Dentist In Los Angeles California
NPI list of 2773 dentist registered providers with a business address in Los Angeles, CA of which 714 are registered as organizations and 2059 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
| NPI | Name | Type | Taxonomy | Address | Medicare | PECOS |
|---|---|---|---|---|---|---|
| 1003029737 | CONSUELO M NOGOY DDS INC ZACOALCO DENTAL OFFICE | Organization | Dentist | 1420 E FLORENCE AVENUE LOS ANGELES, CA 90001 (323) 277-8110 | Non-Participating Provider | NO |
| 1003033556 | KHASHAYAR KHODADADI DDS INC | Organization | Dentist (General Practice) | 11900 S. AVALON BLVD. SUITE 101 LOS ANGELES, CA 90061 (323) 834-0100 | Non-Participating Provider | NO |
| 1003115312 | H.R.IMANKHAN,DDS,INC | Organization | Dentist | 3356 E. OLYMPIC BLVD LOS ANGELES, CA 90023 (323) 269-5221 | Non-Participating Provider | NO |
| 1003182478 | BAUM ORTHODONTICS, INC. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 10921 WILSHIRE BLVD. SUITE #804 LOS ANGELES, CA 90024 (310) 208-5678 | Non-Participating Provider | NO |
| 1003384579 | DAVID CEDENO MD DDS PROFESSIONAL CORPORATION | Organization | Dentist (Oral and Maxillofacial Surgery) | 1127 WILSHIRE BLVD STE 1510 LOS ANGELES, CA 90017 (213) 977-0943 | Non-Participating Provider | NO |
| 1003445560 | JAMES C. CASTELO, DDS, INC. | Organization | Dentist | 5250 SANTA MONICA BLVD STE 210 LOS ANGELES, CA 90029 (323) 666-3852 | Non-Participating Provider | NO |
| 1003805649 | LAU DENTAL GROUP | Organization | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE #1608 LOS ANGELES, CA 90017 (213) 481-1100 | Non-Participating Provider | NO |
| 1003895848 | ADRIANA R. MASI, D.D.S., INC. L.A.DIGITAL DENTISTRY | Organization | Dentist (Dental Public Health) | 1134 S ROBERTSON BLVD SUITE 2 LOS ANGELES, CA 90035 (310) 550-5888 | Non-Participating Provider | NO |
| 1003953126 | KHOSHROZEH DENTAL CORPORATION CALIFORNIA FAMILY DENTAL GROUP | Organization | Dentist (General Practice) | 4080 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 582-4744 | Non-Participating Provider | NO |
| 1013087238 | JOSH LAGATTA DDS INC | Organization | Dentist | 3710 E CESAR E CHAVEZ AVE STE B LOS ANGELES, CA 90063 (323) 263-8000 | Non-Participating Provider | NO |
| 1013101690 | WESTCHESTER PEDIATRIC DENTISTRY | Organization | Dentist (Pediatric Dentistry) | 8540 S SEPULVEDA BLVD STE 710 LOS ANGELES, CA 90045 (310) 216-5754 | Non-Participating Provider | NO |
| 1013205392 | TAKUMI J KAGAWA DDS INC | Organization | Dentist (Prosthodontics) | 420 E 3RD ST SUITE 1008 LOS ANGELES, CA 90013 (213) 625-7141 | Non-Participating Provider | NO |
| 1013401082 | JONATHAN SHOUHED DDS INC | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2320 S ROBERTSON BLVD STE 101 LOS ANGELES, CA 90034 (310) 954-2202 | Non-Participating Provider | NO |
| 1013539535 | SMIT DANGARIA DDS PHD INC | Organization | Dentist (General Practice) | 1325 S HARVARD BLVD LOS ANGELES, CA 90006 (510) 552-6413 | Non-Participating Provider | NO |
| 1013658210 | NIMA EBRAHIMI, D.D.S., INC. | Organization | Dentist (Periodontics) | 11645 WILSHIRE BLVD STE 1001 LOS ANGELES, CA 90025 (310) 620-8140 | Non-Participating Provider | NO |
