601 Language: Spanish License: 62100 Specialty: DentistDawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: DentistKoh, Shanna NPI: 1124297365 Language: Spanish License: 53615 Specialty: DentistManavi, Farhad NPI: 1568505303 Language: Spanish License: 38558 Specialty: DentistNunez-Uribe, Lila NPI: 1790257517 Gender: Female License: 103429 Specialty: DentistPampaniya, Aditi NPI: 1134397342 Gender: Female Language: Hindi Spanish License: 55215 Specialty: DentistPark, Raphael NPI: 1285119826 Gender: Male License: 103191 Specialty: DentistPezold, Janet NPI: 1003302969 Gender: Female License: 102641 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Pham, Nghia NPI: 1053498410 Gender: Male License: 52101 Specialty: DentistSeifi, Sanaz NPI: 1649410663 Language: Spanish License: 58792 Specialty: DentistSheng, Anne NPI: 1730226291 Gender: Female License: 37915 Specialty: DentistVu, Anh NPI: 1003942384 Language: Spanish Korean License: 44554 Specialty: Dentist

Corona Del MarCorona Del Mar Dental GroupProvider ID: CA41712345 E Coast Hwy Ste CCorona Del Mar, CA 92625info@cdmdentalgroup.com949-675-3131Associates:Aguilera, John NPI: 1518067792 Language: Spanish Tagalog License: 25114 Specialty: Dentist

Coast Dental Implant CenterProvider ID: CA50542121 E Coast Hwy 220Corona Del Mar, CA 92625coastdentalimplant@gmail.com949-644-1001Associates:Le, Kha NPI: 1003847955 Language: Vietnamese Spanish License: 41453 Specialty: Dentist

Costa MesaBright Dental CareProvider ID: CA4183320 Bristol St Ste HCosta Mesa, CA 92626brightdencare@hotmail.com714-546-7595Associates:Bassiri, Koroush NPI: 1831231455 Language: French Spanish License: 43754 Specialty: DentistBehroozi, Parisa NPI: 1669674677 Language: Persian License: 46026 Specialty: Dentist

Cox Professional Dental CorporationProvider ID: CA1122000 Harbor Blvd Ste B100Costa Mesa, CA 92627hotardm@interdent.com949-645-5070Associates:Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistHazrati-Sarshar, Faye NPI: 1316073851 Language: Spanish Persian License: 46390 Specialty: DentistMalak, Nardeen NPI: 1679190342 Gender: Female License: 104954 Specialty: DentistNikahd, Mohammad NPI: 1104181916 Gender: Male License: 100044 Specialty: Dentist

Zobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Mesa Dental CenterProvider ID: CA2370267 E 17th StCosta Mesa, CA 92627coastmesadds@gmail.com949-646-2411Associates:Alkhateeb, Hisham NPI: 1417204918 Language: Arabic Spanish License: 41699 Specialty: DentistHetata, Maha NPI: 1154678647 Language: Spanish Arabic License: 40830 Specialty: Dentist

Smile Max Dental CenterProvider ID: CA48482969 Harbor BlvdCosta Mesa, CA 92626smilemaxdental@yahoo.com714-437-1100Associates:Farzin, Matt NPI: 1386783108 Language: Persian Spanish License: 53595 Specialty: Dentist

CypressCalifornia Dental Group CypresProvider ID: CA251611741 Valley View St Ste ECypress, CA 90630maricela.carranza@morgandentalcorp.com714-826-3000Associates:Morgan, Jason NPI: 1992008080 Language: Vietnamese Spanish License: 50648 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Cypress Dental GroupProvider ID: CA40049922 Walker St.CYPRESS, CA 90630cypressdentalgroupdds@gmail.com714-220-0354Associates:Shayan, Omid NPI: 1275714552 License: 45408 Specialty: Dentist

Cypress Plaza Dental GroupProvider ID: CA44105460 Orange AveCypress, CA 90630debbie.cypressplazadentalgroup@gmail.com714-226-9630*PCP assignment limitationsAssociates:Badea, Marius NPI: 1730214909 License: 36222 Specialty: DentistSadighi, Ramin NPI: 1487782801 License: 36278 Specialty: Dentist

Fountain ValleyDental ArtsProvider ID: CA433411703 Edinger AveFountain Valley, CA 92708info@mydentalarts.net714-775-1934Associates:Phan, Pauline NPI: 1912118480 Language: Spanish Vietnamese License: 46861 Specialty: Dentist

Quality Dental CareProvider ID: CA251417150 Euclid St Ste 322Fountain Valley, CA 92708smileupgrade@gmail.com714-444-4224*PCP assignment limitationsAssociates:Rofael, Medhat NPI: 1891917860 Language: Spanish Arabic License: 40714 Specialty: Dentist

FULLERTONFullerton Family DentalProvider ID: CA5178906 W ORANGETHORPE AVEFULLERTON, CA 92832billerffd@gmail.com714-871-3900

U.S. Dental GroupProvider ID: CA21451441 N Brea BlvdFullerton, CA 92835info@fullertondentistry.com714-992-0300Associates:Talmood, Anna NPI: 1184786790 Language: Spanish License: 41931 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA47871620 S Harbor Blvd Ste AFullerton, CA 92832817wfn_om@wsterndental.com714-294-7066Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: Dentist

Abtin, Dilshad NPI: 1740519024 Language: Spanish Arabic License: 58822 Specialty: DentistChelimela, Ramya NPI: 1093108599 Gender: Female License: 64371 Specialty: DentistGupta, Shilpa NPI: 1750419578 Language: Spanish License: 51256 Specialty: DentistHaggard, David NPI: 1396915641 Gender: Male License: 32843 Specialty: DentistJHUNJHNUWALA , SAMIKSHA NPI: 1871047845 Language: Spanish License: 100660 Specialty: DentistLee, Kiwoong NPI: 1245308667 Language: Spanish License: 46863 Specialty: DentistLiem, Michelle NPI: 1386010445 Gender: Female License: 64593 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: Dentist

Garden GroveCoastal Dental CareProvider ID: CA507010044 Westminster Ave.Garden Grove, CA 92843coastaldentalcaregg@gmail.com714-539-7070

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Chan, Ted NPI: 1508997784 Language: Spanish License: 44153 Specialty: DentistLe, Quynhtran NPI: 1124376579 Gender: Female License: 44416 Specialty: Dentist

Garden Grove Dental CareProvider ID: CA484512630 Brookhurst St Ste BGarden Grove, CA 92840ggdc92840@gmail.com714-530-4920Associates:Ramzi, Nader-Sedigh NPI: 1104924935 Gender: Male Language: Persian License: 41670 Specialty: Dentist

Peach DentalProvider ID: CA486312462 Brookhurst St Ste CGarden Grove, CA 92840primarydentalwithleslie@gmail.com714-537-5700Associates:Ibrahim, Marianna NPI: 1881975233 Language: French Arabic License: 60796 Specialty: Dentist

Huntington BeachBeachside Dental GroupProvider ID: CA415918800 Main St Ste 110Huntington Beach, CA 92648beachsidedental@hotmail.com714-842-6151*PCP assignment limitations

Associates:Al-Janedi, Mohdsameer NPI: 1932314077 Language: Persian Arabic License: 41577 Specialty: DentistMirmarashi, Babak NPI: 1972772457 Language: Arabic Persian License: 55768 Specialty: Dentist

Big Dental GroupProvider ID: CA433018682 Beach Blvd Ste 100Huntington Beach, CA 92648bigdentalgroup@gmail.com714-968-3522Associates:Bigdeli, Faranak NPI: 1174718290 Language: Spanish Persian License: 49260 Specialty: DentistBigdeli, Foruzan NPI: 1588727556 Language: Turkmen Spanish License: 46753 Specialty: Dentist

Cosmetic and Dental Implant CtrProvider ID: CA468819080 Brookhurst StHuntington Beach, CA 92646hb@cdicdental.com714-968-2527Associates:Nguyen, Trinh NPI: 1861611097 Language: Vietnamese Spanish License: 50658 Specialty: Dentist

Cox Professional Dental CorporationProvider ID: CA4874501 Main St Ste AHuntington Beach, CA 92648andersonje@interdent714-294-7132Associates:Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistNikahd, Mohammad NPI: 1104181916 Gender: Male License: 100044 Specialty: DentistPeddireddy, Divya NPI: 1356782080 License: 62530 Specialty: DentistSaed, David NPI: 1790344935 Gender: Male License: 103756 Specialty: DentistZobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Dental Associates of HuntingtonBeachProvider ID: CA49995942 Edinger Ave #101HUNTINGTON BEACH, CA 92649shalinishahandassociates@hotmail.com714-377-4449Associates:Shah, Shalini NPI: 1710009162 Gender: Female License: 51403 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

IrvineArt Of Dentistry InstituteProvider ID: CA25812646 Dupont Dr Ste 200Irvine, CA 92612info@artofdentistryinstitute.com949-955-3366Associates:Hawary, Ihab NPI: 1891121935 License: 43445 Specialty: Dentist

Ash Dental Corp.Provider ID: CA266016100 Sand Canyon Ave Ste 300Irvine, CA 92618ashdentalirvine@gmail.com949-453-9800Associates:Abdelmalek, Ashraf NPI: 1437250214 Language: Arabic License: 44132 Specialty: DentistLakani, Azadeh NPI: 1265817191 Gender: Female License: 64695 Specialty: Dentist

Gentle Dental IrvineProvider ID: CA26744950 Barranca PkwySte 105Irvine, CA 92604ruelasm@interdent.com949-551-4242Associates:Bankian, Gilda NPI: 1720505126 Gender: Female License: 101966 Specialty: Dentist

Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistNikahd, Mohammad NPI: 1104181916 Gender: Male License: 100044 Specialty: DentistZobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Farzad Shaygan, DDSProvider ID: CA20544040 Barranca Pkwy Ste 140Irvine, CA 92604drshaygan@pacbell.net949-559-7300*PCP assignment limitationsAssociates:Shaygan, Farzad NPI: 1356465009 Language: Spanish Persian License: 37018 Specialty: Dentist

University Park DentalProvider ID: CA43425321 University Dr Ste AIrvine, CA 92612updentalcare@gmail.com949-653-2244Associates:Parsangi, Negah NPI: 1225226384 Language: Persian Spanish License: 43292 Specialty: Dentist

LA HABRALa Habra Dental CareProvider ID: CA5166901 West Whittier BlvdLA HABRA, CA 90631martin@goldcoastdental.com562-352-0434Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: Dentist

Elan DentistryProvider ID: CA51621030 W Imperial HwyLA HABRA, CA 90631714-364-8181Associates:Amin, Ekta NPI: 1043447980 Gender: Female License: 101352 Specialty: Dentist

K. Dianatyazdi, DDSProvider ID: CA41911250 W Whittier BlvdLa Habra, CA 90631lahabrasmiles@yahoo.com562-266-9277Associates:Dianatyazdi, Kourosh NPI: 1033205026 Language: Persian Spanish License: 50457 Specialty: Dentist

Adrian Acosta DDS A ProfProvider ID: CA5189901 W Whittier BoulevardLA HABRA, CA 90631Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Ladera Ranch7 Day DentalProvider ID: CA432727702 Crown Valley Pkwy Ste A2Ladera Ranch, CA 92694laderaranch@7daydental.com949-365-1900Associates:Chung, Christine NPI: 1083706444 Language: Vietnamese Spanish License: 43474 Specialty: Dentist

Laguna MiguelMurray Mar & Boyd Dental CorpProvider ID: CA503530140 Town Center DriveLaguna Miguel, CA 92677candy@ranchonigueldental.com949-249-4180

Laguna NiguelChoice Dental CareProvider ID: CA481030262 Crown Valley Pkwy Ste ELaguna Niguel, CA 92677choicedentalcare@yahoo.com949-363-0018

Sasha RahnamaProvider ID: CA468927150 Alicia Pkwy Ste JLaguna Niguel, CA 92677hrdentistry@live.com949-362-4900Associates:Rahnama, Sasha NPI: 1750302469 Language: Vietnamese Spanish License: 51131 Specialty: Dentist

Laguna Woods7 Day DentalProvider ID: CA432624310 Moulton Pkwy Ste C1Laguna Woods, CA 92637lagunawoods@7daydental.com949-859-3988*PCP assignment limitationsAssociates:Chung, Christine NPI: 1083706444 Language: Spanish Vietnamese License: 43474 Specialty: Dentist

Cox Dental CorporationProvider ID: CA475724102 El Toro Rd Ste ALaguna Woods, CA 92637murrieta@gentle1.com949-830-6510Associates:Bankian, Gilda NPI: 1720505126 Gender: Female License: 101966 Specialty: DentistJain, Shweta NPI: 1225646706 Gender: Female License: 104998 Specialty: DentistTruong, Andy NPI: 1841742954 Language: Spanish Vietnamese License: 100939 Specialty: DentistZobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Moshin MahmoodProvider ID: CA518024902 Moulton Pkwy Suite 100LAGUNA WOODS, CA 92637lagunawoodsdentalcare@gmail.com949-619-4162Associates:Mahmood, Mohsin NPI: 1699978999 Language: Spanish Vietnamese License: 52424 Specialty: Dentist

Lake ForestMarina DentalProvider ID: CA232123591 El Toro Rd Ste 130Lake Forest, CA 92630marinadental@yahoo.com949-206-9508Associates:Soliman, Amani NPI: 1265637342 Gender: Male Language: Spanish License: 40018 Specialty: Dentist

Los AlamitosAshok S. Mehta, DDSProvider ID: CA33810900 Los Alamitos Blvd Ste 133Los Alamitos, CA 90720mehtalosal@hotmail.com562-596-8888

Los Alamitos Family DentistryProvider ID: CA47545373 Katella Ave.Ste CLOS ALAMITOS, CA 90720562-598-7914Associates:Cheng, Melissa NPI: 1083805568 Language: Spanish Chinese License: 35860 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Mission ViejoBoyd Dental CorporationProvider ID: CA493724481 Alicia Pkwy Ste B3Mission Viejo, CA 92691info@alciaopds.com949-586-9800Associates:Boyd, Rodney NPI: 1072025200 Gender: Male License: 39760 Specialty: Dentist

Gentle Dental Mission ViejoProvider ID: CA279225523 Marguerite Pkwy Ste CMission Viejo, CA 92692torresx@interdent.com949-768-1800Associates:Bankian, Gilda NPI: 1720505126 Gender: Female License: 101966 Specialty: DentistCox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistEtemad, Abark NPI: 1659691616 Gender: Female Language: Vietnamese License: 63271 Specialty: DentistHa, Duong NPI: 1457665705 Language: Spanish License: 59400 Specialty: DentistNikahd, Mohammad NPI: 1104181916 Gender: Male License: 100044 Specialty: Dentist

Ortiz-Luis, Maricelle NPI: 1346269305 Gender: Female License: 47653 Specialty: DentistPeddireddy, Divya NPI: 1356782080 License: 62530 Specialty: DentistWahby, Carolyn NPI: 1194060046 Language: Spanish Russian License: 61905 Specialty: DentistZobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Marguerite Dental CareProvider ID: CA409027871 Medical Center Rd Ste 165Mission Viejo, CA 92691margueritedental@gmail.com949-364-2529Associates:Maghami, Rama NPI: 1225234636 Language: French Spanish License: 41915 Specialty: Dentist

Newport BeachNewport Beach Dental Assoc.Provider ID: CA22101501 Superior Ave Ste 100Newport Beach, CA 92663gil.lannder@gmail.com949-650-6772Associates:Gold, Liviu NPI: 1801289400 Language: Spanish License: 43161 Specialty: Dentist

Newport Dental CenterProvider ID: CA47462105 San Joaquin Hills RdNewport Beach, CA 92660newportdental@gmail.com949-721-1730Associates:Eftekhari, Tandis NPI: 1669777660 Language: Persian Spanish License: 52048 Specialty: Dentist

OrangeA Professional CorporationProvider ID: CA2535235 E Katella AveOrange, CA 92867stnicholas20@yahoo.com714-633-3336*PCP assignment limitationsAssociates:Dinh, Thanh NPI: 1780696963 Language: Spanish Vietnamese License: 46256 Specialty: DentistDo, Loc NPI: 1013929298 Language: Spanish Vietnamese License: 46257 Specialty: Dentist

California Dental Group OrangeProvider ID: CA26411502 E Collins AveOrange, CA 92867fred.medina@morgandentalcorp.com714-288-8464Associates:Morgan, Jason NPI: 1992008080 Language: Vietnamese Spanish License: 50648 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Comfort Smile Family DentalProvider ID: CA25001920 E Katella Ave Ste JOrange, CA 92867comfortsmile@hotmail.com714-997-4133Associates:Huang, Phillip NPI: 1689721540 Language: Spanish Chinese License: 43974 Specialty: Dentist

Gentle Dental OrangeProvider ID: CA2377424 S Main St Ste HOrange, CA 92868orange@gentle1.com714-639-1922Associates:Bankian, Gilda NPI: 1720505126 Gender: Female License: 101966 Specialty: DentistCox, William NPI: 1972673507 Gender: Male Language: Persian Spanish License: 26160 Specialty: DentistEtemad, Abark NPI: 1659691616 Gender: Female Language: Vietnamese License: 63271 Specialty: DentistNasr, Randa NPI: 1679512453 Language: Spanish License: 55273 Specialty: DentistNguyen, Dzien NPI: 1134242118 Language: Spanish Vietnamese License: 55136 Specialty: Dentist

Nikahd, Mohammad NPI: 1104181916 Gender: Male License: 100044 Specialty: DentistSaed, David NPI: 1790344935 Gender: Male License: 103756 Specialty: DentistZobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Mayfair DentalProvider ID: CA49971616 E Mayfair AveOrange, CA 92867714-744-8164Associates:Thein, Nilar NPI: 1023160108 Language: Spanish License: 48037 Specialty: Dentist

Mosharaf Dental CorpProvider ID: CA26292022 W Chapman AveOrange, CA 92868smile@awesomedds.com714-978-3333Associates:Mosharaf, Moni NPI: 1184831091 Language: Persian Spanish License: 45929 Specialty: DentistVeshkini, Siamak NPI: 1366481464 Language: Persian Hindi License: 36026 Specialty: Dentist

Adrian Acosta DDS A professionProvider ID: CA51271122 E Lincoln Ave Ste 104ORANGE, CA 92865nayeli@goldcoastdental.com714-282-2490Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: DentistAlbaghdadi, Amro NPI: 1891355525 Gender: Male License: 103749 Specialty: DentistChow, Alvin NPI: 116456944 Gender: Male License: 41905 Specialty: DentistDabek, Leva NPI: 1962807537 Gender: Female License: 102194 Specialty: DentistDolas, Peter NPI: 1619972726 Language: Spanish License: 32296 Specialty: DentistFollico, Anthony NPI: 1568565653 Gender: Male Language: Persian Spanish License: 41078 Specialty: DentistFuruichi, Richard NPI: 1356542666 License: 44477 Specialty: DentistKim, Insoo NPI: 1104094580 Gender: Male License: 30377 Specialty: DentistKim, Michael NPI: 1174945273 Gender: Male License: 101618 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Loomis, Robert NPI: 1437205739 License: 48640 Specialty: DentistPatel, Mili NPI: 1851723472 Language: Spanish License: 63215 Specialty: Dentist

Orange Dental GroupProvider ID: CA4306235 S Tustin StOrange, CA 92866aheidari@hotmail.com714-744-0044*PCP assignment limitationsAssociates:Heidarinia, Akbar NPI: 1306043872 Language: Spanish Persian License: 37117 Specialty: Dentist

Orange Hill DentalProvider ID: CA6483138 E Chapman Ave Ste AOrange, CA 92869contactus@orangehilldental.com714-639-2703Associates:Sabet, Joseph NPI: 1952409211 Language: Persian Spanish License: 38223 Specialty: Dentist

Thuan NguyenProvider ID: CA51531872 N Tustin StreetORANGE, CA 92865tpdg123@gmail.com714-637-8662Associates:Nguyen, Thuan NPI: 1780776922 Gender: Male License: 41290 Specialty: Dentist

Nguyen, Thuan NPI: 1992332472 License: 41290 Specialty: Dentist

Town and County Dental CenterProvider ID: CA42971111 W Town and Country Rd Ste 33Orange, CA 92868tcdc777@yahoo.com714-285-0505Associates:Cheng, Melissa NPI: 1083805568 Language: Spanish Chinese License: 35860 Specialty: Dentist

West Coast Dental GroupProvider ID: CA2729179 N Tustin StOrange, CA 92867ora@westcoastdental.com714-288-1035Associates:Berman, Martha NPI: 1538129572 Gender: Female Language: Spanish License: 50039 Specialty: DentistElseisi, Tarek NPI: 1750854477 Gender: Male License: 103447 Specialty: DentistEmbry, Shahrzad NPI: 1669534848 Language: Hindi Spanish License: 41132 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Hindi Spanish License: 60452 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: Dentist