| 1023141728 | HAK CHEON KIM DDS INC MIRACLE MILE COMPREHENSIVE DENTAL | Organization | Dentist (General Practice) | 5455 WILSHIRE BLVD # 850 LOS ANGELES, CA 90036 (323) 930-4600 | Non-Participating Provider | NO |
| 1023207388 | JOSEPH JETT F. ZAPANTA, DDS.INC | Organization | Dentist | 5175 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 660-4926 | Non-Participating Provider | NO |
| 1023211448 | SOHEIL SOLEIMANI DMD CORP DENTALOGY FAMILY DENTAL | Organization | Dentist | 11444 W WASHINGTON BLVD SUITE #B LOS ANGELES, CA 90066 (310) 572-6167 | Non-Participating Provider | NO |
| 1023401858 | ROSITA M RAYHAN DDS | Organization | Dentist (General Practice) | 6200 WILSHIRE BLVD STE 1110 LOS ANGELES, CA 90048 (323) 931-3881 | Non-Participating Provider | NO |
| 1023651890 | UCLA OROFACIAL PAIN CENTER | Organization | Dentist (Orofacial Pain) | 10833 LE CONTE AVE. CHS 10-157 LOS ANGELES, CA 90095 (310) 794-1929 | Non-Participating Provider | NO |
| 1033319983 | MICHAEL NY MA DENTAL CORPORATION EAST WEST DENTAL OFFICE | Organization | Dentist (General Practice) | 711 W COLLEGE ST SUITE 570 LOS ANGELES, CA 90012 (213) 617-9151 | Non-Participating Provider | NO |
| 1033345525 | EDDIE HAROUNI, D.D.S.,INC. | Organization | Dentist (Endodontics) | 10921 WILSHIRE BLVD SUITE 807 LOS ANGELES, CA 90024 (310) 209-5050 | Non-Participating Provider | NO |
| 1033455092 | BENYAMINY DENTAL CORPORATION | Organization | Dentist | 11860 WILSHIRE BLVD STE 301 LOS ANGELES, CA 90025 (310) 910-9950 | Non-Participating Provider | NO |
| 1033513528 | ROSEMARIE QUIMSON-CRUZ, DMD, INC. | Organization | Dentist | 2252 BEVERLY BLVD STE 102 LOS ANGELES, CA 90057 (323) 228-1250 | Non-Participating Provider | NO |
| 1033584669 | HEIVI KIM, DDS, INC. | Organization | Dentist | 5877 S VERMONT AVE LOS ANGELES, CA 90044 (323) 759-1523 | Non-Participating Provider | NO |
| 1033618681 | SOONKI LEE DDS PC | Organization | Dentist (Oral and Maxillofacial Surgery) | 3030 W OLYMPIC BLVD STE 216 LOS ANGELES, CA 90006 (213) 384-1036 | Non-Participating Provider | NO |
| 1033635156 | LEE PROFESSIONAL DENTAL CORP | Organization | Dentist (Prosthodontics) | 10921 WILSHIRE BLVD STE 812 LOS ANGELES, CA 90024 (310) 208-7727 | Non-Participating Provider | NO |
| 1033667282 | RUDELL GARY S. JACINTO, DMD, INC. | Organization | Dentist | 5001 WILSHIRE BLVD SUITE 212 LOS ANGELES, CA 90036 (323) 931-1385 | Non-Participating Provider | NO |
| 1033715206 | KAREN ANDERSON, DDS INC | Organization | Dentist (Dentist Anesthesiologist) | 149 S BARRINGTON AVE # 321 LOS ANGELES, CA 90049 (310) 770-4476 | Non-Participating Provider | NO |
| 1033872189 | ALEXAUNDREA SMITH D.D.S., INC. | Organization | Dentist | 5831 OVERHILL DR LOS ANGELES, CA 90043 (323) 296-6180 | Non-Participating Provider | NO |
| 1043365000 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 12420 VENICE BLVD LOS ANGELES, CA 90066 (310) 482-0014 | Non-Participating Provider | NO |
| 1043439953 | JAE G. KIM PROFESSIONAL DENTAL CORPORATION | Organization | Dentist (General Practice) | 2500 WILSHIRE BLVD SUITE 1100 LOS ANGELES, CA 90057 (213) 385-9710 | Non-Participating Provider | NO |
| 1043468267 | MIRACLE MILE COMPREHENSIVE DENTAL CENTER | Organization | Dentist (General Practice) | 5455 WILSHIRE BLVD SUITE # 850 LOS ANGELES, CA 90036 (323) 930-4600 | Non-Participating Provider | NO |
| 1043646110 | TARLAN P AKHAVAN DDS A PROFESSIONAL CORPORATION | Organization | Dentist | 530 E WASHINGTON BLVD # A LOS ANGELES, CA 90015 (213) 222-2990 | Non-Participating Provider | NO |
| 1053085282 | BAIG FAMILY DENTAL GROUP | Organization | Dentist | 2080 CENTURY PARK E STE 1103 LOS ANGELES, CA 90067 (310) 553-2233 | Non-Participating Provider | NO |
| 1053473389 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 906 S SOTO ST LOS ANGELES, CA 90023 (323) 263-9063 | Non-Participating Provider | NO |
| 1053636100 | YOSI PAYAM BEHROOZAN DDS INC. | Organization | Dentist | 5255 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 463-7252 | Non-Participating Provider | NO |
| 1053677401 | QUEENSCARE | Organization | Dentist (Pediatric Dentistry) | 950 S GRAND AVE FL 2 LOS ANGELES, CA 90015 (323) 669-4346 | Non-Participating Provider | NO |
| 1053760983 | YONLANDA E CORTEZ DDS INC HERBERT FAMILY DENTISTRY | Organization | Dentist | 4065 WHITTIER BLVD STE 201 LOS ANGELES, CA 90023 (888) 800-4202 | Non-Participating Provider | NO |
| 1053772814 | ARTURO IBARRA D.D.S. INC DENTAL JALISCO | Organization | Dentist | 3604 EAST 1ST STREET LOS ANGELES, CA 90063 (323) 260-7173 | Non-Participating Provider | NO |
| 1053808980 | ANDRE GHARIBIAN DDS INC | Organization | Dentist | 4360 SAN PEDRO PL LOS ANGELES, CA 90011 (818) 590-8825 | Non-Participating Provider | NO |
| 1053895565 | LILI MIRTORABI D.D.S A PROFESSIONAL CORPORATION | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2368 PICO BOULEVARD LOS ANGELES, CA 90006 (844) 347-5794 | Non-Participating Provider | NO |
| 1063011237 | JACK BAYRAYMYAN DENTAL GROUP INC. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 4221 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90063 (719) 576-1850 | Non-Participating Provider | NO |
| 1063607851 | AMY IWATA DDS INC | Organization | Dentist | 3756 SANTA ROSALIA DR STE 504 LOS ANGELES, CA 90008 (323) 293-6188 | Non-Participating Provider | NO |
| 1063630267 | UCLA GRAD ENDO CLINIC | Organization | Dentist (Endodontics) | 10833 LE CONTE AVE SUITE 30-125 CHS LOS ANGELES, CA 90095 (310) 825-4348 | Non-Participating Provider | NO |
| 1063722254 | HERBERT H J KINNARD, DDS, INC. | Organization | Dentist (General Practice) | 8930 S. SEPULVEDA BLVD. SUITE 205 LOS ANGELES, CA 90045 (310) 649-4600 | Non-Participating Provider | NO |
| 1063978252 | CHANG KATTAR DENTAL CORPORATION | Organization | Dentist (Endodontics) | 8540 S SEPULVEDA BLVD STE 1210 LOS ANGELES, CA 90045 (661) 317-1842 | Non-Participating Provider | NO |
| 1073163663 | THERESA GARCIA STEHURA D D S INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 1824 HYPERION AVE LOS ANGELES, CA 90027 (323) 664-7742 | Non-Participating Provider | NO |
| 1073278677 | CRISTINE SALDANA ZAPANTA, DDS, INC. | Organization | Dentist (General Practice) | 2105 BEVERLY BLVD STE 103 LOS ANGELES, CA 90057 (213) 483-4600 | Non-Participating Provider | NO |