Refaat, Youhanna NPI: 1760535686 Gender: Male License: 57076 Specialty: Dentist

PlacentiaCosmetic and Dental Implant CtrProvider ID: CA46771858 N Placentia AvePlacentia, CA 92870plamanager@cdicdental.com714-577-9070Associates:Nguyen, Trinh NPI: 1861611097 Language: Vietnamese Spanish License: 50658 Specialty: Dentist

Gentle Dental PlacentiaProvider ID: CA4927620 N Rose Dr Ste BPlacentia, CA 92870andersonje@interdent.com714-294-7134Associates:Peddireddy, Divya NPI: 1356782080 License: 62530 Specialty: DentistSimonian, Michael NPI: 1447314679 Language: Spanish License: 4188 Specialty: DentistZobaer, Mohammed NPI: 1609930700 Gender: Male License: 100078 Specialty: Dentist

Rancho Santa MargaritaSanta Margarita Dental GroupProvider ID: CA296922195 El Paseo Ste 260Rancho Santa Margarita, CA 92688info@santamargaritadental.com949-459-9300

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Larijani, Amir NPI: 1346340510 Language: Persian Spanish License: 46854 Specialty: Dentist

So Cal Smiles DentistryProvider ID: CA488122195 El Paseo Ste 220Rancho Santa Margarita, CA 92688drk@socalsmiles.net949-766-0006Associates:Karafin, Scott NPI: 1922393313 Gender: Male License: 59599 Specialty: Dentist

San Juan CapistranoCapistrano Dental GroupProvider ID: CA418732112 Camino CapistranoSan Juan Capistrano, CA 92675capistranodental@gmail.com949-487-3273*PCP assignment limitationsAssociates:Fahmy, Diaa NPI: 1053405126 Language: Persian Arabic License: 34091 Specialty: Dentist

SANTA ANAAnisha Nguyen DDS Prof CorpProvider ID: CA51915127 E Edinger Ave Suite ESANTA ANA, CA 92704info@mlsqrprkdtlgrp.com714-775-0650Associates:Nguyen, Anisha NPI: 1871653667 Language: Spanish License: 55386 Specialty: Dentist

Morning DentalProvider ID: CA49451125 E 17th St Ste W127Santa Ana, CA 92701snguyen@morningdental.com714-541-9203Associates:Nguyen, Bao NPI: 1487768743 License: 42378 Specialty: Dentist

Gardner Dental CorporationProvider ID: CA49281617 E 1st St Ste ASanta Ana, CA 92701santaanasmilesdental@gamil.com714-617-5048Associates:Gardner, Michael NPI: 1538507322 License: 60485 Specialty: Dentist

Iraj Ebrami, DDS IncProvider ID: CA6632200 E FRUIT ST.Suite 206SANTA ANA, CA 92701irajebramidds@gmail.com714-543-7770Associates:Ebrami, Iraj NPI: 1235254715 Language: Persian License: 32065 Specialty: Dentist

Santa Maria Dental OfficeProvider ID: CA4675801 N Tustin Ave Ste 502Santa Ana, CA 92705santamariadental502@gmail.com714-505-1641

Associates:Guirguis, Heba NPI: 1629247390 Language: Spanish License: 51071 Specialty: Dentist

United Dental CareProvider ID: CA43241710 E 17th St Ste ESanta Ana, CA 92705karmenbakaen@hotmail.com714-564-9000Associates:Bakaen, Karmen NPI: 1417015777 Language: Spanish License: 46360 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA46052701 W 1st StSanta Ana, CA 92703001wsa@westerndental.com714-973-2022Associates:Abdelhadi, Hatem NPI: 1962658955 Language: Spanish Hindi License: 57440 Specialty: DentistAhuja, Ashley NPI: 1083056014 Language: Spanish Hindi License: 62487 Specialty: DentistAl-Salti, Rula NPI: 1922293570 Language: Hindi Spanish License: 54546 Specialty: DentistAshtiany, Azadeh NPI: 1639508278 Language: Spanish Hindi License: 63011 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Awad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistAzimi, Shideh NPI: 1811180839 Language: Spanish Hindi License: 44455 Specialty: DentistBasha, Mariana NPI: 1073888152 Language: Hindi Spanish License: 61130 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Hindi Spanish License: 63227 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Spanish Hindi License: 63541 Specialty: DentistChen, Connie NPI: 1174677819 Language: Vietnamese Spanish License: 49489 Specialty: DentistChoi, Jo NPI: 1265768998 Language: Hindi Spanish License: 47245 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Hindi Spanish License: 42538 Specialty: DentistDu, Tran NPI: 1184975880 Language: Spanish Hindi License: 61899 Specialty: Dentist

Elhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistEmbry, Shahrzad NPI: 1669534848 Language: Spanish Hindi License: 41132 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Spanish Hindi License: 57437 Specialty: DentistFayoumi, Hassan NPI: 1831269489 Language: Spanish Hindi License: 52604 Specialty: DentistGad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGhalchi, Azita NPI: 1659437036 Language: Hindi Spanish License: 49529 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistHamdan, Hadi NPI: 1922145044 Language: Tagalog Persian License: 47901 Specialty: DentistHanna, Amal NPI: 1043555162 Language: Spanish Persian License: 62068 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: Dentist

Izvernari, Paula NPI: 1639463888 Language: Hindi Spanish License: 60367 Specialty: DentistKhamsei, Laila NPI: 1770775181 Language: Spanish Hindi License: 54594 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistLazo, Antonio NPI: 1225196165 Language: Spanish Hindi License: 51955 Specialty: DentistLe, Hanh NPI: 1619121811 Language: Spanish Hindi License: 57296 Specialty: DentistLee, Peter NPI: 1134139892 Language: Spanish Hindi License: 55223 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Spanish Hindi License: 60096 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Spanish Hindi License: 58621 Specialty: DentistMercado, Maria NPI: 1265618771 Language: Hindi Spanish License: 55872 Specialty: Dentist

83

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Mirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMokriy, Irene NPI: 1053647198 Language: Hindi Spanish License: 58972 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Arabic Spanish License: 40282 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistNguyen, Tu-Uyen NPI: 1548306996 Language: Spanish Hindi License: 49166 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistNiknafs, Kourosh NPI: 1982762985 Language: Spanish Hindi License: 43217 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Spanish Hindi License: 42690 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Hindi Spanish License: 55923 Specialty: DentistRivera, Jose NPI: 1013058346 Language: Spanish Hindi License: 42599 Specialty: DentistRizvi, Syed NPI: 1124271572 Language: Spanish Hindi License: 57825 Specialty: Dentist

Saleh, Dawlat NPI: 1538434899 Gender: Female Language: Hindi Spanish License: 61200 Specialty: DentistSamra, Ed NPI: 1023202264 Language: Hindi Spanish License: 41335 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Hindi Spanish License: 62498 Specialty: DentistTanious, Mariz NPI: 1528371457 Language: Spanish Hindi License: 62158 Specialty: DentistTran, Henry NPI: 1174677686 Language: Spanish Arabic License: 49423 Specialty: DentistTur, Damandeep NPI: 1437465721 Language: Spanish License: 59712 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Hindi Spanish License: 57668 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistWilson, Tiffany NPI: 1760741458 Language: Spanish Arabic License: 62605 Specialty: Dentist

Wohn, Kumzoo NPI: 1770659716 Language: Spanish Hindi License: 43409 Specialty: Dentist

StantonSmile Factory DentalProvider ID: CA26107025 Katella AveStanton, CA 90680stantondentalcare714@gmail.com714-229-1234Associates:Chu, Jeffrey NPI: 1467563841 Language: Spanish Chinese License: 43922 Specialty: Dentist

TustinAA Family Dental GroupProvider ID: CA447918102 Irvine Blvd Ste 205Tustin, CA 92780aafamilydentalgroup@gmail.com714-731-5656Associates:Brar, Jasleen NPI: 1790900199 Language: Spanish License: 43903 Specialty: Dentist

Ashokkumar S metha DDS IncProvider ID: CA2640740 El Camino Real Ste 200Tustin, CA 92780mdgtustin@gmail.com714-838-3230Associates:Mehta, Ashok NPI: 1316149370 Language: Hindi Spanish License: 28761 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Amanda Rafi DMD APDCProvider ID: CA501114591 Newport Ave # 108Tustin, CA 92780rafidentalgroup@gmail.com949-771-7234Associates:Rafi, Amanda NPI: 1003269671 License: 101009 Specialty: Dentist

Tustin Dental CareProvider ID: CA4980275 Centennial Way, Ste 109TUSTIN, CA 92780tustinsmiles@outlook.com714-832-8089Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: DentistAlbaghdadi, Amro NPI: 1891355525 Gender: Male License: 103749 Specialty: DentistBoval, Diane Lee NPI: 1467554394 Language: Spanish License: 48630 Specialty: DentistChow, Alvin NPI: 116456944 Gender: Male License: 41905 Specialty: DentistDabek, Leva NPI: 1962807537 Gender: Female License: 102194 Specialty: DentistDolas, Peter NPI: 1619972726 Language: Spanish License: 32296 Specialty: Dentist

Follico, Anthony NPI: 1568565653 Gender: Male Language: Spanish Persian License: 41078 Specialty: DentistFuruichi, Richard NPI: 1356542666 License: 44477 Specialty: DentistKim, Insoo NPI: 1104094580 Gender: Male License: 30377 Specialty: DentistKim, Michael NPI: 1174945273 Gender: Male License: 101618 Specialty: DentistLoomis, Robert NPI: 1437205739 License: 48640 Specialty: DentistPatel, Mili NPI: 1851723472 Language: Spanish License: 63215 Specialty: DentistRafi, Amanda NPI: 1003269671 License: 101009 Specialty: Dentist

Zareh And Zareh Dental Inc.Provider ID: CA485713830 Red Hill AveTustin, CA 92780drzareh-staff@yahoo.com714-832-1730Associates:Zareh, Negar NPI: 1144424003 Language: Persian License: 49257 Specialty: Dentist

WESTMINSTERAntonious Dawood DMD CorpProvider ID: CA51886462 Westminster BoulevardWESTMINSTER, CA 92683adawooddental@gmail.com714-898-8728Associates:Dawood, Antonious NPI: 1164917092 Gender: Male License: 102541 Specialty: Dentist

Christopher B. Wong, DDSProvider ID: CA6989900 McFadden Ave Ste 102Westminster, CA 92683714-531-1131Associates:Chiu, Anna NPI: 1134397482 Language: Spanish License: 27415 Specialty: DentistWong, Christopher NPI: 1104948447 Language: Spanish License: 24892 Specialty: Dentist

Sam C. Morcos, DDSProvider ID: CA43337271 Westminster BlvdWestminster, CA 92683info@drmorcos.com714-894-3306Associates:Morcos, Sam NPI: 1881814101 Language: Vietnamese Spanish License: 33077 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Taylor Pham Dental Corp.Provider ID: CA447715310 Goldenwest StWestminster, CA 92683goldenwestdental@yahoo.com714-893-2411Associates:Huffman, Karen NPI: 1396085502 Language: Spanish Vietnamese License: 39159 Specialty: DentistPham, Taylor NPI: 1467460436 Language: Spanish Vietnamese License: 43483 Specialty: Dentist

Yorba LindaEastlake Village DentalProvider ID: CA294020429 Yorba Linda BlvdYorba Linda, CA 92886washingtondentalgrp@gmail.com714-695-9530Associates:Nadir-Mohammadi, Shahla NPI: 1063549483 Language: Spanish Persian License: 44744 Specialty: Dentist

Yorba Linda Dental CareProvider ID: CA498120395 Yorba Linda BlvdYORBA LINDA, CA 92886ylsmiles@outlook.com714-693-5555Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: DentistAlbaghdadi, Amro NPI: 1891355525 Gender: Male License: 103749 Specialty: Dentist

Boval, Diane Lee NPI: 1467554394 Language: Spanish License: 48630 Specialty: DentistChow, Alvin NPI: 116456944 Gender: Male License: 41905 Specialty: DentistDabek, Leva NPI: 1962807537 Gender: Female License: 102194 Specialty: DentistDolas, Peter NPI: 1619972726 Language: Spanish License: 32296 Specialty: DentistFollico, Anthony NPI: 1568565653 Gender: Male Language: Persian Spanish License: 41078 Specialty: DentistFuruichi, Richard NPI: 1356542666 License: 44477 Specialty: DentistKim, Insoo NPI: 1104094580 Gender: Male License: 30377 Specialty: DentistKim, Michael NPI: 1174945273 Gender: Male License: 101618 Specialty: DentistLoomis, Robert NPI: 1437205739 License: 48640 Specialty: DentistNguyen, Bryant NPI: 1003125204 License: 59840 Specialty: DentistPatel, Mili NPI: 1851723472 Language: Spanish License: 63215 Specialty: Dentist

RIVERSIDEBanning

Dental WorksProvider ID: CA48896350 W Ramsey St Ste ABanning, CA 92220info@dentalworksbanning.com951-769-0466Associates:Ohannessian, Manuel NPI: 1710035910 Language: Arabic Spanish License: 54182 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA4497887 W Ramsey StBanning, CA 92220191whg@westerndental.com951-849-3214Associates:Abdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistAdame, James NPI: 1124340849 Language: Spanish Korean License: 32256 Specialty: DentistAl-Adami, Mustafa NPI: 1750739983 Language: Spanish License: 100193 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Spanish Korean License: 60391 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Korean Spanish License: 62342 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Alexandrian, Andrea NPI: 1396884482 Language: Spanish Korean License: 49946 Specialty: DentistAlhassan, Waleed NPI: 1972895977 Language: Arabic Spanish License: 60324 Specialty: DentistAloka, Hussam NPI: 1780108696 Gender: Male License: 101379 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Hindi Spanish License: 52583 Specialty: DentistCadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: DentistChandarana, Mangal NPI: 1619109311 Language: Korean Spanish License: 59377 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Korean Spanish License: 43434 Specialty: Dentist

Dabbagh, Sarkis NPI: 1437207107 Language: Arabic Spanish License: 44303 Specialty: DentistDruckenmiller, Walter NPI: 1275674228 Language: Spanish License: 51700 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Spanish Korean License: 59237 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Spanish Arabic License: 56426 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Korean Spanish License: 62327 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistGad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGupta, Shilpa NPI: 1750419578 Language: Spanish License: 51256 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Korean Spanish License: 51809 Specialty: DentistHashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: Dentist

Hedayat, Iman NPI: 1235561713 Language: Spanish Arabic License: 62640 Specialty: DentistHoang, Anh NPI: 1134346257 Language: Spanish Korean License: 55573 Specialty: DentistHuq, Syeda NPI: 1861669533 Language: Arabic Spanish License: 56971 Specialty: DentistIqbal, Shazia NPI: 1083821938 Language: Arabic Spanish License: 54895 Specialty: DentistJameel, Sam NPI: 1609365675 License: 102404 Specialty: DentistJandali, Azza NPI: 1518172667 Language: Arabic Spanish License: 46833 Specialty: DentistJennings-Galdeano, Mary NPI: 1790971588 License: 56195 Specialty: DentistJin, Hangqing NPI: 1164581260 Language: Spanish Arabic License: 52616 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Arabic Spanish License: 48479 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistMiranda-Oglesby, Cecilia NPI: 1700445152 License: 103752 Specialty: Dentist

87

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Morales, Ma Judina NPI: 1114077351 Gender: Female Language: Spanish Hindi License: 45927 Specialty: DentistMoreno, Ivan NPI: 1265582258 Language: Spanish License: 49605 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Spanish Arabic License: 40282 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Spanish Korean License: 62270 Specialty: DentistNieto, Angelica NPI: 1891084836 Language: Spanish License: 60200 Specialty: DentistObeidat, Batool NPI: 1649659665 Gender: Female License: 64466 Specialty: DentistPangilinan, Juanito NPI: 1114120094 Language: Spanish License: 44235 Specialty: DentistPangilinan, Roderick NPI: 1386711901 Language: Spanish License: 54295 Specialty: DentistPham, Quan NPI: 1932235652 Language: Spanish Korean License: 50175 Specialty: DentistRolle, Maxime NPI: 1083085401 License: 65119 Specialty: DentistRosas, Ramiro NPI: 1457533440 Language: Spanish License: 56636 Specialty: Dentist

Rubino, Giacinto NPI: 1639155526 Language: Korean Spanish License: 29441 Specialty: DentistSalem, Mahmoud NPI: 1962570689 Language: Spanish Arabic License: 48371 Specialty: DentistSalem, Yara NPI: 1750790879 Language: Spanish License: 63700 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Arabic Spanish License: 56775 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistShah, Megha NPI: 1679984439 Language: Spanish Korean License: 63398 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistTarassoli, Yasamin NPI: 1245565159 Language: Spanish Arabic License: 58745 Specialty: DentistVasquez, Jerson NPI: 1609904366 Language: Spanish Hindi License: 45535 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: Dentist

Wang, Le NPI: 1639230733 Language: Korean Spanish License: 52789 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Spanish Korean License: 50777 Specialty: Dentist

BeaumontBeaumont Cherry Valley DentalProvider ID: CA48621202 Beaumont AveBeaumont, CA 92223info@danielparkdds.com951-845-2661Associates:Park, Daniel NPI: 1598803116 Language: Korean License: 47983 Specialty: Dentist

Dr Lee Beaumont DentalProvider ID: CA5144930 Beaumont AvenueBEAUMONT, CA 92223drleebeaumontdental@gmail.com951-845-2200Associates:Lee, Dae NPI: 1750501540 Language: Korean Spanish License: 53618 Specialty: Dentist

Cathedral CityRuben Mendez, DDS Dental OfcProvider ID: CA438268100 Ramon Rd Ste A4Cathedral City, CA 92234info@rubenmendezdds.com760-483-3344*PCP assignment limitations

88

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Mendez, Ruben NPI: 1245371582 Language: Spanish License: 50644 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA449569160 Ramon Rd Ste 100Cathedral City, CA 92234168hcy@westerndental.com760-969-5469Associates:Abdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistAdame, James NPI: 1124340849 Language: Spanish Korean License: 32256 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Korean Spanish License: 60391 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Spanish Korean License: 62342 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Spanish Korean License: 49946 Specialty: DentistAlhassan, Waleed NPI: 1972895977 Language: Spanish Arabic License: 60324 Specialty: DentistAloka, Hussam NPI: 1780108696 Gender: Male License: 101379 Specialty: Dentist

Alqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBeck, Yanina NPI: 1588845564 License: 56517 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistDabbagh, Sarkis NPI: 1437207107 Language: Arabic Spanish License: 44303 Specialty: DentistDruckenmiller, Walter NPI: 1275674228 Language: Spanish License: 51700 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Korean Spanish License: 59237 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Spanish Korean License: 62327 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: Dentist

Gad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGupta, Shilpa NPI: 1750419578 Language: Spanish License: 51256 Specialty: DentistHadid, Nawar NPI: 1699327353 License: 103986 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Spanish Korean License: 51809 Specialty: DentistHashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: DentistHedayat, Iman NPI: 1235561713 Language: Spanish Arabic License: 62640 Specialty: DentistHuq, Syeda NPI: 1861669533 Language: Arabic Spanish License: 56971 Specialty: DentistJandali, Azza NPI: 1518172667 Language: Arabic Spanish License: 46833 Specialty: DentistJhala, Toral NPI: 1609366186 License: 102416 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Spanish Arabic License: 48479 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Spanish Hindi License: 40255 Specialty: Dentist

89

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Mehta, Vidit NPI: 1649768862 License: 102386 Specialty: DentistMoreno, Ivan NPI: 1265582258 Language: Spanish License: 49605 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Spanish Arabic License: 40282 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistNieto, Angelica NPI: 1891084836 Language: Spanish License: 60200 Specialty: DentistNojomian, Sima NPI: 1669537577 Language: Persian Spanish License: 52095 Specialty: DentistPangilinan, Juanito NPI: 1114120094 Language: Spanish License: 44235 Specialty: DentistPangilinan, Roderick NPI: 1386711901 Language: Spanish License: 54295 Specialty: DentistPham, Quan NPI: 1932235652 Language: Spanish Korean License: 50175 Specialty: DentistPleasant, Kristy NPI: 1639637986 Gender: Female License: 105423 Specialty: DentistRasul, Mamoona NPI: 1831305010 Language: Spanish License: 55402 Specialty: Dentist

Reina, Osbalda NPI: 1013156793 Gender: Female License: 58068 Specialty: DentistRosas, Ramiro NPI: 1457533440 Language: Spanish License: 56636 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Korean Spanish License: 29441 Specialty: DentistSabbagh, Ahmad NPI: 1831250489 Language: Arabic Persian License: 52108 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Spanish Korean License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Arabic Spanish License: 56775 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSourial, Nash NPI: 1699931394 Language: Spanish License: 57395 Specialty: DentistTarassoli, Yasamin NPI: 1245565159 Language: Spanish Arabic License: 58745 Specialty: Dentist

Vasquez, Jerson NPI: 1609904366 Language: Spanish Hindi License: 45535 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Hindi Spanish License: 50996 Specialty: Dentist

CATHEDRAL CTYDong J. Kim, D.D.S.Provider ID: CA516469420 RAMON RDCATHEDRAL CTY, CA 92234puredentalca@gmail.com760-202-1171Associates:Tak, Cunthia NPI: 1871901165 License: 45327 Specialty: Dentist

CoronaCorona Family Dental GroupProvider ID: CA41311358 W 6th St Ste 101Corona, CA 92882coronafamdental@att.net951-734-4620Associates:Abdo, Abdo NPI: 1841406204 License: 46718 Specialty: DentistElGendi, Haitham NPI: 1720053325 Language: Arabic Spanish License: 46787 Specialty: DentistOhannessian, Manuel NPI: 1710035910 Language: Arabic Spanish License: 54182 Specialty: Dentist

90

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Samaan, Ehab NPI: 1437220688 Language: Arabic Spanish License: 49798 Specialty: Dentist

Cox Dental CorporationProvider ID: CA29941074 W 6th St Ste 104Corona, CA 92882campuzanob@interdent.com951-279-7650Associates:Gewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistJain, Shweta NPI: 1225646706 Gender: Female License: 104998 Specialty: DentistPlaton, Ana NPI: 1962520452 Language: Spanish License: 50699 Specialty: DentistSingh, Harprabh NPI: 1922254010 Language: Arabic Spanish License: 58473 Specialty: Dentist

Eastvale DentalProvider ID: CA47426987 Hamner Ave Ste 5Corona, CA 92880luong100@mail.chapman.edu951-371-3464Associates:Dinh, Lan NPI: 1114976347 Language: Vietnamese License: 49743 Specialty: Dentist

Dinh, Viet NPI: 1366602922 Language: Vietnamese License: 57092 Specialty: Dentist

Joseph Rajabi, DDS Inc.Provider ID: CA4275900 S Main St Ste 107Corona, CA 92882rajabidds@gmail.com951-734-4170

McKinley DentistryProvider ID: CA4312115 N McKinley St Ste 105Corona, CA 92879mckinleydentistry@gmail.com951-280-9300Associates:Shah, Rajesh NPI: 1205056264 Language: Spanish License: 46135 Specialty: Dentist

Orchard Dental GroupProvider ID: CA44582150 California Ave Ste 107Corona, CA 92881orcharddental@awesomedds.com951-279-4333Associates:Yue, Alden NPI: 1225245012 Language: Persian Chinese License: 48068 Specialty: Dentist

Towne Dental PracticeProvider ID: CA4698800 Magnolia Ave Ste 103Corona, CA 92879inspektorj@sbcglobal.net951-736-1822

Associates:Inspektor, Jeffrey NPI: 1760519995 Language: Spanish License: 33102 Specialty: Dentist

West Coast Dental GroupProvider ID: CA48181160 E. Ontario Ave Ste. 102 and 103Corona, CA 92881crn@westcoastdental.com951-547-7484Associates:Aranguren, Gustavo Gender: Male License: 103504 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Hindi Spanish License: 57437 Specialty: DentistHameed, Zainab NPI: 1982793204 Gender: Female License: 50921 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Spanish Hindi License: 63539 Specialty: DentistLewin, Enrique NPI: 1669843496 Gender: Male Language: Spanish Portuguese License: 65218 Specialty: DentistManavi, Farhad Language: Spanish Persian License: 38558 Specialty: DentistMarini, Shabnam NPI: 1548676190 Language: Arabic Spanish License: 63566 Specialty: Dentist

91

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Peterson, Robert NPI: 1750420865 Language: Persian License: 28971 Specialty: DentistPezold, Janet NPI: 1003302969 Gender: Female License: 102641 Specialty: DentistSauk, Eric NPI: 1093822934 Language: Persian License: 54305 Specialty: DentistTavakoli, Sarah NPI: 1275967267 Gender: Female License: 62838 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA4494617 N Main StCorona, CA 92880951-736-9508Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistKatbamna, Dipak NPI: 1598925000 Gender: Male License: 57058 Specialty: DentistNguyen, Hoang NPI: 1851462147 Language: Spanish License: 40867 Specialty: Dentist

HemetWest Coast Dental Group of HemProvider ID: CA49433027 West Florida Ave Unit P1Hemet, CA 92545hem@westcoastdental.com951-791-9111Associates:Ahmed, Ambreen NPI: 1093117939 Gender: Male License: 63927 Specialty: DentistAl Badri, Bashar NPI: 1144792102 Gender: Male License: 103453 Specialty: DentistCabrera-Arellano, Jorge NPI: 1730603481 Gender: Male License: 101767 Specialty: DentistCavinder, Juana NPI: 1093915605 Gender: Female License: 44296 Specialty: DentistCowan, Evert NPI: 1215424379 License: 103315 Specialty: DentistElseisi, Tarek NPI: 1750854477 Gender: Male License: 103447 Specialty: DentistEsmeraldo, Victor NPI: 1790169613 Gender: Male License: 102536 Specialty: DentistKamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: Dentist

Nguyen, Darren NPI: 1851481675 Gender: Male License: 547532 Specialty: DentistNolasco, DDS, Russel NPI: 1295291516 Gender: Male License: 103537 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistPeterson, Robert NPI: 1750420865 Language: Persian License: 28971 Specialty: Dentist

Downtown DentalProvider ID: CA4784301 E Florida Ave Ste AHemet, CA 92543downtownhemetdds@gmail.com951-925-6621Associates:Auerbach, Todd NPI: 1598811408 License: 35372 Specialty: Dentist

Hemet SmilesProvider ID: CA47041001 S State St Ste BHemet, CA 92543951-658-6100Associates:Younesi, Hamid NPI: 1447341706 Language: Spanish License: 45796 Specialty: Dentist

92

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sahara DentalProvider ID: CA4644255 N Gilbert St Ste C1Hemet, CA 92543hemet@sahara-dental.com951-766-7990Associates:Jamal, Manar NPI: 1457602146 Language: Spanish Arabic Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA44912091 W Florida Ave Ste 100Hemet, CA 92545137bhe_om@westerndental.com951-929-2222Associates:Abai, Siamak NPI: 1699923375 License: 54930 Specialty: DentistAbdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistAdame, James NPI: 1124340849 Language: Korean Spanish License: 32256 Specialty: DentistAjdari, Soolmaz NPI: 1700121431 Language: Spanish License: 62861 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Spanish Korean License: 62342 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: Dentist

Alqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistArjmandi, Mojgan NPI: 1982903084 Language: Spanish License: 60158 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: DentistAwwad, Maher NPI: 1609936541 License: 46741 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBaha, Joseph NPI: 1669626511 Language: Arabic Spanish License: 62932 Specialty: DentistBakhtiari, Bahareh NPI: 1992104004 Language: Spanish License: 63790 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Hindi Spanish License: 52583 Specialty: DentistBishbish, Omran NPI: 1104272210 Gender: Male License: 100202 Specialty: DentistCadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: Dentist

Dalloul, Bashar NPI: 1235271917 Language: Spanish License: 53445 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDaoud, Hasan NPI: 1205156122 Language: Spanish Arabic License: 59297 Specialty: DentistDruckenmiller, Walter NPI: 1275674228 Language: Spanish License: 51700 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Spanish Korean License: 59237 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistFajardo, Maria NPI: 1447346614 Language: Spanish Hindi License: 50746 Specialty: DentistGad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Spanish Korean License: 56489 Specialty: Dentist

93

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Hady-Elhussiny, Aliaa NPI: 1144421918 Language: Spanish License: 55721 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Korean Spanish License: 51809 Specialty: DentistHashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: DentistHedayat, Iman NPI: 1235561713 Language: Spanish Arabic License: 62640 Specialty: DentistHuq, Syeda NPI: 1861669533 Language: Arabic Spanish License: 56971 Specialty: DentistHwang, Kelly NPI: 1790030633 Language: Arabic Spanish License: 61930 Specialty: DentistJameel, Sam NPI: 1609365675 License: 102404 Specialty: DentistJandali, Azza NPI: 1518172667 Language: Arabic Spanish License: 46833 Specialty: DentistJennings-Galdeano, Mary NPI: 1790971588 License: 56195 Specialty: DentistJin, Hangqing NPI: 1164581260 Language: Spanish Arabic License: 52616 Specialty: DentistKalawi, Sophia NPI: 1588980007 Language: Spanish License: 58838 Specialty: Dentist

Kaur, Parminder NPI: 1851601801 Language: Spanish License: 59864 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Arabic Spanish License: 48479 Specialty: DentistKhedraki, Noor NPI: 1003140146 Language: Vietnamese Spanish License: 58840 Specialty: DentistKim, Dae NPI: 1427466598 Language: Spanish License: 63755 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Spanish Hindi License: 40255 Specialty: DentistKyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLe, Thang NPI: 1053479345 Gender: Male License: 43286 Specialty: DentistLe, Tommy NPI: 1639327836 Gender: Male License: 57630 Specialty: DentistLloren, Glenda NPI: 1790846996 Language: Chinese Spanish License: 42849 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: DentistMarshall, Rosanna NPI: 1821156191 Language: Spanish License: 47944 Specialty: Dentist

Martinez, Norma NPI: 1336349646 Language: Spanish Arabic License: 55656 Specialty: DentistMehta, Vidit NPI: 1649768862 License: 102386 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMiranda-Oglesby, Cecilia NPI: 1700445152 License: 103752 Specialty: DentistMoreno, Ivan NPI: 1265582258 Language: Spanish License: 49605 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Spanish Arabic License: 40282 Specialty: DentistNarra, Harika NPI: 1306458443 Gender: Female License: 105336 Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Spanish Arabic License: 46905 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Spanish Korean License: 62270 Specialty: DentistObeidat, Batool NPI: 1649659665 Gender: Female License: 64466 Specialty: DentistPangilinan, Juanito NPI: 1114120094 Language: Spanish License: 44235 Specialty: Dentist

94

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Pham, Quan NPI: 1932235652 Language: Spanish Korean License: 50175 Specialty: DentistPicache, Oscar NPI: 1336290535 Language: Spanish License: 49188 Specialty: DentistRasul, Mamoona NPI: 1831305010 Language: Spanish License: 55402 Specialty: DentistReina, Osbalda NPI: 1013156793 Gender: Female License: 58068 Specialty: DentistRosas, Ramiro NPI: 1457533440 Language: Spanish License: 56636 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Spanish Korean License: 29441 Specialty: DentistSadduk, Ali NPI: 1144487679 Language: Spanish License: 57006 Specialty: DentistSalem, Mahmoud NPI: 1962570689 Language: Arabic Spanish License: 48371 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Arabic Spanish License: 56775 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: Dentist

Shah, Kiran NPI: 1639275050 Language: Spanish Korean License: 48014 Specialty: DentistShah, Megha NPI: 1679984439 Language: Spanish Korean License: 63398 Specialty: DentistShin, Esther NPI: 1912240169 Language: Spanish Arabic License: 63733 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSood, Iyad NPI: 1447370184 Language: Spanish License: 57812 Specialty: DentistTran, Henry NPI: 1174677686 Language: Spanish Arabic License: 49423 Specialty: DentistTran, Vylinh NPI: 1730159013 Language: Spanish License: 59438 Specialty: DentistVasquez, Jerson NPI: 1609904366 Language: Spanish Hindi License: 45535 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistVisic, Kristina NPI: 1477895191 Language: Spanish License: 63864 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Spanish Hindi License: 48693 Specialty: Dentist

IndioInland Dental SpecialtiesProvider ID: CA408444100 Jefferson St Ste 404Indio, CA 92201frontdesk@idc-heritagecourt.com760-772-0214*PCP assignment limitationsAssociates:Boyd, Anthony NPI: 1528128261 Gender: Male Language: Spanish License: 38650 Specialty: DentistCuccia, Victor NPI: 1659637627 Language: Spanish License: 18458 Specialty: DentistGlick, Melvin NPI: 1194037648 Language: Spanish License: 21576 Specialty: DentistJeon, Christopher NPI: 1891189452 Gender: Male Language: Korean License: 64330 Specialty: DentistLe, Peter NPI: 1811475908 Gender: Male License: 102933 Specialty: DentistZurmati, Farid NPI: 1588767669 Gender: Male License: 101875 Specialty: Dentist

Cox Dental CorporationProvider ID: CA402381557 Dr Carreon Blvd Ste D3Indio, CA 92201indio@gentle1.com760-775-5284

95

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistJanku, Yvetta NPI: 1912112442 Language: Spanish License: 48469 Specialty: DentistNarula, Jai NPI: 1154914737 License: 106006 Specialty: DentistPham, Kristine NPI: 1093927766 Gender: Female License: 54189 Specialty: Dentist

Pacific Wave DentalProvider ID: CA506345-841 Oasis St Suite 3INDIO, CA 92201s.paciciwavedental@gmail.com760-289-7116Associates:Rodriguez, James NPI: 1134661150 Gender: Male License: 30484 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA449681735 US Hwy 111 Ste AIndio, CA 92201167wld@westerndental.com760-391-4466Associates:Abdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: Dentist

Aloka, Hussam NPI: 1780108696 Gender: Male License: 101379 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistPasha, Farheen NPI: 1265882963 License: 100267 Specialty: DentistPleasant, Kristy NPI: 1639637986 Gender: Female License: 105423 Specialty: DentistReina, Osbalda NPI: 1013156793 Gender: Female License: 58068 Specialty: Dentist

Jurupa ValleyWestern Dental Services, IncProvider ID: CA50854834 Etiwanda Ave. Ste 200Jurupa Valley, CA 91752mdelizarrarraz@westerndental.com951-688-7106Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: Dentist

Cadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistJandali, Azza NPI: 1518172667 Language: Spanish Arabic License: 46833 Specialty: DentistKobrossi, Marcelle NPI: 1750423695 Language: Spanish Persian License: 55200 Specialty: DentistMoghadam, Afrooz NPI: 1295262012 License: 101340 Specialty: DentistParker, George NPI: 1407334535 Gender: Male License: 102895 Specialty: DentistPascal, Jeffery NPI: 1750740015 Gender: Male License: 102101 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistSalem, Mahmoud NPI: 1962570689 Language: Spanish Arabic License: 48371 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: Dentist

96

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

La QuintaJefferson DentalProvider ID: CA470379800 Hwy 111 Ste 109La Quinta, CA 92253syedahuq01@yahoo.com760-775-0600Associates:Huq, Syeda NPI: 1861669533 Language: Arabic Spanish License: 56971 Specialty: Dentist

Lake ElsinoreNew Smile DentalProvider ID: CA4791361 Railroad Canyon Rd Ste ALake Elsinore, CA 92532new_smile1@yahoo.com951-471-1400Associates:Tran, Jana NPI: 1184650418 Language: Vietnamese Spanish License: 44107 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA477931960 Mission TrlLake Elsinore, CA 92530815wle@westerndental.com951-643-6094Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Spanish Korean License: 62342 Specialty: Dentist

Awwad, Maher NPI: 1609936541 License: 46741 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Arabic Spanish License: 56775 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: Dentist

MenifeeCohen Sedgh, Manavi and PakravProvider ID: CA491230035 Haun Rd Unit BMenifee, CA 92584mreyes@westcoastdental.com951-566-9090Associates:Al Badri, Bashar NPI: 1144792102 Gender: Male License: 103453 Specialty: DentistEsmeraldo, Victor NPI: 1790169613 Gender: Male License: 102536 Specialty: DentistFang, Michelle NPI: 1164751426 License: 43336 Specialty: Dentist

Lewin, Enrique NPI: 1669843496 Gender: Male Language: Spanish Portuguese License: 65218 Specialty: DentistNolasco, DDS, Russel NPI: 1295291516 Gender: Male License: 103537 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: Dentist

Mira LomaLimonite DentalProvider ID: CA420412363 Limonite Ave Ste 960Mira Loma, CA 91752info@limonitedental.com951-360-2020Associates:Tran, Huey NPI: 1760579080 Language: Vietnamese Spanish License: 44371 Specialty: Dentist

MORENO VALLEYGold Coast Dental Moreno valleProvider ID: CA517411875 Pigeon Pass Rd, Suite B9MORENO VALLEY, CA 92557gloria@goldcoastdental.com562-242-1404Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: DentistAlbaghdadi, Amro NPI: 1891355525 Gender: Male License: 103749 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Berman, Martha NPI: 1538129572 Gender: Female Language: Spanish License: 50039 Specialty: DentistBoval, Diane Lee NPI: 1467554394 Language: Spanish License: 48630 Specialty: DentistFollico, Anthony NPI: 1568565653 Gender: Male Language: Persian Spanish License: 41078 Specialty: DentistFuruichi, Richard NPI: 1356542666 License: 44477 Specialty: DentistKim, Insoo NPI: 1104094580 Gender: Male License: 30377 Specialty: DentistLoomis, Robert NPI: 1437205739 License: 48640 Specialty: DentistNguyen, Bryant NPI: 1003125204 License: 59840 Specialty: DentistPatel, Mili NPI: 1851723472 Language: Spanish License: 63215 Specialty: Dentist

Smiles WestProvider ID: CA505112252 Perris Blvd Suite BMoreno Valley, CA 92557morenovalley@smileswest.com951-801-4382Associates:Deirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: Dentist

Eng, Wellington NPI: 1962616540 Gender: Male License: 40431 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: DentistGochez, Jaime NPI: 1326151218 License: 39961 Specialty: Dentist

Gentle Dental Moreno ValleyProvider ID: CA279112800 Heacock St Ste A1Moreno Valley, CA 92553vailk@interdent.com951-247-2688Associates:Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistLu, Jason NPI: 1285818666 License: 48502 Specialty: DentistMcGregor, Elizabeth NPI: 1669682589 Language: Spanish License: 47286 Specialty: DentistSaran, Neeraj NPI: 1407191604 Gender: Male License: 61970 Specialty: Dentist

Tedjakusnadi, Yudi NPI: 1649348970 Language: Spanish License: 41795 Specialty: Dentist

Image DentistryProvider ID: CA233023205 Sunnymead BlvdMoreno Valley, CA 92553imagedentistry@yahoo.com951-242-6242*PCP assignment limitationsAssociates:Im, Ted NPI: 1114083193 Language: Spanish Korean License: 40950 Specialty: Dentist

Moreno Dental CareProvider ID: CA464723750 Alessandro Blvd Ste O102Moreno Valley, CA 92553morenodental@yahoo.com951-656-0088Associates:Kim, Rick NPI: 1124156427 License: 48622 Specialty: Dentist

Iris Dental CareProvider ID: CA488415952 Perris Blvd Ste EMoreno Valley, CA 92551irisdentalcare@hotmail.com951-243-0282Associates:Gonzalez, Pedro NPI: 1770622052 Gender: Male Language: Spanish License: 46808 Specialty: Dentist

98

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Robert Thomas Silvola, DDSProvider ID: CA485312810 Heacock St Ste B103Moreno Valley, CA 92553rsdds@netpipeline.net951-242-3441Associates:Silvola, Robert NPI: 1073662235 Language: Spanish License: 31531 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA448923185 Hemlock Ave Ste 1Moreno Valley, CA 92557131wmv_om@westerndental.com951-243-1000Associates:Abdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistAdame, James NPI: 1124340849 Language: Spanish Korean License: 32256 Specialty: DentistAdams, Trenton NPI: 1104373612 License: 106614 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Spanish Korean License: 60391 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Korean Spanish License: 62342 Specialty: Dentist

Alexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAlhassan, Waleed NPI: 1972895977 Language: Spanish Arabic License: 60324 Specialty: DentistAloka, Hussam NPI: 1780108696 Gender: Male License: 101379 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBaha, Joseph NPI: 1669626511 Language: Arabic Spanish License: 62932 Specialty: DentistBell, James NPI: 1710395983 Language: Spanish Korean License: 63678 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: Dentist

Bourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistCadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: DentistChandarana, Mangal NPI: 1619109311 Language: Spanish Korean License: 59377 Specialty: DentistChen, Benson NPI: 1932395910 Language: Spanish Korean License: 56346 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Spanish Korean License: 43434 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDaoud, Hasan NPI: 1205156122 Language: Spanish Arabic License: 59297 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Spanish Korean License: 59237 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Spanish Arabic License: 56426 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Spanish Korean License: 62327 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: Dentist

99

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Ghrair, Suzan NPI: 1205999828 Language: Spanish Hindi License: 43158 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Korean Spanish License: 56489 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Korean Spanish License: 51809 Specialty: DentistHashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: DentistHedayat, Iman NPI: 1235561713 Language: Spanish Arabic License: 62640 Specialty: DentistHidalgo Ttupa, Elizabeth NPI: 1154572535 Language: Spanish License: 57761 Specialty: DentistHuq, Syeda NPI: 1861669533 Language: Arabic Spanish License: 56971 Specialty: DentistHwang, Kelly NPI: 1790030633 Language: Arabic Spanish License: 61930 Specialty: DentistJandali, Azza NPI: 1518172667 Language: Arabic Spanish License: 46833 Specialty: Dentist