| 1073754651 | KELLY HO, D.D.S. | Organization | Dentist | 625 W COLLEGE ST STE 104 LOS ANGELES, CA 90012 (213) 617-0096 | Non-Participating Provider | NO |
| 1073763132 | MARITONE SUANSING-OLAER, DDS, INC. | Organization | Dentist (General Practice) | 4867 EAGLE ROCK BLVD STE A LOS ANGELES, CA 90041 (323) 257-4086 | Non-Participating Provider | NO |
| 1073794780 | DR. EHTERAM BENJI BEHROOZAN | Organization | Dentist | 5255 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 463-7252 | Non-Participating Provider | NO |
| 1073800470 | D W CHO DENTAL CORPORATION ALL STAR DENTAL | Organization | Dentist | 4633 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 264-4400 | Non-Participating Provider | NO |
| 1073901849 | CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPORATION | Organization | Dentist | 11600 WILSHIRE BLVD, #316 LOS ANGELES, CA 90025 (310) 560-8889 | Non-Participating Provider | NO |
| 1073925616 | ARMEN AMBARACHYAN DENTAL CORPORATION COMFORT DENTAL GROUP | Organization | Dentist (General Practice) | 5815 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 721-1212 | Non-Participating Provider | NO |
| 1083387815 | HYUNSUK CHOI DDS, INC. | Organization | Dentist | 203 S VERMONT AVE LOS ANGELES, CA 90004 (909) 436-7006 | Non-Participating Provider | NO |
| 1083735278 | CRENSHAW DENTAL GROUP | Organization | Dentist (General Practice) | 3756 SANTA ROSALIA DR SUITE 517 LOS ANGELES, CA 90008 (323) 290-2212 | Non-Participating Provider | NO |
| 1083751069 | JOSH LAGATTA DDS INC | Organization | Dentist | 1017 S GOODRICH BLVD LOS ANGELES, CA 90022 (323) 725-9600 | Non-Participating Provider | NO |
| 1083774863 | LABIB SINAT FAMILY DENTISTRY INC SINAT FAMILY DENTISTRY | Organization | Dentist | 8704 W PICO BLVD LOS ANGELES, CA 90035 (310) 854-6565 | Non-Participating Provider | NO |
| 1083821128 | WILSHIRE WEST DENTAL GRP. | Organization | Dentist (General Practice) | 8930 S SEPULVEDA BLVD #118 LOS ANGELES, CA 90045 (310) 645-6033 | Non-Participating Provider | NO |
| 1083836837 | MARIANO M. ORDONEZ, JR., D.M.D., A DENTAL CORP. | Organization | Dentist (General Practice) | 2542 W 3RD ST SUITE F LOS ANGELES, CA 90057 (213) 384-2204 | Non-Participating Provider | NO |
| 1083886634 | PETER H. BAE DDS. DENTAL CORPORATION | Organization | Dentist (General Practice) | 4425 S MAIN ST LOS ANGELES, CA 90037 (323) 846-1158 | Non-Participating Provider | NO |
| 1083919781 | DENTAL SPECIALIST OF LOS ANGELES GENTLE CARE DENTAL | Organization | Dentist | 3500 WHITTIER BLVD 101 LOS ANGELES, CA 90023 (323) 264-8834 | Non-Participating Provider | NO |
| 1093054868 | YONG CHUN CHOE DDS INC | Organization | Dentist (General Practice) | 300 S MARIPOSA AVE LOS ANGELES, CA 90004 (213) 739-0150 | Non-Participating Provider | NO |
| 1093069221 | MARJAN MOHAMMADI DDS INC | Organization | Dentist | 550 N LARCHMONT BLVD STE 103 LOS ANGELES, CA 90004 (323) 962-6000 | Non-Participating Provider | NO |
| 1093164246 | GARY MANUKYAN DDS,INC. | Organization | Dentist (General Practice) | 1828 HYPERION AVE LOS ANGELES, CA 90027 (323) 543-0043 | Non-Participating Provider | NO |
| 1093314239 | NA EUN CHUNG D.M.D. INC. | Organization | Dentist | 3123 W OLYMPIC BLVD LOS ANGELES, CA 90006 (213) 487-5961 | Non-Participating Provider | NO |