Jin, Hangqing NPI: 1164581260 Language: Arabic Spanish License: 52616 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Spanish Arabic License: 48479 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Spanish Hindi License: 40255 Specialty: DentistKyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Spanish Korean License: 62067 Specialty: DentistLe, Thang NPI: 1053479345 Gender: Male License: 43286 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistLloren, Glenda NPI: 1790846996 Language: Spanish Chinese License: 42849 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Spanish Korean License: 62457 Specialty: Dentist

Martinez, Norma NPI: 1336349646 Language: Spanish Arabic License: 55656 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Spanish Arabic License: 40282 Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Spanish Arabic License: 46905 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Spanish Korean License: 62270 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistPham, Quan NPI: 1932235652 Language: Spanish Korean License: 50175 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Korean Spanish License: 29441 Specialty: DentistSalem, Mahmoud NPI: 1962570689 Language: Spanish Arabic License: 48371 Specialty: Dentist

100

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Santos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Spanish Arabic License: 56775 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Hindi Spanish License: 41993 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistShah, Megha NPI: 1679984439 Language: Korean Spanish License: 63398 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Korean Spanish License: 62410 Specialty: DentistSheikh, Haseeb NPI: 1801077904 Language: Arabic Spanish License: 56248 Specialty: DentistShin, Esther NPI: 1912240169 Language: Spanish Arabic License: 63733 Specialty: DentistSood, Iyad NPI: 1447370184 Language: Spanish License: 57812 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Spanish Korean License: 54212 Specialty: Dentist

Tran, Henry NPI: 1174677686 Language: Spanish Arabic License: 49423 Specialty: DentistTran, Kha-My NPI: 1104146745 License: 45052 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Spanish Hindi License: 48693 Specialty: DentistWang, Le NPI: 1639230733 Language: Spanish Korean License: 52789 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Korean Spanish License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Korean Spanish License: 62560 Specialty: Dentist

MurrietaCarlos L. Torres, D.D.S.Provider ID: CA499425341 Madison Ave Ste 103Murrieta, CA 92562dentalbiocosmetics@gmail.com951-677-2115Associates:Torres, Carlos NPI: 1093837080 Gender: Male Language: Spanish License: 50685 Specialty: Dentist

Gentle Dental IrvineProvider ID: CA496739872 Los Alamos Rd Ste A1Murrieta, CA 92562murrieta@gental1.com951-643-6119Associates:Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistOrtiz-Luis, Maricelle NPI: 1346269305 Gender: Female License: 47653 Specialty: DentistSales, Vivian NPI: 1891945978 Language: Spanish Tagalog License: 47558 Specialty: Dentist

DS park DDS IncProvider ID: CA467325285 Madison Ave Ste 107Murrieta, CA 92562madisonspringdental@smiledentalservices.com951-698-3585Associates:Al Kaissey, Qussay NPI: 1699308585 Gender: Male License: 104806 Specialty: DentistChien, Peter Solomon NPI: 1073931192 License: 63036 Specialty: DentistPark, David NPI: 1942410501 Gender: Male Language: Korean License: 53724 Specialty: Dentist

101

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Teng, Conan NPI: 1629703852 Gender: Male License: 101258 Specialty: Dentist

Margarita Dental GroupProvider ID: CA403939400 Murrieta Hot Springs Rd Ste123BMurrieta, CA 92563info@margaritadental.com951-461-7470Associates:Diep, Jeanie NPI: 1306178629 Gender: Female License: 58730 Specialty: DentistLee, James NPI: 1548329311 Language: Spanish License: 54782 Specialty: DentistTran, Huey NPI: 1760579080 Language: Spanish Vietnamese License: 44371 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA449025155 Madison Ave Ste 101Murrieta, CA 92562166wmu_om@westerndental.com951-834-9750Associates:Ajdari, Soolmaz NPI: 1700121431 Language: Spanish License: 62861 Specialty: DentistAldouri, Thaar NPI: 1467682815 License: 63186 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Spanish Korean License: 62342 Specialty: Dentist

Alexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAljanabi, Hadel NPI: 1497342737 License: 105882 Specialty: DentistAltamimi, Wesam NPI: 1649496290 Gender: Male Language: Arabic License: 49446 Specialty: DentistArjmandi, Mojgan NPI: 1982903084 Language: Spanish License: 60158 Specialty: DentistAwwad, Maher NPI: 1609936541 License: 46741 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBaha, Joseph NPI: 1669626511 Language: Arabic Spanish License: 62932 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Hindi Spanish License: 52583 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistCadalso, Robert NPI: 1003934761 Language: Spanish Persian License: 30639 Specialty: DentistDaoud, Hasan NPI: 1205156122 Language: Spanish Arabic License: 59297 Specialty: Dentist

Druckenmiller, Walter NPI: 1275674228 Language: Spanish License: 51700 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Spanish Korean License: 59237 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Spanish Korean License: 62327 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistFajardo, Maria NPI: 1447346614 Language: Hindi Spanish License: 50746 Specialty: DentistGad, Mona NPI: 1962564013 Language: Spanish Hindi License: 50910 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Korean Spanish License: 56489 Specialty: DentistGuarin, Adelaida NPI: 1639345721 Gender: Female License: 41414 Specialty: DentistHady-Elhussiny, Aliaa NPI: 1144421918 Language: Spanish License: 55721 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Korean Spanish License: 51809 Specialty: Dentist

102

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Hashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: DentistHedayat, Iman NPI: 1235561713 Language: Spanish Arabic License: 62640 Specialty: DentistHuq, Syeda NPI: 1861669533 Language: Arabic Spanish License: 56971 Specialty: DentistHwang, Kelly NPI: 1790030633 Language: Spanish Arabic License: 61930 Specialty: DentistJandali, Azza NPI: 1518172667 Language: Arabic Spanish License: 46833 Specialty: DentistJin, Hangqing NPI: 1164581260 Language: Arabic Spanish License: 52616 Specialty: DentistKalawi, Sophia NPI: 1588980007 Language: Spanish License: 58838 Specialty: DentistKaur, Parminder NPI: 1851601801 Language: Spanish License: 59864 Specialty: DentistKhasati, Shadi NPI: 1104978147 Gender: Male License: 50478 Specialty: DentistKhedraki, Noor NPI: 1003140146 Language: Vietnamese Spanish License: 58840 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: Dentist

Lang, Rebecca NPI: 1114232022 Language: Spanish License: 60494 Specialty: DentistLe, Tommy NPI: 1639327836 Gender: Male License: 57630 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: DentistMarshall, Rosanna NPI: 1821156191 Language: Spanish License: 47944 Specialty: DentistMartinez, Norma NPI: 1336349646 Language: Arabic Spanish License: 55656 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Hindi Spanish License: 60333 Specialty: DentistMendoza, Anna NPI: 1235280777 Gender: Female Language: Spanish License: 54178 Specialty: DentistMoreno, Ivan NPI: 1265582258 Language: Spanish License: 49605 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Spanish Arabic License: 40282 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Korean Spanish License: 62270 Specialty: Dentist

Partida, Hugo NPI: 1194244566 Gender: Male License: 101885 Specialty: DentistPham, Quan NPI: 1932235652 Language: Korean Spanish License: 50175 Specialty: DentistPicache, Oscar NPI: 1336290535 Language: Spanish License: 49188 Specialty: DentistReed, Maria Carmela NPI: 1750574851 Language: Spanish License: 54195 Specialty: DentistRosas, Ramiro NPI: 1457533440 Language: Spanish License: 56636 Specialty: DentistSadduk, Ali NPI: 1144487679 Language: Spanish License: 57006 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Spanish Korean License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Spanish Arabic License: 56775 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSood, Iyad NPI: 1447370184 Language: Spanish License: 57812 Specialty: Dentist

103

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Tawfiq, Khanda NPI: 1659678779 Language: Spanish License: 60213 Specialty: DentistTran, Vylinh NPI: 1730159013 Language: Spanish License: 59438 Specialty: DentistTrinh, Tan NPI: 1609243617 Gender: Male Language: Spanish License: 50836 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: Dentist

NorcoCox Dental CorporationProvider ID: CA27181260 Hamner Ave C & DNorco, CA 92860chacomm@interdent.com951-279-5200Associates:Cox, William NPI: 1972673507 Gender: Male Language: Persian Spanish License: 26160 Specialty: DentistKenfield, Melissa NPI: 1033237086 Language: Spanish License: 54808 Specialty: Dentist

West Coast DentalProvider ID: CA49622440 River Rd Ste 140Norco, CA 92860951-325-6111Associates:Berman, Martha NPI: 1538129572 Gender: Female Language: Spanish License: 50039 Specialty: Dentist

Lewin, Enrique NPI: 1669843496 Gender: Male Language: Spanish Portuguese License: 65218 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistPezold, Janet NPI: 1003302969 Gender: Female License: 102641 Specialty: Dentist

Palm DesertArias Muro Dental CorpProvider ID: CA478672855 Fred Waring Dr Ste C17-18Palm Desert, CA 92260santafedentalcorp@gmail.com760-561-5459Associates:Muro, Emilio NPI: 1952594103 Language: Spanish German License: 56232 Specialty: Dentist

Desert Dental AssociatesProvider ID: CA426372210 Hwy 111 Ste E-1Palm Desert, CA 92260drrehakdds@yahoo.com760-773-2111Associates:Rehak, Joseph NPI: 1568662021 Language: Spanish License: 52461 Specialty: Dentist

Palm Desert Dental CenterProvider ID: CA426873585 Fred Waring Dr Ste 101Palm Desert, CA 92260palmdesertdental@yahoo.com760-773-0052Associates:Younesi, Hamid NPI: 1447341706 Language: Spanish License: 45796 Specialty: Dentist

Parc Center Dental GroupProvider ID: CA411477564 Country Club Dr Ste 350Palm Desert, CA 92211parccenterdental@yahoo.com760-772-7082Associates:Dianatyazdi, Kourosh NPI: 1033205026 Language: Persian Spanish License: 50457 Specialty: DentistNadi, Hamid NPI: 1760578769 Language: Spanish Persian License: 50650 Specialty: Dentist

Sunlife Dental GroupProvider ID: CA464073211 Fred Waring Dr Ste 201PALM DESERT, CA 92260sunlifedental1@gmail.com760-568-3368Associates:Curiel, Michael NPI: 1134327695 Language: Spanish License: 29893 Specialty: Dentist

104

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Tellissi Family DentistryProvider ID: CA479972695 Hwy 111 Ste A8Palm Desert, CA 92260info@tellissifamilydentistry.com760-340-2160

Palm SpringsBassette A. Cayasso, DDSProvider ID: CA4634225 S Civic Dr Ste 2-9Palm Springs, CA 92262drcayasso@hotmail.com760-325-2878Associates:Cayasso, Bassette NPI: 1538294939 Language: Spanish License: 47052 Specialty: Dentist

Gentle Dentla Desert DentalProvider ID: CA28521111 E Tahquitz Canyon Wat Ste 210Palm Springs, CA 92262fonderr@interdent.com760-327-1125Associates:Cox, William NPI: 1972673507 Gender: Male Language: Persian Spanish License: 26160 Specialty: DentistHayes, Steven NPI: 1699989632 Gender: Male License: 20877 Specialty: Dentist

Tahquitz Dental GroupProvider ID: CA46611921 E Tahquitz Canyon WayPalm Springs, CA 92262info4mahmoudi@yahoo.com760-325-6480Associates:Mahmoudi, Armound NPI: 1013233386 Language: Spanish License: 43636 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA4493555 S Sunrise Way Ste 400Palm Springs, CA 92264194wps@westerndental.com760-322-6061Associates:Abdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistAloka, Hussam NPI: 1780108696 Gender: Male License: 101379 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: Dentist

Besada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistKhanbabakhani, Sina NPI: 1538727466 Gender: Male License: 105093 Specialty: DentistLee, Kang NPI: 1861567349 Gender: Male License: 45130 Specialty: DentistLee, Youngsyl NPI: 1831261866 Gender: Female License: 44418 Specialty: Dentist

PERRISGentle Dental PerrisProvider ID: CA49832560 N Perris Blvd Suite F-1PERRIS, CA 92571info@lgunahillssmile.com951-657-6466Associates:Gewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistMcGregor, Elizabeth NPI: 1669682589 Language: Spanish License: 47286 Specialty: Dentist

105

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

RIVERSIDERiversaide Dental CareProvider ID: CA51674595 La Sierra AvenueRIVERSIDE, CA 92505gloria@goldcoastdental.com951-688-6000Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: DentistAlbaghdadi, Amro NPI: 1891355525 Gender: Male License: 103749 Specialty: DentistBerman, Martha NPI: 1538129572 Gender: Female Language: Spanish License: 50039 Specialty: DentistBoval, Diane Lee NPI: 1467554394 Language: Spanish License: 48630 Specialty: DentistFollico, Anthony NPI: 1568565653 Gender: Male Language: Spanish Persian License: 41078 Specialty: DentistFuruichi, Richard NPI: 1356542666 License: 44477 Specialty: DentistLoomis, Robert NPI: 1437205739 License: 48640 Specialty: DentistNguyen, Bryant NPI: 1003125204 License: 59840 Specialty: DentistPatel, Mili NPI: 1851723472 Language: Spanish License: 63215 Specialty: Dentist

California Dental Group Of RivProvider ID: CA41853845 Pierce St Ste ARiverside, CA 92503caldcatriverside@yahoo.com951-359-1900Associates:Morgan, Jason NPI: 1992008080 Language: Vietnamese Spanish License: 50648 Specialty: Dentist

Cox Dental CorporationProvider ID: CA27193630 Central Ave Ste 6Riverside, CA 925061gonzalez@interdent.com951-682-1720Associates:Beguwala, Suhail NPI: 1255494266 License: 53578 Specialty: DentistFung, Glen NPI: 1861523870 Language: Spanish License: 44311 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistNasr, Randa NPI: 1679512453 Language: Spanish License: 55273 Specialty: DentistSaed, David NPI: 1790344935 Gender: Male License: 103756 Specialty: Dentist

Saran, Neeraj NPI: 1407191604 Gender: Male License: 61970 Specialty: Dentist

Cox Dental CorporationProvider ID: CA272210168 Indiana AveRiverside, CA 92503rochaa@interdent.com951-352-9747Associates:Cox, William NPI: 1972673507 Gender: Male Language: Persian Spanish License: 26160 Specialty: DentistDu, Katelyn NPI: 1275781650 Language: Spanish Persian License: 55428 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistLu, Jason NPI: 1285818666 License: 48502 Specialty: DentistMutinga, Mueni NPI: 1124224720 Language: Spanish License: 48518 Specialty: DentistNikahd, Mohammad NPI: 1104181916 Gender: Male License: 100044 Specialty: DentistSaed, David NPI: 1790344935 Gender: Male License: 103756 Specialty: Dentist

106

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Soliman, Ashraf NPI: 1275738353 Language: Spanish Persian License: 37923 Specialty: Dentist

Regal DentistryProvider ID: CA49313950 Pierce St Ste LRiverside, CA 92505info@regaldentistry.net951-688-0082Associates:Manalese, Jose NPI: 1770716672 License: 58729 Specialty: DentistSaed, Christine NPI: 1033636485 Gender: Female License: 101574 Specialty: Dentist

Julia Romitan, DDS, Inc.Provider ID: CA40016860 Brockton Ave Ste 12Riverside, CA 92506fundeanuddsinc@aol.com951-684-9917Associates:Romitan, Julia NPI: 1073728598 Language: German Spanish License: 49316 Specialty: Dentist

Kalyani DDS IncProvider ID: CA490417024 Van Buren Blvd Ste BRiverside, CA 92504woodcrestdentalstudio@gmail.com951-892-0022Associates:Kalyani, Harsh NPI: 1265832786 Gender: Male Language: Spanish Hindi License: 64010 Specialty: Dentist

West Coast Dental GrpProvider ID: CA51682862 Unit B Canyon SpringsParkwayRIVERSIDE, CA 92507951-354-9999Associates:Kamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: DentistMarini, Shabnam NPI: 1548676190 Language: Spanish Arabic License: 63566 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: Dentist

Palm Dental GroupProvider ID: CA48736862 Palm AveRiverside, CA 92506palmdentalgroup@att.net951-683-5490Associates:Yoo, Sang NPI: 1861780561 License: 60502 Specialty: Dentist

Raincross DentalProvider ID: CA44267028 Indiana Ave Ste ARiverside, CA 92506raincrossdental@yahoo.com951-367-1345*PCP assignment limitationsAssociates:Nguyen, Catherine NPI: 1841598299 Language: Vietnamese Spanish License: 42863 Specialty: Dentist

Riverside DentistryProvider ID: CA21531857 University AveRiverside, CA 92507riversidedentistry@gmail.com951-781-3021Associates:Le, Kha NPI: 1003847955 Language: Spanish Vietnamese License: 41453 Specialty: DentistLe, Michelle NPI: 1649391392 Language: Spanish French License: 42351 Specialty: Dentist

Sierraview Dental careProvider ID: CA49984710 La Sierra AveRiverside, CA 92505sierrviewdentalcare@gmail.com951-324-8180Associates:Zareh, Mohammad NPI: 1134314099 Language: Spanish License: 56360 Specialty: Dentist

West Coast Dental Group ofRiversideProvider ID: CA48783380 La Sierra Ave Ste 108Riverside, CA 92503riv@westcoastdental.com951-354-9999Associates:Aranguren, Gustavo Gender: Male License: 103504 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Berman, Martha NPI: 1538129572 Gender: Female Language: Spanish License: 50039 Specialty: DentistMarini, Shabnam NPI: 1548676190 Language: Spanish Arabic License: 63566 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: DentistPeterson, Robert NPI: 1750420865 Language: Persian License: 28971 Specialty: DentistRefaat, Youhanna NPI: 1760535686 Gender: Male License: 57076 Specialty: DentistVo, Danny NPI: 1568875201 Gender: Male License: 102399 Specialty: Dentist

Western Dental Services, IncProvider ID: CA41484024 12th StRiverside, CA 92501866-427-0474Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: Dentist

Arnouk, Mariam NPI: 1740684562 Gender: Female License: 103709 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: DentistBadii S, Kiavash NPI: 1437319035 Language: Vietnamese License: 54538 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistCadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: DentistDa Fonseca, Renata NPI: 1033433727 Language: Vietnamese License: 59166 Specialty: DentistDao, Tu NPI: 1902972938 Language: Vietnamese License: 46176 Specialty: DentistDe Guzman, Arnel NPI: 1366500357 Language: Vietnamese License: 52847 Specialty: DentistDuong, Vicky NPI: 1013083047 Language: Vietnamese License: 48803 Specialty: DentistEmigh, Todd NPI: 1093093890 Language: Vietnamese License: 60598 Specialty: DentistGuo, Edmund NPI: 1407096407 Language: Vietnamese License: 52727 Specialty: Dentist

Kamppila, Arlene NPI: 1417116245 Language: Vietnamese License: 42280 Specialty: DentistLin, Vickie NPI: 1467606517 Language: Vietnamese License: 57880 Specialty: DentistLiu, Edward NPI: 1467668012 Language: Vietnamese License: 54529 Specialty: DentistLy, Hoa NPI: 1154496768 Language: Vietnamese License: 46878 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Spanish Korean License: 47988 Specialty: DentistPham, Lanchi NPI: 1952558454 Language: Vietnamese License: 57639 Specialty: DentistPoblete, Editha NPI: 1942340583 License: 47993 Specialty: DentistVo, Hanhngoc NPI: 1376675447 Language: Vietnamese License: 51312 Specialty: DentistVo, Thach NPI: 1154462109 Language: Vietnamese License: 50841 Specialty: Dentist

108

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Western Dental Services, Inc.Provider ID: CA44923485 Madison StRiverside, CA 9250429wrs_om@westerndental.com951-688-6949Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAdame, James NPI: 1124340849 Language: Spanish Korean License: 32256 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Korean Spanish License: 60391 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Spanish Korean License: 62342 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAlhassan, Waleed NPI: 1972895977 Language: Arabic Spanish License: 60324 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: Dentist

Awad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistAwwad, Maher NPI: 1609936541 License: 46741 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBaha, Joseph NPI: 1669626511 Language: Spanish Arabic License: 62932 Specialty: DentistBell, James NPI: 1710395983 Language: Korean Spanish License: 63678 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistCadalso, Robert NPI: 1003934761 Language: Spanish Persian License: 30639 Specialty: DentistChandarana, Mangal NPI: 1619109311 Language: Spanish Korean License: 59377 Specialty: DentistChen, Benson NPI: 1932395910 Language: Spanish Korean License: 56346 Specialty: Dentist

Da Silva, Carlos NPI: 1710186564 Language: Korean Spanish License: 43434 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDaoud, Hasan NPI: 1205156122 Language: Spanish Arabic License: 59297 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Korean Spanish License: 59237 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Spanish Arabic License: 56426 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Spanish Korean License: 62327 Specialty: DentistFajardo, Maria NPI: 1447346614 Language: Spanish Hindi License: 50746 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Spanish Korean License: 56489 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Korean Spanish License: 51809 Specialty: Dentist

109

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Hashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: DentistHedayat, Iman NPI: 1235561713 Language: Arabic Spanish License: 62640 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: DentistHuq, Syeda NPI: 1861669533 Language: Arabic Spanish License: 56971 Specialty: DentistHwang, Kelly NPI: 1790030633 Language: Arabic Spanish License: 61930 Specialty: DentistJameel, Sam NPI: 1609365675 License: 102404 Specialty: DentistJandali, Azza NPI: 1518172667 Language: Arabic Spanish License: 46833 Specialty: DentistJin, Hangqing NPI: 1164581260 Language: Arabic Spanish License: 52616 Specialty: DentistKalawi, Sophia NPI: 1588980007 Language: Spanish License: 58838 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKhedraki, Noor NPI: 1003140146 Language: Vietnamese Spanish License: 58840 Specialty: Dentist

Kyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Korean Spanish License: 62067 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Spanish Korean License: 62457 Specialty: DentistMartinez, Norma NPI: 1336349646 Language: Arabic Spanish License: 55656 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Spanish Hindi License: 60333 Specialty: DentistMehta, Vidit NPI: 1649768862 License: 102386 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Spanish Arabic License: 40282 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Spanish Korean License: 62270 Specialty: DentistNguyen, Huong NPI: 1003099730 Gender: Female License: 56611 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Spanish Hindi License: 44751 Specialty: Dentist

Nguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Spanish Hindi License: 42690 Specialty: DentistPatel, Shinali NPI: 1568016574 Gender: Female License: 104122 Specialty: DentistPatel, Suchi NPI: 1417339466 Gender: Female License: 64595 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistPham, Quan NPI: 1932235652 Language: Korean Spanish License: 50175 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Spanish Korean License: 29441 Specialty: DentistSalem, Mahmoud NPI: 1962570689 Language: Spanish Arabic License: 48371 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Spanish Korean License: 53864 Specialty: Dentist

110

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sareh, Atefeh NPI: 1265573950 Language: Hindi Spanish License: 41993 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Korean Spanish License: 52110 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistShah, Megha NPI: 1679984439 Language: Spanish Korean License: 63398 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Spanish Korean License: 62410 Specialty: DentistShin, Esther NPI: 1912240169 Language: Arabic Spanish License: 63733 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSood, Iyad NPI: 1447370184 Language: Spanish License: 57812 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Korean Spanish License: 54212 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: DentistWang, Le NPI: 1639230733 Language: Korean Spanish License: 52789 Specialty: Dentist

Yoon, Jung-Jin NPI: 1740490226 Language: Korean Spanish License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Spanish Korean License: 62560 Specialty: Dentist

SAN JACINTORoyal DentalProvider ID: CA50131695 S San Jacinto Ave Ste NSAN JACINTO, CA 92583drsolimandds@gmail.com951-654-2121*PCP assignment limitationsAssociates:Soliman, Ashraf NPI: 1275738353 Language: Spanish Persian License: 37923 Specialty: Dentist

San Jacinto Dental GroupProvider ID: CA4322701 W Esplanade Ave Ste K & LSan Jacinto, CA 92582sjom1@yahoo.com951-654-3424Associates:Shah, Rajul NPI: 1912056722 Language: Spanish Hindi License: 50823 Specialty: Dentist

Sun CityGulalai Matin, DDSProvider ID: CA420528115 Bradley Rd Ste 3Sun City, CA 92586mccalldental@yahoo.com951-723-1188

TemeculaCreekside DentalProvider ID: CA413741785 Nicole Ln Ste A3Temecula, CA 92591info@thecreeksidedental.com951-699-3250Associates:Tanioka, Darron NPI: 1871602904 Language: Spanish License: 48686 Specialty: Dentist

Tin Maung Maung DDSProvider ID: CA511842210 Lyndie Lane Suite BTemecula, CA 92591happysmiles951@gmail.com951-695-5678Associates:Esmeraldo, Victor NPI: 1790169613 Gender: Male License: 102536 Specialty: DentistMaungMaung, Tin NPI: 1881789113 Gender: Male License: 42743 Specialty: Dentist

Butterfield DentalProvider ID: CA411233321 Temecula Pkwy Ste 104Temecula, CA 92592butterfield.dental@yahoo.com951-302-7508Associates:Lee, James NPI: 1548329311 Language: Spanish License: 54782 Specialty: Dentist

111

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Tran, Huey NPI: 1760579080 Language: Spanish Vietnamese License: 44371 Specialty: Dentist

Dr Zak Temecula Dental GroupProvider ID: CA500741593 Winchester Rd Suite 211Temecula, CA 92590temecula@zakdental.com951-296-3366Associates:Abazarnia, Nadia NPI: 1841631611 Language: Spanish Russian License: 49041 Specialty: DentistAbdulwahab, Abier NPI: 1083089668 Gender: Female License: 59827 Specialty: DentistAldabe, Ali NPI: 1316469844 Gender: Male License: 101575 Specialty: DentistAleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAsatani, Paul NPI: 1679784912 Language: Tajik License: 41343 Specialty: DentistBayat, Paul NPI: 1902964836 Gender: Male License: 54516 Specialty: DentistChung, Charles NPI: 1619111465 Language: Russian Spanish License: 46372 Specialty: DentistDel Campo, Shellaine NPI: 1477725034 Language: Tagalog Spanish License: 45850 Specialty: Dentist

Ibarra, Sergio NPI: 1720467145 Gender: Male License: 102991 Specialty: DentistKarnakova, Olga NPI: 1578602637 License: DDS47183 Specialty: DentistKopel, Howard NPI: 1356584957 License: 26453 Specialty: DentistMomen, Roshanak NPI: 1255785408 Gender: Female License: DDS100152 Specialty: DentistOlson, William NPI: 1710288147 Language: Spanish Tagalog License: 35580 Specialty: DentistPhan, Tuyet Mai Thi NPI: 1346450889 Language: Vietnamese License: DDS44059 Specialty: DentistSanjari, Karsa NPI: 1558746388 Gender: Male License: 102295 Specialty: DentistShiraishi, Ronald NPI: 1922320639 Language: Spanish Russian License: DDS32654 Specialty: DentistTasic, Michael NPI: 1679539068 Language: Spanish License: DDS27932 Specialty: DentistWilliams, Frenda NPI: 1174788400 License: 44379 Specialty: DentistZak, Ilya NPI: 1023165255 License: 38238 Specialty: Dentist

Enterprise Dental GroupProvider ID: CA496327315 Jefferson Ave Ste G2Temecula, CA 92590enterprisedentalgroup@gmail.com951-296-9661Associates:Shayan, Omid NPI: 1275714552 License: 45408 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA466741115 Winchester Rd Ste 102Temecula, CA 92591807wte@westerndental.com951-331-7020Associates:Afshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAjdari, Soolmaz NPI: 1700121431 Language: Spanish License: 62861 Specialty: DentistAleissa, Dina NPI: 1598103947 Language: Spanish Korean License: 62342 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAltamimi, Wesam NPI: 1649496290 Gender: Male Language: Arabic License: 49446 Specialty: DentistArjmandi, Mojgan NPI: 1982903084 Language: Spanish License: 60158 Specialty: Dentist

112

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Awwad, Maher NPI: 1609936541 License: 46741 Specialty: DentistAyala, Sergio NPI: 1780916163 Gender: Male License: 58937 Specialty: DentistBaha, Joseph NPI: 1669626511 Language: Spanish Arabic License: 62932 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistDalloul, Bashar NPI: 1235271917 Language: Spanish License: 53445 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDaoud, Hasan NPI: 1205156122 Language: Arabic Spanish License: 59297 Specialty: DentistDruckenmiller, Walter NPI: 1275674228 Language: Spanish License: 51700 Specialty: DentistEissa, Khaled NPI: 1407903776 Language: Spanish Korean License: 59237 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Spanish Korean License: 62327 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: Dentist

Fajardo, Maria NPI: 1447346614 Language: Spanish Hindi License: 50746 Specialty: DentistGad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Spanish Korean License: 56489 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Spanish Korean License: 51809 Specialty: DentistHedayat, Iman NPI: 1235561713 Language: Spanish Arabic License: 62640 Specialty: DentistHwang, Kelly NPI: 1790030633 Language: Arabic Spanish License: 61930 Specialty: DentistJin, Hangqing NPI: 1164581260 Language: Arabic Spanish License: 52616 Specialty: DentistKalawi, Sophia NPI: 1588980007 Language: Spanish License: 58838 Specialty: DentistKaur, Parminder NPI: 1851601801 Language: Spanish License: 59864 Specialty: DentistKhasati, Shadi NPI: 1104978147 Gender: Male License: 50478 Specialty: DentistLang, Rebecca NPI: 1114232022 Language: Spanish License: 60494 Specialty: Dentist

Le, Tommy NPI: 1639327836 Gender: Male License: 57630 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: DentistMarshall, Rosanna NPI: 1821156191 Language: Spanish License: 47944 Specialty: DentistMartinez, Norma NPI: 1336349646 Language: Spanish Arabic License: 55656 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Spanish Hindi License: 60333 Specialty: DentistMendoza, Anna NPI: 1235280777 Gender: Female Language: Spanish License: 54178 Specialty: DentistMoreno, Ivan NPI: 1265582258 Language: Spanish License: 49605 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Spanish Korean License: 62270 Specialty: DentistNguyen, Tao NPI: 1174673024 Language: Spanish License: 50706 Specialty: DentistNovicio, Margaret NPI: 1073608089 Language: Spanish License: 62389 Specialty: Dentist

113

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Pham, Quan NPI: 1932235652 Language: Korean Spanish License: 50175 Specialty: DentistPicache, Oscar NPI: 1336290535 Language: Spanish License: 49188 Specialty: DentistReed, Maria Carmela NPI: 1750574851 Language: Spanish License: 54195 Specialty: DentistRosas, Ramiro NPI: 1457533440 Language: Spanish License: 56636 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Korean Spanish License: 29441 Specialty: DentistSadduk, Ali NPI: 1144487679 Language: Spanish License: 57006 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Arabic Spanish License: 56775 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistShin, Esther NPI: 1912240169 Language: Spanish Arabic License: 63733 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: Dentist

Tran, Vylinh NPI: 1730159013 Language: Spanish License: 59438 Specialty: DentistVasquez, Jerson NPI: 1609904366 Language: Spanish Hindi License: 45535 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Hindi Spanish License: 50996 Specialty: Dentist

SAN BERNARDINOAlta Loma

Carnelian Family DentistryProvider ID: CA23526626 Carnelian StAlta Loma, CA 91701alice@carneliandental.com909-987-4113Associates:Tao, George NPI: 1194867788 License: 42703 Specialty: Dentist

Apple ValleyApple Valley Dental AssociatesProvider ID: CA496620162 US Hwy 18 Ste LApple Valley, CA 92307avda.staff@gmail.com760-946-1466Associates:Choi, Sun NPI: 1720485618 Gender: Female License: 64154 Specialty: Dentist

Gentle Dental Apple ValleyProvider ID: CA279418245 Hwy 18 Ste 3 and 4Apple Valley, CA 92307applevalley@gentle1.com760-965-4291Associates:Cox, William NPI: 1972673507 Gender: Male Language: Persian Spanish License: 26160 Specialty: DentistFU, Eric NPI: 1457901696 License: 104437 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Persian Arabic License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistHakim, Bahman NPI: 1528315215 Language: Spanish License: 61562 Specialty: DentistKim, Daniel NPI: 1851447650 Language: Spanish License: 52741 Specialty: DentistKim, Hyun NPI: 1235488685 Language: Spanish License: 61845 Specialty: DentistLemos, Luis NPI: 1346458718 Language: Spanish License: 54278 Specialty: DentistPelaez, Adrian NPI: 1558516971 Language: Spanish Persian License: 57724 Specialty: Dentist

114

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Pham, Vyvy NPI: 1396228458 Gender: Female License: 103194 Specialty: DentistPlaton, Ana NPI: 1962520452 Language: Spanish License: 50699 Specialty: DentistSaddi, Supriya NPI: 1427242114 Language: Spanish License: 56257 Specialty: DentistSeleem, Dalia NPI: 1629133657 Language: Spanish License: 52685 Specialty: DentistSengamphan, Nalorn NPI: 1689711525 Gender: Female Language: Thai Lao License: 49801 Specialty: Dentist

Dexter Dental Group Inc.Provider ID: CA464919195 Outer Hwy 18 Ste 201Apple Valley, CA 92307dexterdentalav@gmail.com760-242-0796Associates:De Jesus, Dexter NPI: 1902016876 Language: Spanish License: 49870 Specialty: Dentist

Jess Ranch DentalProvider ID: CA472218805 Bear Valley Rd Ste 4Apple Valley, CA 92308jessranchdental@hotmail.com760-961-7001Associates:Kalra, Amit NPI: 1497853725 Language: Spanish Hindi License: 54268 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA450319071 Bear Valley Rd Ste 1Apple Valley, CA 92308186wav@westerndental.com760-240-7273Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbdelsayed, George NPI: 1366081747 License: 104686 Specialty: DentistAbdullah, Marco NPI: 1497393896 License: 104591 Specialty: DentistAdame, James NPI: 1124340849 Language: Korean Spanish License: 32256 Specialty: DentistAl-Adami, Mustafa NPI: 1750739983 Language: Spanish License: 100193 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Spanish Korean License: 60391 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: Dentist

Bourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistChen, Benson NPI: 1932395910 Language: Korean Spanish License: 56346 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Korean Spanish License: 43434 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Spanish Arabic License: 56426 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Spanish Korean License: 62327 Specialty: DentistGarbacea, Antoanela NPI: 1427110063 License: 49524 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Spanish Korean License: 56489 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Spanish Korean License: 51809 Specialty: Dentist

115

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Hedayat, Iman NPI: 1235561713 Language: Arabic Spanish License: 62640 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: DentistKhamsei, Laila NPI: 1770775181 Language: Hindi Spanish License: 54594 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKim, Sooyong NPI: 1063698629 Language: Hindi Spanish License: 56461 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Spanish Korean License: 62067 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Spanish Korean License: 62457 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Spanish Hindi License: 60333 Specialty: DentistMikhail, Lilian NPI: 1861030900 License: 104600 Specialty: Dentist

Nguyen, Henry NPI: 1184989170 Language: Korean Spanish License: 62270 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistPanigrahi, Sanjukta NPI: 1356782486 Gender: Female License: 65328 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistPham, Quan NPI: 1932235652 Language: Korean Spanish License: 50175 Specialty: DentistRahimian, Shirin NPI: 1801187240 Language: Arabic Spanish License: 60363 Specialty: DentistRavisankar, Ashwin NPI: 1386097616 Language: Spanish License: 100516 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Korean Spanish License: 29441 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: Dentist

Shah, Megha NPI: 1679984439 Language: Korean Spanish License: 63398 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Spanish Korean License: 62410 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSood, Iyad NPI: 1447370184 Language: Spanish License: 57812 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Spanish Korean License: 54212 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: DentistVasoya, Dipakkumar NPI: 1497144281 Gender: Male License: 64311 Specialty: DentistVentresca, Dominick NPI: 1033527825 Gender: Male Language: Spanish License: 63445 Specialty: DentistWang, Le NPI: 1639230733 Language: Spanish Korean License: 52789 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Spanish Korean License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Korean Spanish License: 62560 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Zolmajd Haghighi, Elaheh NPI: 1669857884 Gender: Female License: 64771 Specialty: DentistZou, Yiyang NPI: 1407457856 License: 105770 Specialty: Dentist

BarstowBae and Jang, DDS Inc.Provider ID: CA4659919 E Main StBarstow, CA 92311barstowsmiles@yahoo.com760-255-1206Associates:Jang, Saehoon NPI: 1619120250 Language: Korean Tagalog License: 57749 Specialty: Dentist

K. Susan Lee, DDS Inc.Provider ID: CA2902570 E Virginia WayBarstow, CA 92311leedental@gmail.com760-255-1010Associates:Lee, Sungho NPI: 1598808453 Language: Spanish License: 49787 Specialty: Dentist

Salman Dental IncProvider ID: CA5012923 Armory RdBarstow, CA 92311salmandental@gmail.com760-252-4488Associates:Salman, Asad NPI: 1831104355 Gender: Male License: 48673 Specialty: Dentist

ChinoGroup Dental Center Inc.Provider ID: CA6235562 Philadelphia St Ste 103Chino, CA 91710groupdentalcenterinc01@yahoo.com909-464-2399*PCP assignment limitationsAssociates:Chan, Yeou-Ren NPI: 1609051317 Language: Chinese License: 35856 Specialty: DentistOu, Su NPI: 1871711937 Language: Chinese Spanish License: 37890 Specialty: Dentist

Ocean Dental GroupProvider ID: CA506812233 Central AvenueChino, CA 91710mgaray@ocean.dental909-217-3626Associates:Deza Rolando, Abraham NPI: 1831635317 License: 101117 Specialty: DentistOzder, Necdet NPI: 1063571313 Language: Spanish Turkmen License: 52446 Specialty: Dentist

Smile Artistry of Chino ValleyProvider ID: CA506112850 tenth Street Suite B2CHINO, CA 91710lovemydentist@gmail.com909-627-6699

Associates:Cherukuri, Vijaya License: 34314 Specialty: Dentist

Chino HillsAbdolhosseini and Vahabi, DDS.,Inc.Provider ID: CA49325771 Pine Ave Ste SChino Hills, CA 91709pinecenter@verizon.net909-597-2477Associates:Abdolhosseini, Hossein NPI: 1093853020 Gender: Male License: 50715 Specialty: Dentist

Hillcrest Dental StudioProvider ID: CA50282130 Grand Ave Suite HCHINO HILLS, CA 91709hkalyanidds@gmail.com909-927-5333Associates:Kalyani, Harsh NPI: 1265832786 Gender: Male Language: Spanish Hindi License: 64010 Specialty: Dentist

FontanaFontana Dental GroupProvider ID: CA22469193 Sierra Ave Ste DFontana, CA 92335fontanadentalgroup@yahoo.com909-822-2226Associates:Lubczuk, Andrzej NPI: 1760574867 Language: Spanish Vietnamese License: 42568 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sahyan, Abdallah NPI: 1841438702 Language: Spanish License: 44076 Specialty: Dentist

Sahara DentalProvider ID: CA269917250 Foothill Blvd Ste EFontana, CA 92336909-428-8500*PCP assignment limitationsAssociates:Jamal, Manar NPI: 1669522025 Language: French Arabic License: 43350 Specialty: Dentist

Sierra Dental HealthProvider ID: CA49879190 Sierra Ave suite 101Fontana, CA 92335sierradentalhealth@gmail.com909-356-4200Associates:Nguyen, Hoa NPI: 1356724645 Gender: Male License: 64645 Specialty: Dentist

Southwest Dental CenterProvider ID: CA28707993 Sierra Ave Ste DFontana, CA 92336info@thegrovedental.com909-428-5111Associates:Grigoryan, Vahan NPI: 1235211541 Language: Spanish Armenian License: 49536 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA449810144 Sierra AveFontana, CA 92335909-428-0500Associates:Abai, Siamak NPI: 1699923375 License: 54930 Specialty: DentistAbdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistAghakhan-Moheb, Ahmad NPI: 1982937850 Language: Spanish License: 58809 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Spanish Korean License: 60391 Specialty: DentistAl-Salti, Rula NPI: 1922293570 Language: Hindi Spanish License: 54546 Specialty: DentistAmour, Pierre NPI: 1558422246 Language: Spanish License: 45810 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: DentistBeck, Yanina NPI: 1588845564 License: 56517 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: Dentist

Bilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Hindi Spanish License: 63227 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistBouz, Maha NPI: 1558705574 Language: Hindi Spanish License: 55772 Specialty: DentistCadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Spanish Hindi License: 63541 Specialty: DentistChen, Benson NPI: 1932395910 Language: Korean Spanish License: 56346 Specialty: DentistChen, Connie NPI: 1174677819 Language: Spanish Vietnamese License: 49489 Specialty: DentistChilton, Chunhua NPI: 1124432695 Language: Spanish Arabic License: 63496 Specialty: DentistChoi, Jo NPI: 1265768998 Language: Hindi Spanish License: 47245 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Spanish Korean License: 43434 Specialty: Dentist

118

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Daloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Spanish Hindi License: 42538 Specialty: DentistDu, Tran NPI: 1184975880 Language: Hindi Spanish License: 61899 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Arabic Spanish License: 56426 Specialty: DentistElhussiny, Naeil NPI: 1801923743 Language: Spanish License: 48255 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Spanish Hindi License: 57437 Specialty: DentistGad, Mona NPI: 1962564013 Language: Spanish Hindi License: 50910 Specialty: DentistGhalchi, Azita NPI: 1659437036 Language: Spanish Hindi License: 49529 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Hindi Spanish License: 43158 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: Dentist

Gill, Jasmine NPI: 1417138835 Language: Korean Spanish License: 56489 Specialty: DentistHabashy, James NPI: 1659682565 Language: Spanish Hindi License: 60988 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Spanish Hindi License: 63539 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: DentistHoang, Anh NPI: 1134346257 Language: Korean Spanish License: 55573 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Hindi Spanish License: 61469 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Spanish Hindi License: 59219 Specialty: DentistHwang, Steve NPI: 1841614534 Language: Spanish Hindi License: 63035 Specialty: DentistIskander, Afaf NPI: 1891856589 Language: Persian Spanish License: 43171 Specialty: DentistIzvernari, Paula NPI: 1639463888 Language: Spanish Hindi License: 60367 Specialty: DentistJustin, Irene NPI: 1518080597 Language: Spanish License: 51084 Specialty: Dentist

Khasru, Mohammed NPI: 1205902251 Language: Arabic Spanish License: 48479 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Hindi Spanish License: 60452 Specialty: DentistKim, Katie NPI: 1336288893 Language: Spanish Korean License: 54464 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Spanish Hindi License: 40255 Specialty: DentistKobrossi, Marcelle NPI: 1750423695 Language: Spanish Persian License: 55200 Specialty: DentistKyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLazo, Antonio NPI: 1225196165 Language: Hindi Spanish License: 51955 Specialty: DentistLee, Peter NPI: 1134139892 Language: Hindi Spanish License: 55223 Specialty: DentistLoye, Katherine NPI: 1205034626 Language: Spanish License: 30709 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: Dentist

119

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Manda, Swapna NPI: 1831539725 Language: Spanish Korean License: 62457 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Spanish Hindi License: 60333 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Hindi Spanish License: 58621 Specialty: DentistMercado, Maria NPI: 1265618771 Language: Hindi Spanish License: 55872 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistMirza, Kazim NPI: 1235748864 Gender: Male License: 105131 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistNiknafs, Kourosh NPI: 1982762985 Language: Spanish Hindi License: 43217 Specialty: DentistObeidat, Batool NPI: 1649659665 Gender: Female License: 64466 Specialty: Dentist

Parker, George NPI: 1407334535 Gender: Male License: 102895 Specialty: DentistPascal, Claudie NPI: 1730731555 License: 104002 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Hindi Spanish License: 42690 Specialty: DentistPatel, Karishma NPI: 1497396154 License: 104470 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Hindi Spanish License: 63582 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Hindi Spanish License: 61902 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Spanish Hindi License: 55923 Specialty: DentistRajvanshi, Roli NPI: 1467869370 Language: Spanish Hindi License: 63622 Specialty: DentistRivera, Jose NPI: 1013058346 Language: Hindi Spanish License: 42599 Specialty: Dentist

Roboubi, Mojdeh NPI: 1902212053 Language: Hindi Spanish License: 63504 Specialty: DentistSabbagh, Ahmad NPI: 1831250489 Language: Arabic Persian License: 52108 Specialty: DentistSamra, Ed NPI: 1023202264 Language: Spanish Hindi License: 41335 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Spanish Korean License: 53864 Specialty: DentistSantos, Manolet NPI: 1699952887 Language: Spanish Arabic License: 56775 Specialty: DentistSareh, Atefeh NPI: 1265573950 Language: Hindi Spanish License: 41993 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Spanish Korean License: 48014 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Spanish Korean License: 62410 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Hindi Spanish License: 39886 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Spanish Korean License: 54212 Specialty: Dentist

120

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Tewfik, Gamal NPI: 1396954681 Language: Spanish Hindi License: 55680 Specialty: DentistTran, Michael NPI: 1487061107 Language: Spanish Hindi License: 63617 Specialty: DentistTran, Tam NPI: 1386782985 Language: Korean Arabic License: 48559 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Hindi Spanish License: 50996 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Hindi Spanish License: 57668 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistWang, Le NPI: 1639230733 Language: Korean Spanish License: 52789 Specialty: DentistWilson, Tiffany NPI: 1760741458 Language: Arabic Spanish License: 62605 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Hindi Spanish License: 63551 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Spanish Korean License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Korean Spanish License: 62560 Specialty: Dentist

HesperiaDesert Dental GroupProvider ID: CA496015209 Bear Valley Rd Ste A & BHesperia, CA 92345roxy@desertdental.org760-244-2535Associates:Choudhary, Shobhita NPI: 1306343264 License: 102307 Specialty: DentistDeirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistElepano, Benedicto NPI: 1932319217 Language: Spanish Persian License: 43945 Specialty: DentistFord, Helen NPI: 1538139043 License: 64284 Specialty: DentistGochez, Jaime NPI: 1326151218 License: 39961 Specialty: DentistWilliams, Nicholas NPI: 1639330962 Gender: Male Language: Spanish License: 57100 Specialty: Dentist

Cox Dental CorporationProvider ID: CA271716455 Main St Ste 17Hesperia, CA 92345hesperia@gentle1.com760-998-1566Associates:Chea, Mun NPI: 1265621502 Language: Spanish License: 56372 Specialty: Dentist

Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Persian Arabic License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistLee, Soojin NPI: 1417132648 Language: Spanish License: 56284 Specialty: DentistPham, Vyvy NPI: 1396228458 Gender: Female License: 103194 Specialty: DentistPlaton, Ana NPI: 1962520452 Language: Spanish License: 50699 Specialty: DentistSaddi, Supriya NPI: 1427242114 Language: Spanish License: 56257 Specialty: DentistSaed, David NPI: 1790344935 Gender: Male License: 103756 Specialty: DentistSeleem, Dalia NPI: 1629133657 Language: Spanish License: 52685 Specialty: Dentist

121

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Western Dental Services, Inc.Provider ID: CA515113368 Main StHESPERIA, CA 92345760-810-4118Associates:Mehta, Vidit NPI: 1649768862 License: 102386 Specialty: DentistVentresca, Dominick NPI: 1033527825 Gender: Male Language: Spanish License: 63445 Specialty: DentistZou, Yiyang NPI: 1407457856 License: 105770 Specialty: Dentist

MontclairCentral Family DentistryProvider ID: CA26659197 Central Ave Ste CMontclair, CA 91763centralfamilydentistry@hotmail.com909-398-1107Associates:Ling, Emily NPI: 1790180354 Language: Chinese Spanish License: 40660 Specialty: Dentist

OntarioArchibald Dental PracticeProvider ID: CA44172598 S Archibald Ave Ste COntario, CA 91761archibalddentalpractice@gmail.com909-947-0670*PCP assignment limitationsAssociates:Mack, Ingrid NPI: 1922275916 Language: Spanish License: 53243 Specialty: Dentist

Euclid Family DentistryProvider ID: CA4929211 N Euclid AveOntario, CA 91762euclidfamilydentistry@gmail.com909-983-9639Associates:Gardner, Michael NPI: 1538507322 License: 60485 Specialty: Dentist

Ontario Family DentistryProvider ID: CA2560528 N Fern AveOntario, CA 91762ontariofamilydentistry@yahoo.com909-460-9552Associates:Hong, Tsai-Chun NPI: 1063628774 Language: Spanish License: 40944 Specialty: Dentist

River Arch DentalProvider ID: CA47442920 S Archibald Ave Ste COntario, CA 91761luong100@mail.chapman.edu909-923-2273Associates:Dinh, Lan NPI: 1114976347 Language: Vietnamese License: 49743 Specialty: DentistDinh, Viet NPI: 1366602922 Language: Vietnamese License: 57092 Specialty: Dentist

Rancho CucamongaGentle Dental FoothillProvider ID: CA47368880 Foothill Blvd Ste 5Rancho Cucamonga, CA 91730munozn@interdent.com909-945-0595Associates:Cox, William NPI: 1972673507 Gender: Male Language: Spanish Persian License: 26160 Specialty: DentistGewaid, Shenouda NPI: 1205847068 Language: Arabic Persian License: 49753 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistPlaton, Ana NPI: 1962520452 Language: Spanish License: 50699 Specialty: DentistSaddi, Supriya NPI: 1427242114 Language: Spanish License: 56257 Specialty: DentistSimonian, Michael NPI: 1447314679 Language: Spanish License: 4188 Specialty: Dentist

Golden Smiles DentalProvider ID: CA47299635 Milliken Ave Ste 103Rancho Cucamonga, CA 91730goldensmilesdental@gmail.com909-481-8990

122

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Associates:Deragobian, Ankin NPI: 1467760041 Language: Spanish License: 59757 Specialty: DentistNigoghosian, Harry NPI: 1851705560 Gender: Male Language: Arabic Armenian License: 63486 Specialty: Dentist

Ocean Dental GroupProvider ID: CA50659349 Foothill Blvd Suite BRancho Cucamonga, CA 91730mmirafuentes@ocean.dental909-980-6363Associates:Wang, Wan-Jou NPI: 1518218965 License: 63161 Specialty: Dentist

Pakravan,Manavi and Cohen DentProvider ID: CA49867210 Day Creek Blvd Suite 110Rancho Cucamonga, CA 91739randbilling@westcoastdental.com909-803-1111Associates:Kakar, Lila NPI: 1578002291 Gender: Female License: 103144 Specialty: DentistLewin, Enrique NPI: 1669843496 Gender: Male Language: Portuguese Spanish License: 65218 Specialty: DentistPakravan, Farid NPI: 1225170186 Gender: Male License: 39862 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA45058678 19th St Ste 140Rancho Cucamonga, CA 91701181wra@westerndental.com909-257-2013Associates:Abdelhadi, Hatem NPI: 1962658955 Language: Hindi Spanish License: 57440 Specialty: DentistAbdelsayed, George NPI: 1366081747 License: 104686 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Spanish Korean License: 60391 Specialty: DentistAl-Salti, Rula NPI: 1922293570 Language: Hindi Spanish License: 54546 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Spanish Korean License: 49946 Specialty: DentistAlhassan, Waleed NPI: 1972895977 Language: Arabic Spanish License: 60324 Specialty: DentistAltunis, Chris NPI: 1811477763 Gender: Female License: 102958 Specialty: DentistBeck, Yanina NPI: 1588845564 License: 56517 Specialty: Dentist

Bilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Hindi Spanish License: 63227 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Korean Spanish License: 62218 Specialty: DentistBouz, Maha NPI: 1558705574 Language: Spanish Hindi License: 55772 Specialty: DentistChandarana, Mangal NPI: 1619109311 Language: Korean Spanish License: 59377 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Spanish Hindi License: 63541 Specialty: DentistChen, Benson NPI: 1932395910 Language: Spanish Korean License: 56346 Specialty: DentistChen, Connie NPI: 1174677819 Language: Vietnamese Spanish License: 49489 Specialty: DentistChilton, Chunhua NPI: 1124432695 Language: Arabic Spanish License: 63496 Specialty: DentistChoy, Maria NPI: 1003982075 Language: Spanish Korean License: 41906 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Korean Spanish License: 43434 Specialty: Dentist

123

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Daloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistDio, Marivel NPI: 1700941622 Language: Spanish Korean License: 44863 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Spanish Arabic License: 56426 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Hindi Spanish License: 57437 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Spanish Korean License: 56489 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Spanish Korean License: 56297 Specialty: DentistHabashy, James NPI: 1659682565 Language: Hindi Spanish License: 60988 Specialty: DentistHashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Spanish Hindi License: 63539 Specialty: Dentist

Herbly, Basel NPI: 1437296050 Language: Hindi Spanish License: 54150 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Spanish Hindi License: 59219 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKobrossi, Marcelle NPI: 1750423695 Language: Spanish Persian License: 55200 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Korean Spanish License: 62067 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Hindi Spanish License: 48638 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Spanish Korean License: 62457 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Hindi Spanish License: 60333 Specialty: DentistMekhael, Youstina NPI: 1417568080 License: 105261 Specialty: DentistMirza, Kazim NPI: 1235748864 Gender: Male License: 105131 Specialty: Dentist

Pannu, Sumeet NPI: 1851637144 Language: Spanish License: 62076 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Hindi Spanish License: 63582 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Spanish Korean License: 47988 Specialty: DentistQayyum, Shamoon NPI: 1932469137 Language: Spanish Korean License: 61141 Specialty: DentistRajvanshi, Roli NPI: 1467869370 Language: Spanish Hindi License: 63622 Specialty: DentistRavisankar, Ashwin NPI: 1386097616 Language: Spanish License: 100516 Specialty: DentistRivera, Jose NPI: 1013058346 Language: Hindi Spanish License: 42599 Specialty: DentistRoboubi, Mojdeh NPI: 1902212053 Language: Hindi Spanish License: 63504 Specialty: DentistSabbagh, Ahmad NPI: 1831250489 Language: Arabic Persian License: 52108 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Korean Spanish License: 52110 Specialty: Dentist

124

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Shah, Kiran NPI: 1639275050 Language: Korean Spanish License: 48014 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Spanish Korean License: 62410 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Korean Spanish License: 54212 Specialty: DentistSpurgeon, Christohpher NPI: 1255709648 Gender: Male License: 65056 Specialty: DentistWang, Le NPI: 1639230733 Language: Spanish Korean License: 52789 Specialty: DentistWilson, Tiffany NPI: 1760741458 Language: Spanish Arabic License: 62605 Specialty: DentistWissa, Ramy NPI: 1619464542 Gender: Male License: 103940 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Hindi Spanish License: 63551 Specialty: DentistYao, Parnell Joanne NPI: 1255984803 License: 104017 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Spanish Korean License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Spanish Korean License: 62560 Specialty: Dentist

RCH CUCAMONGAB Deirmenjian DDS IncProvider ID: CA51218463 Haven AveRCH CUCAMONGA, CA 91730alicia@ponderrosadentalgroup.com909-481-0025Associates:Amani, Baktash Gender: Male License: 101350 Specialty: DentistDeirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistGochez, Jaime NPI: 1326151218 License: 39961 Specialty: DentistHammam, Mohamed NPI: 1598960445 License: 60616 Specialty: DentistLee, Ouk NPI: 169950069 Gender: Male License: 102731 Specialty: DentistOgisaka, James NPI: 1740427756 Gender: Male License: 31178 Specialty: Dentist

REDLANDSBrookside Dental AssociateProvider ID: CA438612 N 5th StreetREDLANDS, CA 92373brooksidedental100@yahoo.com909-798-7111Associates:Deragobian, Ankin NPI: 1467760041 Language: Spanish License: 59757 Specialty: Dentist

Lubczuk, Andrzej NPI: 1760574867 Language: Vietnamese Spanish License: 42568 Specialty: Dentist

Elite Dental AssociatesProvider ID: CA4102245 Terracina Blvd Ste 207ARedlands, CA 92373kcradds@hotmail.com909-798-4111Associates:Beale, Tiffany Gender: Female License: 63325 Specialty: DentistBeckley, Melisa NPI: 1962697516 License: 47594 Specialty: Dentist

Redlands Dental AssociatesProvider ID: CA29171895 Orange Tree Ln Ste 101Redlands, CA 92374redlandsdental@yahoo.com909-793-5270*PCP assignment limitationsAssociates:Kogan, Elena NPI: 1194923243 License: 49427 Specialty: Dentist

Redlands Design DentistryProvider ID: CA50601568 Orange StreetREDLANDS, CA 92374redlandsdesigndentistry@gmail.com909-237-6005Associates:Sagman, Aseel NPI: 1275938789 License: 63722 Specialty: Dentist

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Sagman, Saad NPI: 1841551991 Gender: Male License: 61322 Specialty: Dentist

Smile Bright DentalProvider ID: CA4567414 Tennessee St Ste K1Redlands, CA 92373opam@sbdredlands.com909-798-4000Associates:Colerick, Kenneth NPI: 1881721298 Language: Spanish License: 19594 Specialty: Dentist

United Dental GroupProvider ID: CA4051434 Cajon St Ste 101Redlands, CA 92373udgdental@yahoo.com909-793-8793Associates:Mejia, Juan NPI: 1902966385 Language: Spanish License: 48644 Specialty: DentistTavakoli-Parsa, Ali NPI: 1619193950 Language: Spanish License: 46985 Specialty: DentistTrieu, Lloyd NPI: 1922297183 Language: Vietnamese Spanish License: 54701 Specialty: Dentist

RialtoWestern Dental Services, Inc.Provider ID: CA4504260 W Foothill BlvdRialto, CA 92376181wra@westerndental.com909-546-1367Associates:Abdal, Ronza NPI: 1487132213 Gender: Female License: 102827 Specialty: DentistAbdelhadi, Hatem NPI: 1962658955 Language: Hindi Spanish License: 57440 Specialty: DentistAfifi, Maryam NPI: 1386017002 Gender: Female License: 64904 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Korean Spanish License: 60391 Specialty: DentistAl-Salti, Rula NPI: 1922293570 Language: Spanish Hindi License: 54546 Specialty: DentistAldouri, Thaar NPI: 1467682815 License: 63186 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: Dentist

Ashtiany, Azadeh NPI: 1639508278 Language: Hindi Spanish License: 63011 Specialty: DentistAttar, Anas NPI: 1952881302 Gender: Male License: 103654 Specialty: DentistBeck, Yanina NPI: 1588845564 License: 56517 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBorna, Neda NPI: 1376968784 Language: Spanish Hindi License: 63227 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistBouz, Maha NPI: 1558705574 Language: Spanish Hindi License: 55772 Specialty: DentistCadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Spanish Hindi License: 63541 Specialty: DentistChen, Benson NPI: 1932395910 Language: Korean Spanish License: 56346 Specialty: Dentist

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Chilton, Chunhua NPI: 1124432695 Language: Spanish Arabic License: 63496 Specialty: DentistChoi, Jo NPI: 1265768998 Language: Hindi Spanish License: 47245 Specialty: DentistDesai, Amit NPI: 1679848733 Language: Spanish Hindi License: 42538 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Arabic Spanish License: 56426 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Spanish Hindi License: 57437 Specialty: DentistFierros, Rocio NPI: 1255830865 License: 102271 Specialty: DentistGad, Mona NPI: 1962564013 Language: Hindi Spanish License: 50910 Specialty: DentistGhalchi, Azita NPI: 1659437036 Language: Hindi Spanish License: 49529 Specialty: DentistGhrair, Suzan NPI: 1205999828 Language: Spanish Hindi License: 43158 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Spanish Korean License: 56489 Specialty: Dentist

Habashy, James NPI: 1659682565 Language: Hindi Spanish License: 60988 Specialty: DentistHadid, Nawar NPI: 1699327353 License: 103986 Specialty: DentistHanna, Amal NPI: 1043555162 Language: Spanish Persian License: 62068 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Spanish Hindi License: 63539 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Hindi Spanish License: 61469 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Spanish Hindi License: 59219 Specialty: DentistIzvernari, Paula NPI: 1639463888 Language: Hindi Spanish License: 60367 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKim, Katie NPI: 1336288893 Language: Spanish Korean License: 54464 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Spanish Hindi License: 40255 Specialty: Dentist

Kobrossi, Marcelle NPI: 1750423695 Language: Spanish Persian License: 55200 Specialty: DentistLazo, Antonio NPI: 1225196165 Language: Hindi Spanish License: 51955 Specialty: DentistLee, Peter NPI: 1134139892 Language: Hindi Spanish License: 55223 Specialty: DentistMahran, Soraya NPI: 1639474604 Language: Hindi Spanish License: 60096 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Spanish Korean License: 62457 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Spanish Hindi License: 60333 Specialty: DentistMercado, Maria NPI: 1265618771 Language: Hindi Spanish License: 55872 Specialty: DentistMiranda-Oglesby, Cecilia NPI: 1700445152 License: 103752 Specialty: DentistNguyen, Darren NPI: 1851481675 Gender: Male License: 547532 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Spanish Hindi License: 44751 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Nguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistPatel, Anjana NPI: 1821158726 Language: Spanish Hindi License: 42690 Specialty: DentistPatel, Bhavna NPI: 1760524656 Language: Armenian Spanish License: 55357 Specialty: DentistPatel, Karishma NPI: 1497396154 License: 104470 Specialty: DentistPatel, Pragnesh NPI: 1346656600 Language: Hindi Spanish License: 63582 Specialty: DentistPatel, Shane NPI: 1629622022 License: 104154 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Spanish Hindi License: 61902 Specialty: DentistRahimzadeh, Parviz NPI: 1255515102 Language: Hindi Spanish License: 55923 Specialty: DentistRajvanshi, Roli NPI: 1467869370 Language: Spanish Hindi License: 63622 Specialty: DentistRattan, Tejdeep NPI: 1699095505 License: 64387 Specialty: Dentist

Rivera, Jose NPI: 1013058346 Language: Hindi Spanish License: 42599 Specialty: DentistRoboubi, Mojdeh NPI: 1902212053 Language: Hindi Spanish License: 63504 Specialty: DentistRolle, Maxime NPI: 1083085401 License: 65119 Specialty: DentistSamra, Ed NPI: 1023202264 Language: Hindi Spanish License: 41335 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Spanish Korean License: 62410 Specialty: DentistShen, Jianxiong NPI: 1427335421 Language: Hindi Spanish License: 60559 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Spanish Korean License: 54212 Specialty: DentistTran, Michael NPI: 1487061107 Language: Spanish Hindi License: 63617 Specialty: Dentist

Tribble, Douglas NPI: 1528376266 Gender: Male License: 60612 Specialty: DentistVirk, Geetika NPI: 1780833202 Language: Hindi Spanish License: 57668 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistWilson, Tiffany NPI: 1760741458 Language: Arabic Spanish License: 62605 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Spanish Hindi License: 63551 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Korean Spanish License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Korean Spanish License: 62560 Specialty: Dentist

San BernardinoArrowhead Family DentistryProvider ID: CA2360407 S E StSan Bernardino, CA 92401afdsmile@gmail.com909-889-3300*PCP assignment limitationsAssociates:Bhatt, Shaileshkumar NPI: 1750487328 Gender: Male Language: Spanish License: 33550 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Fisch, Gerald NPI: 1518008762 Gender: Male Language: Spanish License: 24546 Specialty: DentistPanchal, Nirmana NPI: 1164749891 Language: Spanish License: 40105 Specialty: DentistRabie, Ahmed NPI: 1356484927 Gender: Male Language: Spanish License: 47161 Specialty: DentistRafalski, Jeffrey NPI: 1568899284 Language: Spanish License: 62692 Specialty: DentistRasheed, Ammar NPI: 1699155986 Language: Spanish License: 64506 Specialty: DentistSagman, Saad NPI: 1841551991 Gender: Male License: 61322 Specialty: DentistSawabini, Ramzi NPI: 1215023106 Language: Spanish License: 48676 Specialty: DentistTasic, Michael NPI: 1679539068 Language: Spanish License: DDS27932 Specialty: Dentist

Brenda Evans-Louka, DDS Inc.Provider ID: CA5251848 Commercenter ESan Bernardino, CA 92408brendaevanslouka@yahoo.com909-382-0255

Carlos Torres DDSProvider ID: CA4992290 W Orange Show Rd Ste. 102SAN BERNARDINO, CA 92408dentalbiocosmetics@gmail.com951-677-2115Associates:Torres, Carlos NPI: 1093837080 Gender: Male Language: Spanish License: 50685 Specialty: Dentist

Inland Dental CenterProvider ID: CA2434362 E Vanderbilt WaySan Bernardino, CA 92408maria@inlanddentalcenter.com909-384-1111Associates:Boyd, Anthony NPI: 1528128261 Gender: Male Language: Spanish License: 38650 Specialty: DentistSanchez, Grace NPI: 1598964736 Gender: Female Language: Arabic Spanish License: 46131 Specialty: Dentist

Seena Boby, DDSProvider ID: CA4391807 W Highland AveSan Bernardino, CA 92405seenabobydds@gmail.com909-713-0204

Sierra Gateway Dental OfficeProvider ID: CA27774168 N Sierra WaySan Bernardino, CA 92407sgdental11@gmail.com909-886-8900Associates:Karia, Atul NPI: 1586879371 Language: Spanish License: 42668 Specialty: Dentist

Sonrisas Dental StudioProvider ID: CA4773570 S Mount Vernon Ave Ste ESan Bernardino, CA 92410christinesonrisas@gmail.com909-219-5229Associates:Miller, Brenda NPI: 1073958930 Language: Spanish License: 62326 Specialty: Dentist

Southland Dental GroupProvider ID: CA2736399 E Highland Ave Ste 120San Bernardino, CA 92404southlanddental@aol.com909-881-0645Associates:Sanchez, Grace NPI: 1598964736 Gender: Female Language: Arabic Spanish License: 46131 Specialty: DentistSourialle, Antoine NPI: 1811017031 Language: Spanish Arabic License: 44093 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Sure Smile DentalProvider ID: CA2981275 E 9th St Ste LSan Bernardino, CA 92410suresmiledental@gmail.com909-381-5555Associates:Karia, Atul NPI: 1586879371 Language: Spanish License: 42668 Specialty: DentistMakadia, Dineshchandra NPI: 1609978121 Language: Spanish Hindi License: 47124 Specialty: Dentist

Vahan GrigoryanProvider ID: CA51812500 Del Rosa AveSAN BERNARDINO, CA 92404info@imagingdentistry.com909-713-2041Associates:Grigoryan, Vahan NPI: 1235211541 Language: Armenian Spanish License: 49536 Specialty: Dentist

Waterman Dental CenterProvider ID: CA47091428 N Waterman Ave Ste ASan Bernardino, CA 92404watermandental@hotmail.com909-889-1111Associates:Garcia, Osvaldo NPI: 1164582813 Language: Spanish License: 32460 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA44991199 North E StreetSan Bernardino, CA 92410909-381-6507Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbdullah, Marco NPI: 1497393896 License: 104591 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAl-Adami, Mustafa NPI: 1750739983 Language: Spanish License: 100193 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Spanish Korean License: 60391 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAlhassan, Waleed NPI: 1972895977 Language: Spanish Arabic License: 60324 Specialty: DentistAwwad, Maher NPI: 1609936541 License: 46741 Specialty: DentistBeck, Yanina NPI: 1588845564 License: 56517 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: Dentist

Borna, Neda NPI: 1376968784 Language: Hindi Spanish License: 63227 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Spanish Korean License: 62218 Specialty: DentistBouz, Maha NPI: 1558705574 Language: Spanish Hindi License: 55772 Specialty: DentistChandarana, Mangal NPI: 1619109311 Language: Korean Spanish License: 59377 Specialty: DentistChang, Tzu-Fei NPI: 1073920377 Language: Hindi Spanish License: 63541 Specialty: DentistChen, Benson NPI: 1932395910 Language: Korean Spanish License: 56346 Specialty: DentistChen, Connie NPI: 1174677819 Language: Vietnamese Spanish License: 49489 Specialty: DentistChilton, Chunhua NPI: 1124432695 Language: Spanish Arabic License: 63496 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Korean Spanish License: 43434 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Spanish Hindi License: 44858 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Spanish Arabic License: 56426 Specialty: Dentist

130

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Ghalchi, Azita NPI: 1659437036 Language: Spanish Hindi License: 49529 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Hindi Spanish License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Spanish Korean License: 56489 Specialty: DentistGuindy, Youssef NPI: 1730368267 Language: Korean Spanish License: 56297 Specialty: DentistGupta, Shilpa NPI: 1750419578 Language: Spanish License: 51256 Specialty: DentistHabashy, James NPI: 1659682565 Language: Hindi Spanish License: 60988 Specialty: DentistHashem, Ayman NPI: 1336207646 Language: Arabic Spanish License: 47087 Specialty: DentistHemmat, Omid NPI: 1740693852 Language: Hindi Spanish License: 63539 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: DentistHuang, Peter NPI: 1104137314 Language: Hindi Spanish License: 61469 Specialty: DentistHuang, Te-Chao NPI: 1811255474 Language: Spanish Hindi License: 59219 Specialty: Dentist

Khazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKim, Katie NPI: 1336288893 Language: Korean Spanish License: 54464 Specialty: DentistKnapp, Farideh NPI: 1174680243 Language: Hindi Spanish License: 40255 Specialty: DentistKyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Korean Spanish License: 62067 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistLoye, Katherine NPI: 1205034626 Language: Spanish License: 30709 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Spanish Korean License: 62457 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Hindi Spanish License: 60333 Specialty: DentistMazhary, Fereshteh NPI: 1376531418 Language: Spanish Hindi License: 58621 Specialty: Dentist

Mirai, Arman NPI: 1619013570 Gender: Male Language: Spanish Hindi License: 50787 Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Spanish Arabic License: 46905 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Spanish Korean License: 62270 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Hindi Spanish License: 44751 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Hindi Spanish License: 56115 Specialty: DentistNiknafs, Kourosh NPI: 1982762985 Language: Hindi Spanish License: 43217 Specialty: DentistPanigrahi, Sanjukta NPI: 1356782486 Gender: Female License: 65328 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Spanish Korean License: 47988 Specialty: DentistPhan, Son David NPI: 1770835894 Language: Spanish Hindi License: 61902 Specialty: DentistPuri, Shikha NPI: 1922339340 Language: Arabic Spanish License: 58951 Specialty: Dentist

131

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Rajvanshi, Roli NPI: 1467869370 Language: Spanish Hindi License: 63622 Specialty: DentistRavisankar, Ashwin NPI: 1386097616 Language: Spanish License: 100516 Specialty: DentistRoboubi, Mojdeh NPI: 1902212053 Language: Spanish Hindi License: 63504 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: DentistShah, Kiran NPI: 1639275050 Language: Spanish Korean License: 48014 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Korean Spanish License: 62410 Specialty: DentistShim, Josheph NPI: 1518577055 License: 1051321 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Spanish Korean License: 54212 Specialty: DentistTran, Henry NPI: 1174677686 Language: Arabic Spanish License: 49423 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: DentistVentresca, Dominick NPI: 1033527825 Gender: Male Language: Spanish License: 63445 Specialty: Dentist

Vu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistWang, Le NPI: 1639230733 Language: Spanish Korean License: 52789 Specialty: DentistWilson, Tiffany NPI: 1760741458 Language: Arabic Spanish License: 62605 Specialty: DentistYaley, Andrea NPI: 1497161541 Language: Spanish Hindi License: 63551 Specialty: DentistYao, Parnell Joanne NPI: 1255984803 License: 104017 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Spanish Korean License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Korean Spanish License: 62560 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA48022094 E Highland AveSan Bernardino, CA 92404909-388-2420Associates:Adame, James NPI: 1124340849 Language: Korean Spanish License: 32256 Specialty: DentistAl-Adami, Mustafa NPI: 1750739983 Language: Spanish License: 100193 Specialty: Dentist

Shim, Josheph NPI: 1518577055 License: 1051321 Specialty: DentistZoma, Ody NPI: 1982194205 License: 102425 Specialty: Dentist

UplandGrigoryan Prof Dent Corp.Provider ID: CA4163536 E Foothill BlvdUpland, CA 91786info@imagingdentistry.com909-291-8625Associates:Grigoryan, Vahan NPI: 1235211541 Language: Spanish Armenian License: 49536 Specialty: Dentist

Upland Dental and Implant CntrProvider ID: CA48851049 W Foothill BlvdUpland, CA 91786uplanddentalandimplant@gmail.com909-985-1966Associates:Nigoghosian, Johnny NPI: 1821402538 Gender: Male License: 63485 Specialty: Dentist

Paul C. Chang Dental, Inc.Provider ID: CA4364600 N Mountain Ave Ste D205Upland, CA 91786angelica@paulchangdental.com909-985-9866Associates:Chang, Paul NPI: 1076317445 Language: Spanish License: 32540 Specialty: Dentist

132

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Upland Dental Aesthetic/OrthoProvider ID: CA4663121 W Foothill Blvd Suite EUPLAND, CA 91786manager@route66dental.com909-982-9800Associates:Gewaid, Shenouda NPI: 1205847068 Language: Persian Arabic License: 49753 Specialty: Dentist

VictorvilleDesert Dental GroupProvider ID: CA496112640 Hesperia Rd Ste A, C & FVictorville, CA 92395victorville@desertdental.org760-241-3336Associates:Calicdan, Carol NPI: 1205042322 Language: Spanish License: 49732 Specialty: DentistDeirmenjian, Barouir NPI: 1225097215 Gender: Male Language: Spanish License: 40804 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: DentistFord, Helen NPI: 1538139043 License: 64284 Specialty: DentistGochez, Jaime NPI: 1326151218 License: 39961 Specialty: DentistHajdari, Ed NPI: 1154511145 Gender: Male Language: Spanish Persian License: 50920 Specialty: Dentist

Kalimuddin, Hussein NPI: 1811379928 Gender: Male License: 100889 Specialty: DentistKassem, Ahmed NPI: 1497826028 Gender: Male Language: Spanish License: 40842 Specialty: DentistNayyar, Shikha NPI: 1912394370 Gender: Female License: 101032 Specialty: DentistRivas, Lilia NPI: 1083896393 License: 48363 Specialty: DentistWilliams, Nicholas NPI: 1639330962 Gender: Male Language: Spanish License: 57100 Specialty: Dentist

Victor Valley Dental GroupProvider ID: CA266114689 Valley Center Dr Ste E101Victorville, CA 92395info@victorvalleydentalgroup.com760-245-0151*PCP assignment limitationsAssociates:Zakhary, Emil NPI: 1740390236 Language: Spanish Korean License: 48070 Specialty: Dentist

Viewpoint Dental AssociatesProvider ID: CA276315366 11th St ste GVictorville, CA 92395viewpointdental@gmail.com760-245-8616Associates:Clibon, Gregory NPI: 1982625141 Gender: Male License: 44580 Specialty: Dentist

Seleem, Mohamed NPI: 1356479786 License: 46132 Specialty: DentistStaudhammer, Debra NPI: 1851485916 License: 41130 Specialty: Dentist

Western Dental Services, Inc.Provider ID: CA450115290 Bear Valley Rd Ste BVictorville, CA 92395124bvv@westerndental.com760-951-7777Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbdelsayed, George NPI: 1366081747 License: 104686 Specialty: DentistAbdullah, Marco NPI: 1497393896 License: 104591 Specialty: DentistAdame, James NPI: 1124340849 Language: Spanish Korean License: 32256 Specialty: DentistAghakhan-Moheb, Ahmad NPI: 1982937850 Language: Spanish License: 58809 Specialty: DentistAl-Adami, Mustafa NPI: 1750739983 Language: Spanish License: 100193 Specialty: DentistAl-Haddadin, Hanan NPI: 1780979393 Language: Korean Spanish License: 60391 Specialty: Dentist

133

Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Al-Hashimi, Adil NPI: 1285943597 Language: Spanish License: 59837 Specialty: DentistAlexandrian, Andrea NPI: 1396884482 Language: Korean Spanish License: 49946 Specialty: DentistAvcikurt, Ugur NPI: 1437188265 Language: Arabic Tagalog License: 54351 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistBilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistBourklian, Jack NPI: 1801136494 Language: Korean Spanish License: 62218 Specialty: DentistBui, Calvin NPI: 1285796441 Language: Spanish License: 44571 Specialty: DentistChandarana, Mangal NPI: 1619109311 Language: Korean Spanish License: 59377 Specialty: DentistChen, Benson NPI: 1932395910 Language: Spanish Korean License: 56346 Specialty: DentistDa Silva, Carlos NPI: 1710186564 Language: Korean Spanish License: 43434 Specialty: DentistDaloisio, Chad NPI: 1467510487 Language: Hindi Spanish License: 44858 Specialty: Dentist

Dawoud Soliman, Hany Mohamed NPI: 1902270507 Gender: Male License: 65254 Specialty: DentistEl Sayed, Mohamed NPI: 1679761019 Language: Arabic Spanish License: 56426 Specialty: DentistElgamal, Shierf NPI: 1720426174 Language: Korean Spanish License: 62327 Specialty: DentistFarshidpour, Mehrnoush NPI: 1326294125 Language: Hindi Spanish License: 57437 Specialty: DentistGebrail, Sarah NPI: 1316402027 Gender: Female License: 103531 Specialty: DentistGill, Amanpreet NPI: 1174691083 Language: Spanish Hindi License: 49531 Specialty: DentistGill, Jasmine NPI: 1417138835 Language: Korean Spanish License: 56489 Specialty: DentistHaq, Shuja NPI: 1134159916 Language: Spanish Korean License: 51809 Specialty: DentistHedayat, Iman NPI: 1235561713 Language: Arabic Spanish License: 62640 Specialty: DentistHerbly, Basel NPI: 1437296050 Language: Spanish Hindi License: 54150 Specialty: Dentist

Khamsei, Laila NPI: 1770775181 Language: Spanish Hindi License: 54594 Specialty: DentistKhasru, Mohammed NPI: 1205902251 Language: Spanish Arabic License: 48479 Specialty: DentistKhazaii-Tabari, Sheida NPI: 1386932812 Language: Spanish Hindi License: 60452 Specialty: DentistKyu, E. NPI: 1164590881 Language: Spanish Arabic License: 46089 Specialty: DentistLabib, Arsany NPI: 1245575364 Language: Korean Spanish License: 62067 Specialty: DentistLiou, Jia-Kae Joseph NPI: 1447574413 Language: Spanish Hindi License: 48638 Specialty: DentistLloren, Glenda NPI: 1790846996 Language: Chinese Spanish License: 42849 Specialty: DentistManda, Swapna NPI: 1831539725 Language: Korean Spanish License: 62457 Specialty: DentistManickam, Kavitha NPI: 1215099288 Language: Spanish License: 54744 Specialty: DentistMarzouk, Mohammed NPI: 1386936995 Language: Hindi Spanish License: 60333 Specialty: Dentist

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Dentist selection must be completed before the 20th of the month for an effective date at the start of the next month

Mirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: DentistNguyen, Duy NPI: 1003905068 Language: Arabic Spanish License: 46905 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Spanish Korean License: 62270 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Spanish Hindi License: 44751 Specialty: DentistNguyen, Van NPI: 1225220890 Language: Spanish Hindi License: 56115 Specialty: DentistPanigrahi, Sanjukta NPI: 1356782486 Gender: Female License: 65328 Specialty: DentistPascal, Jeffery NPI: 1750740015 Gender: Male License: 102101 Specialty: DentistPetrova, Kornelia NPI: 1740358787 Gender: Female Language: Korean Spanish License: 47988 Specialty: DentistPham, Vyvy NPI: 1396228458 Gender: Female License: 103194 Specialty: DentistRavisankar, Ashwin NPI: 1386097616 Language: Spanish License: 100516 Specialty: Dentist

Reina, Osbalda NPI: 1013156793 Gender: Female License: 58068 Specialty: DentistRubino, Giacinto NPI: 1639155526 Language: Spanish Korean License: 29441 Specialty: DentistSalem, Mahmoud NPI: 1962570689 Language: Spanish Arabic License: 48371 Specialty: DentistSantos, Augusto NPI: 1124182837 Language: Korean Spanish License: 53864 Specialty: DentistSeleit, Mohamed NPI: 1245306208 Language: Spanish Korean License: 52110 Specialty: DentistShah, Megha NPI: 1679984439 Language: Korean Spanish License: 63398 Specialty: DentistShah, Niraj NPI: 1437599339 Language: Korean Spanish License: 62410 Specialty: DentistShim, Josheph NPI: 1518577055 License: 1051321 Specialty: DentistSirenko, Sergey NPI: 1164779187 Language: Spanish Hindi License: 39886 Specialty: DentistSood, Iyad NPI: 1447370184 Language: Spanish License: 57812 Specialty: DentistSoriano, Roy NPI: 1619182037 Language: Spanish Korean License: 54212 Specialty: Dentist

Tran, Henry NPI: 1174677686 Language: Arabic Spanish License: 49423 Specialty: DentistTran, Tam NPI: 1386782985 Language: Arabic Korean License: 48559 Specialty: DentistVasquez, Jerson NPI: 1609904366 Language: Hindi Spanish License: 45535 Specialty: DentistVaughn, Lorenia NPI: 1033261730 Language: Spanish Hindi License: 50996 Specialty: DentistVu, Nguyenkhanh NPI: 1386733103 Language: Hindi Spanish License: 48693 Specialty: DentistWang, Le NPI: 1639230733 Language: Spanish Korean License: 52789 Specialty: DentistYoon, Jung-Jin NPI: 1740490226 Language: Spanish Korean License: 50777 Specialty: DentistZhang, Ling NPI: 1386086437 Language: Spanish Korean License: 62560 Specialty: Dentist

YucaipaYucaipa Family DentistryProvider ID: CA215834488 Yucaipa Blvd Ste FYucaipa, CA 92399caipadent79@gmail.com909-797-0303Associates:Yeo, Eliot NPI: 1679618557 Language: Japanese Korean License: 37310 Specialty: Dentist

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTLOS ANGELES

BurbankJohn Yekikian, DDSProvider ID: CA3792601 W Alameda Ave Ste 406Burbank, CA 91505818-843-7841

DowneyAll Kids Dental CareProvider ID: CA50279474 Firestone BlvdDowney, CA 90241kidsdental.harsh@gmail.com562-803-4224Associates:Bilal, Mustafa NPI: 1053462515 Language: Spanish Hindi License: 52583 Specialty: DentistFlachner, Stewart NPI: 1215023189 Language: Spanish Chinese License: 28687 Specialty: DentistKhorram, Nasrin NPI: 1538212790 Language: Spanish License: 45475 Specialty: DentistLee, Peter NPI: 1134139892 Language: Spanish Hindi License: 55223 Specialty: DentistMarashli, DDS, Salaheddin License: 45493 Specialty: DentistNguyen, Stephanie NPI: 1912191073 Language: Spanish Hindi License: 44751 Specialty: Dentist

Sorour, Selvana NPI: 1679641146 Gender: Female License: 54394 Specialty: DentistSorour, Tharwat NPI: 1073672879 Gender: Male License: 54393 Specialty: DentistTurkmani, DDS, Wasim NPI: 1508899592 Gender: Male License: 48396 Specialty: Dentist

EncinoIraj Ebrami, DDSProvider ID: CA104216311 Ventura Blvd Ste 640Encino, CA 91436irajebramidds@gmail.com818-905-8337Associates:Ebrami, Iraj NPI: 1235254715 Language: Persian License: 32065 Specialty: Dentist

GLENDALEGlendale Dental Arts CenterProvider ID: CA4866800 S Central Ave, Suite 304GLENDALE, CA 91204glendale1dentalgroup@gmail.com818-241-1160Associates:Makhmalbaf, Ali NPI: 1861640302 License: 59489 Specialty: DentistMirmarashi, Babak NPI: 1972772457 Language: Persian Arabic License: 55768 Specialty: Dentist

HawthorneSchnierow Dental CareProvider ID: CA42013450 Hawthorne BlvdHawthorne, CA 90250schmerowdental@yahoo.com310-679-0106Associates:Guedikian, Raffi NPI: 1720142003 Language: Tagalog Spanish License: 37424 Specialty: DentistSchnierow, Burton NPI: 1578573507 Language: Spanish Tagalog License: 16629 Specialty: Dentist

Huntington ParkSanta Fe Family Dental CenterProvider ID: CA22517100 Santa Fe AveHuntington Park, CA 90255sunvalley@smiledentalservices.com323-587-8444Associates:Thomas, Vartan NPI: 1881894855 Language: Spanish Armenian License: 40992 Specialty: Dentist

LakewoodLakewood Modern DentistryProvider ID: CA45625507 Woodruff AveLakewood, CA 90713info@lmdsmiles.com562-920-9050*PCP assignment limitationsAssociates:Thai, Christy NPI: 1275762569 Language: Vietnamese Tagalog License: 47571 Specialty: Dentist

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTLawndale

Vadadent Modern Dental GroupProvider ID: CA468316002 Hawthorne BlvdLawndale, CA 90260info@digitaldentistryclinic.com310-371-4104Associates:Tabibi, Fariba NPI: 1275666943 Language: Persian Spanish License: 41133 Specialty: Dentist

Lincoln HeightsArturo Ibarra, DDSProvider ID: CA4792407 N BroadwayLincoln Heights, CA 90031323-221-3165Associates:Ibarra, Arturo NPI: 1386787976 Language: Spanish License: 31287 Specialty: Dentist

Long BeachCherry DentalProvider ID: CA23996616 Cherry AveLong Beach, CA 90805cherrydental90805@gmail.com562-630-2262Associates:Hanna, Maha NPI: 1205022431 Language: Arabic Spanish License: 42543 Specialty: Dentist

Family DentistryProvider ID: CA23745399 Orange AveLong Beach, CA 90805saimohan97@yahoo.com562-422-9698Associates:Mohan, Shamanna NPI: 1184733115 Gender: Male Language: Spanish Hindi License: 29382 Specialty: Dentist

Los AngelesDan Benyamini, DDS IncProvider ID: CA25381826 W 7th StLos Angeles, CA 90057downtownladds@aol.com213-484-6660Dental JaliscoProvider ID: CA4783604 E 1st StLos Angeles, CA 90063ibarradentistry@gmail.com323-260-7173Associates:Ibarra, Arturo NPI: 1386787976 Language: Spanish License: 31287 Specialty: DentistLilian Lotfy, DDSProvider ID: CA24774777 Fisher St Fl 2Los Angeles, CA 90022lilianlotfy@gmail.com323-268-3395Associates:Lofty, Lilian NPI: 1326160250 Language: Spanish Arabic License: 45912 Specialty: Dentist

Adams Family DentalProvider ID: CA49249911 W Pico Blvd Ste 950Los Angeles, CA 90035skhalilidds@sbcglobal.com213-765-8161Associates:Khalili, Suzanne NPI: 1528035839 License: 41096 Specialty: DentistTotal Care Dental and OrthoProvider ID: CA41535703 S Vermont AveLos Angeles, CA 90037totalcaredntalla@gmail.com323-751-5600Associates:Abner, Emil NPI: 1861918831 License: 101925 Specialty: DentistFarzan, Danielle NPI: 1285043075 Gender: Female License: 63832 Specialty: DentistKabiri, Navid NPI: 1235471921 Language: Spanish Korean License: 64023 Specialty: DentistKhaleghi, Mohammad NPI: 1124435904 Gender: Male License: 63637 Specialty: DentistLee, Jung NPI: 1619476470 Gender: Male License: 102079 Specialty: DentistMirai, Arman NPI: 1619013570 Gender: Male Language: Hindi Spanish License: 50787 Specialty: Dentist

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTOh, Saewon NPI: 1619372570 Language: Korean Spanish License: 64104 Specialty: DentistPalacios, Consuelo NPI: 1821466822 Gender: Female License: 64805 Specialty: DentistSarraf, Keivan NPI: 1154410256 Gender: Male Language: Spanish Korean License: 52466 Specialty: DentistSobol, Henry NPI: 1184065971 Language: Spanish Hindi License: 62498 Specialty: DentistWang, Jennifer NPI: 1649419854 Language: Spanish Korean License: 56185 Specialty: DentistWestchester Dental CareProvider ID: CA21788930 S Sepulveda Blvd Ste 117Los Angeles, CA 90045310-641-8890Associates:Moghaddas, David NPI: 1205928496 Language: Persian Spanish License: 40966 Specialty: DentistWestwood Village DentalProvider ID: CA4134951 Westwood BlvdLos Angeles, CA 90024310-824-2225Associates:Schlang, Elliot NPI: 1760508535 Language: Spanish License: 24337 Specialty: Dentist

Wilshire Center Dental GroupProvider ID: CA3313932 Wilshire BlvdSuite 306Los Angeles, CA 90010wilshiredental@aol.com213-386-3336*PCP assignment limitationsAssociates:Aor, Anabelle NPI: 1699800920 Language: Spanish License: 45806 Specialty: DentistBorel, John NPI: 1457453904 Language: Spanish License: 31208 Specialty: DentistKaplan, Gregory NPI: 1982674529 Language: Spanish License: 32932 Specialty: DentistMiller, Talya NPI: 1114452554 Gender: Female License: 102661 Specialty: DentistSchwartz, Marc NPI: 1740371244 Language: Spanish License: 41996 Specialty: DentistSilverio, Willy NPI: 1730230194 Language: Spanish License: 41868 Specialty: DentistSiron, June NPI: 1316044019 Language: Spanish License: 42612 Specialty: DentistWiner, Martin NPI: 1275688426 Language: Spanish License: 30031 Specialty: Dentist

NorwalkRose Dental Implant CenterProvider ID: CA418913041 Rosecrans Ave Ste 207Norwalk, CA 90650rdic@rosedental.org562-404-1614Associates:Kim, Sunny NPI: 1154467405 Language: Spanish License: 43620 Specialty: Dentist

Panorama CityDental WonderlandProvider ID: CA40138761 Van Nuys BlvdPanorama City, CA 91402daisy@drbarrycorp.com818-891-1600Associates:Deirmenjian, Sandra NPI: 1104918333 Language: Spanish Armenian License: 52129 Specialty: DentistElloway, Natasha NPI: 1598327710 Gender: Female License: 103789 Specialty: DentistFlores, Jorge NPI: 1336461789 Language: Spanish License: 42546 Specialty: Dentist

PomonaBella Manchandia, DDSProvider ID: CA2550551 E Holt AvePomona, CA 91767909-622-8600

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTSan Pedro

Hamid Cohen Kheradyar, DDSProvider ID: CA2177138 S Gaffey St.San Pedro, CA 90731310-514-9100

South GateWestern DentalProvider ID: CA1314444 Tweedy BlvdSouth Gate, CA 90280mvargas@cdgdental.com323-564-2444*PCP assignment limitationsAssociates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAbraham, Pamela NPI: 1710131362 Language: Spanish License: 57863 Specialty: DentistAleagha, Nima NPI: 1174713937 Language: Spanish License: 55987 Specialty: DentistAwad, Moller NPI: 1932694643 Gender: Male License: 102608 Specialty: DentistBao, Sisi NPI: 1588022636 Gender: Female License: 65346 Specialty: DentistBerger, Rosanne NPI: 1528104403 Language: Spanish License: 47847 Specialty: Dentist

Cervantes, Gabriela NPI: 1205082708 Language: Spanish License: 58725 Specialty: DentistDiaz, David NPI: 1699882498 Language: Spanish License: 30642 Specialty: DentistGabot, Joanne NPI: 1942447644 Language: Spanish License: 57605 Specialty: DentistGoshayeshi, Azadeh NPI: 1306480793 License: 104482 Specialty: DentistGuerrero, Jose Noel NPI: 1427104785 Language: Spanish License: 47898 Specialty: DentistHoang, Anne NPI: 1386993087 Gender: Female License: 61727 Specialty: DentistJauregui, Hector NPI: 1467502815 Gender: Male Language: Spanish License: 53459 Specialty: DentistKaleel, Rona NPI: 1306173158 Language: Spanish License: 64049 Specialty: DentistKang, Jiyea NPI: 1710409800 Gender: Male License: 101492 Specialty: DentistKasey, Yazan NPI: 1184994550 Language: Spanish License: 60755 Specialty: Dentist

Kim, Jae Eun NPI: 1285287110 License: 104068 Specialty: DentistKirschner, Andrea NPI: 1528513736 Gender: Female License: 100722 Specialty: DentistLam, Elaine NPI: 1235338922 Gender: Female License: 64453 Specialty: DentistLazo, Julie NPI: 1215083589 Language: Spanish License: 36869 Specialty: DentistLiu, Samuel NPI: 1447697107 License: 101334 Specialty: DentistLopez, Weena NPI: 1871934125 Gender: Female License: 62396 Specialty: DentistLutsky, Jay NPI: 1801942172 Language: Spanish License: 31659 Specialty: DentistMathews, Lauren NPI: 1497019681 Gender: Female License: 62735 Specialty: DentistMejia, Dina NPI: 1053625129 Language: Spanish License: 59095 Specialty: DentistMinsky, Jerry NPI: 1184628539 Language: Spanish License: 31668 Specialty: DentistMorshed, Nazy NPI: 1346568326 Language: Spanish Arabic License: 40282 Specialty: Dentist

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTNasiri, Avishan NPI: 1902286552 Gender: Female Language: French License: 64535 Specialty: DentistNguyen, Henry NPI: 1184989170 Language: Korean Spanish License: 62270 Specialty: DentistNguyen, Lisa NPI: 1508912874 Language: Spanish License: 53023 Specialty: DentistNguyen, Olivia NPI: 1396104758 Gender: Female License: 100471 Specialty: DentistNguyen, Thomas NPI: 1912282203 Language: Spanish License: 60871 Specialty: DentistNguyen-Dery, Anh NPI: 1063542215 Language: Spanish License: 40173 Specialty: DentistOletyramakrishnasetty, Raghavendr NPI: 1477704104 Language: Spanish License: 56998 Specialty: DentistOlex, Allison NPI: 1801118567 Language: Spanish License: 54562 Specialty: DentistOrigel, Marisa NPI: 1548669807 Language: Spanish License: 63931 Specialty: DentistPasion, Alice NPI: 1780730051 Language: Spanish License: 38111 Specialty: Dentist

Qayyum, Shamoon NPI: 1932469137 Language: Korean Spanish License: 61141 Specialty: DentistRanchhod, Anisha NPI: 1801061114 Language: Spanish License: 55990 Specialty: DentistSapir, Benjamin NPI: 1538391263 Gender: Male License: 64246 Specialty: DentistSheng, Anne NPI: 1730226291 Gender: Female License: 37915 Specialty: DentistSiazon, Eleanor NPI: 1497891261 Language: Spanish License: 44086 Specialty: DentistTamayo, Enrique NPI: 1811033699 Language: Spanish License: 52474 Specialty: DentistTarnavschi, Irina Mihaela NPI: 1194861872 Language: Spanish License: 30024 Specialty: DentistTawadrous, Joy NPI: 1669968228 License: 102562 Specialty: DentistWiederkehr, Sabina NPI: 1043356728 Language: Spanish License: 53889 Specialty: DentistZargarpour, Siavash NPI: 1295871986 Language: Spanish License: 45072 Specialty: Dentist

West CovinaPearl DentistryProvider ID: CA48041414 S Azusa Ave Ste B-10West Covina, CA 91791pearldentistry@yahoo.com626-430-7370Associates:Lu, Xiaofang NPI: 1629325725 Language: Spanish Chinese License: 61676 Specialty: DentistQueens Dental GroupProvider ID: CA2006910 S Sunset Ave Ste 3West Covina, CA 91790sylvia@queens-dental.com626-337-6166Associates:Dumalaog, Joy NPI: 1912064668 Language: Spanish Vietnamese License: 41401 Specialty: DentistSuchak, Atul NPI: 1558403386 Language: Spanish Vietnamese License: 36009 Specialty: Dentist

ORANGEBrea

Brea Dental CareProvider ID: CA4977330 N Brea Blvd Ste BBrea, CA 92821breadentalcare@gmail.com562-356-0948Associates:Acosta, Adrian NPI: 1649230319 License: 37769 Specialty: Dentist

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTAlbaghdadi, Amro NPI: 1891355525 Gender: Male License: 103749 Specialty: DentistBoval, Diane Lee NPI: 1467554394 Language: Spanish License: 48630 Specialty: DentistDabek, Leva NPI: 1962807537 Gender: Female License: 102194 Specialty: DentistDolas, Peter NPI: 1619972726 Language: Spanish License: 32296 Specialty: DentistFollico, Anthony NPI: 1568565653 Gender: Male Language: Persian Spanish License: 41078 Specialty: DentistFuruichi, Richard NPI: 1356542666 License: 44477 Specialty: DentistKim, Insoo NPI: 1104094580 Gender: Male License: 30377 Specialty: DentistKim, Michael NPI: 1174945273 Gender: Male License: 101618 Specialty: DentistLoomis, Robert NPI: 1437205739 License: 48640 Specialty: DentistMeador, Michelle NPI: 1427488725 Language: Spanish Vietnamese License: 63128 Specialty: Dentist

Patel, Mili NPI: 1851723472 Language: Spanish License: 63215 Specialty: Dentist

Buena ParkWestern Dental Services, Inc.Provider ID: CA45695971 Lincoln AveBuena Park, CA 90620714-995-3976Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: Dentist

Garden GroveComfort DentalProvider ID: CA292113133 Harbor BlvdGarden Grove, CA 92843comfortdentalgg@hotmail.com714-537-8770Associates:Cardenas, Mauricio NPI: 1033680186 Language: Vietnamese Spanish License: 43326 Specialty: DentistLe, Kha NPI: 1003847955 Language: Vietnamese Spanish License: 41453 Specialty: Dentist

Laguna HillsND Dental CareProvider ID: CA489324401 Ridge Route Dr Ste A107Laguna Hills, CA 92653info@lagunahillssmiles.com949-588-2112

Associates:Dobrescu, Narcisa NPI: 1851569149 Gender: Female Language: Romanian License: 50594 Specialty: Dentist

SANTA ANAOcean Dental GroupProvider ID: CA50691125 E. 17th StSuite W233SANTA ANA, CA 92701ofroehlich@ocean.dental714-957-6030Associates:Ozder, Necdet NPI: 1063571313 Language: Spanish Turkmen License: 52446 Specialty: Dentist

WestminsterKha D. Le, DMDProvider ID: CA43039900 McFadden Ave Ste 101Westminster, CA 92683mcfaddendental@yahoo.com714-531-5770

RIVERSIDEHemet

Bright Smile Dental CareProvider ID: CA43741020 E Florida AveHemet, CA 92543brightsmilehemet@yahoo.com951-765-1234Associates:Makar, George NPI: 1851539464 Language: Spanish License: 44935 Specialty: Dentist

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTHemet Dental ClinicProvider ID: CA294940 E Morton PlHemet, CA 92543officeim@gmail.com951-652-2796Associates:Iman, Donald NPI: 1447358833 Language: Spanish License: 30538 Specialty: Dentist

IndioSumabat Dental Corp.Provider ID: CA488643990 Golf Center Pkwy Ste B-4Indio, CA 92203sumabatdental@protonmail.com760-347-3767Associates:Sumabat, Ramon NPI: 1407877087 Language: Spanish Tagalog License: 42426 Specialty: Dentist

PALM SPRINGSHarmony Dental PracticeProvider ID: CA5000333 S Indian Canyon St Ste APALM SPRINGS, CA 92262harmonydentalpractice@gmail.com760-416-0233Associates:Ko, Richard License: 47273 Specialty: Dentist

Sumabat Dental Corp.Provider ID: CA2302285 S Palm Canyon Dr Ste D7Palm Springs, CA 92262sumabatdental@protonmail.com760-320-2780Associates:Sumabat, Ramon NPI: 1407877087 Language: Spanish Tagalog License: 42426 Specialty: Dentist

RiversideMy Riverside DentistProvider ID: CA49646339 Brockton AveRiverside, CA 92506apdental@yahoo.com951-369-3597Associates:Pelaez, Adrian NPI: 1558516971 Language: Spanish Persian License: 57724 Specialty: DentistLa Sierra Family DentistryProvider ID: CA47243410 La Sierra Ave Ste DRiverside, CA 92503lasierrafamilydentistry@gmail.com951-354-9550Associates:Sangsurasak, Chanchai NPI: 1164652053 Language: Spanish Thai License: 58501 Specialty: Dentist

Riverside Dental OfficeProvider ID: CA41781485 University Ave Ste ARiverside, CA 92507drmehta01@yahoo.com951-784-4441Associates:Mehta, Parul NPI: 1124275177 Language: Spanish License: 49146 Specialty: DentistWestern Dental Services, Inc.Provider ID: CA48593880 Chicago AveRiverside, CA 92507821wrb_om@westerndental.com951-643-6100Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAlqadoumi, Thaer Basim NPI: 1487000592 Gender: Male License: 100200 Specialty: DentistBesada, Bishoy NPI: 1386123537 Gender: Male License: 102980 Specialty: DentistCadet, Sophia NPI: 1740613066 Language: Spanish License: 62422 Specialty: DentistJameel, Sam NPI: 1609365675 License: 102404 Specialty: DentistMehta, Vidit NPI: 1649768862 License: 102386 Specialty: Dentist

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PARTICIPATING DENTISTS NOT AVAILABLE FOR NEW MEMBER ENROLLMENTNguyen, Dao Anh NPI: 1538536719 Language: Spanish Vietnamese License: 64839 Specialty: DentistPatel, Shinali NPI: 1568016574 Gender: Female License: 104122 Specialty: Dentist

SAN BERNARDINOChino

Softcare DentalProvider ID: CA40193686 Riverside Dr Ste GChino, CA 91710softcaredental@gmail.com909-591-1299Associates:Allen, Rosalinda NPI: 1639205867 Language: Spanish License: 47442 Specialty: DentistWestern Dental Services, Inc.Provider ID: CA450012400 Central AveChino, CA 91710136bci_om@westerndental.com909-364-0030Associates:Abd Allah, Alaa NPI: 1932317716 Gender: Male License: 55546 Specialty: DentistAfshar, Nima NPI: 1871946764 Gender: Male License: 100381 Specialty: DentistAl-Adami, Mustafa NPI: 1750739983 Language: Spanish License: 100193 Specialty: Dentist

Ravisankar, Ashwin NPI: 1386097616 Language: Spanish License: 100516 Specialty: DentistWissa, Ramy NPI: 1619464542 Gender: Male License: 103940 Specialty: DentistYe, Chong NPI: 1619036472 Language: Spanish Persian License: 54964 Specialty: Dentist

HesperiaRadiant DentalProvider ID: CA466215398 Main St Ste AHesperia, CA 92345office@radiantdentalca.com760-949-7211Associates:Salwan, Meenakshi NPI: 1215216213 Language: Spanish License: 53103 Specialty: Dentist

HighlandInland Dental Center-HighlandProvider ID: CA48406982 Boulder AveHighland, CA 92346sharon@inlanddentalcenter.com909-862-2121Associates:Boyd, Anthony NPI: 1528128261 Gender: Male Language: Spanish License: 38650 Specialty: Dentist

RialtoMichael Alvarez, DDSProvider ID: CA290220 N Riverside AveRialto, CA 92376909-875-6400

San BernardinoA Dental Corp.Provider ID: CA2559965 S E StSan Bernardino, CA 92408sandra@vargasdds.com909-885-6262Associates:Calvillo, Jorge NPI: 1649295320 Language: Spanish License: 38938 Specialty: DentistVargas, Luis NPI: 1275693541 Language: Spanish License: 37948 Specialty: Dentist

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Printed 07/29/2021 16:53:02 You are encouraged to contact us if you find any errors or inaccuracies in the directory information.Please call 800-223-4347 in California or 800-400-0347 in Washington or Oregon,or email DentistCare@dentalhealthservices.com. We are always happy to assist you! Enrollees are entitled to full and equal access to covered services, including enrollees with disabilities as required under the Americans with Disabilities Act of 1990 and Section 504 of the RehabilitationAct of 1973. See Section 1367.27(g)(2).

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