| 1093848673 | RAMESH MULCHANDANI DDS R M MULCHANDANI DDS | Organization | Dentist (General Practice) | 12060 S CENTRAL AVE LOS ANGELES, CA 90059 (323) 564-4417 | Non-Participating Provider | NO |
| 1093928723 | DARAPORN TANPATTANA, D.D.S., INC. | Organization | Dentist (Periodontics) | 11340 W OLYMPIC BLVD #360 LOS ANGELES, CA 90064 (310) 473-2727 | Non-Participating Provider | NO |
| 1104040468 | WEN SHENG WANG DENTAL CORPORATION WEST COAST DENTAL GROUP OF 6TH STREET | Organization | Dentist (General Practice) | 1725 W 6TH ST LOS ANGELES, CA 90017 (213) 413-5151 | Non-Participating Provider | NO |
| 1104045467 | NOLAN Y MAEHARA DDS INC | Organization | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE 1101 LOS ANGELES, CA 90017 (213) 481-3911 | Non-Participating Provider | NO |
| 1104089796 | JOSH LAGATTA DDS INC | Organization | Dentist | 1201 E FLORENCE AVE # B LOS ANGELES, CA 90001 (562) 773-6057 | Non-Participating Provider | NO |
| 1114093416 | UCLA SCHOOL OF DENTISTRY | Organization | Dentist (General Practice) | 10833 LE CONTE AVE 10-137 CHS LOS ANGELES, CA 90095 (310) 825-9805 | Non-Participating Provider | NO |
| 1114114147 | RENNIE CHEUNG, DMD MD AND VICTOR HO DMD | Organization | Dentist (Oral and Maxillofacial Surgery) | 6240 W MANCHESTER AVE LOS ANGELES, CA 90045 (310) 670-0220 | Non-Participating Provider | NO |
| 1114214269 | WARREN J. GEROSA, DDS,INC. DOVE DENTAL SPA | Organization | Dentist (General Practice) | 8540 S SEPULVEDA BLVD STE 1212 LOS ANGELES, CA 90045 (310) 645-2886 | Non-Participating Provider | NO |
| 1114331089 | OROFACIAL PAIN CLINIC, INC | Organization | Dentist | 444 S SAN VICENTE BLVD STE 1101 LOS ANGELES, CA 90048 (310) 423-9600 | Non-Participating Provider | NO |
| 1114463395 | KEVIN BARRETT DDS INC | Organization | Dentist | 11980 SAN VICENTE BLVD SUITE 802 LOS ANGELES, CA 90049 (310) 820-4952 | Non-Participating Provider | NO |
| 1114489820 | DDS DENTAL CORPORATION | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 140 S ROBERTSON BLVD LOS ANGELES, CA 90048 (213) 314-6612 | Non-Participating Provider | NO |
| 1114573920 | SAHAWNEH DENTAL CORPORATION BRIGHT NOW DENTAL - JORDAN DOWNS | Organization | Dentist | 9851 SOUTH ALAMEDA UNIT A LOS ANGELES, CA 90002 (323) 513-1670 | Non-Participating Provider | NO |
| 1124133350 | WAKAMATSU & WAKAMATSU DDS TOD H WAKAMATSU DDS & HAROLD T WAKAMATSU DDS | Organization | Dentist | 420 EAST THIRD STREET SUITE 702 LOS ANGELES, CA 90013 (213) 626-0561 | Non-Participating Provider | NO |
| 1124204409 | YONG CHUN CHOE DDS INC | Organization | Dentist (General Practice) | 2675 W OLYMPIC BLVD # 300 LOS ANGELES, CA 90006 (213) 739-0150 | Non-Participating Provider | NO |
| 1124238910 | UC REGENTS OF THE UNIVERSITY OF MAXILLOFACIAL UCLA MAXILLOFACIAL PROSTHETICS | Organization | Dentist (Prosthodontics) | 10833 LE CONTE AVE BOX 951668 LOS ANGELES, CA 90095 (310) 794-9858 | Non-Participating Provider | NO |
| 1124409503 | SUZANNE HAERI DDS | Organization | Dentist | 1100 S LA CIENEGA BLVD LOS ANGELES, CA 90035 (310) 657-2200 | Non-Participating Provider | NO |
| 1124411384 | NELLY BEZIMYANSKY DDS, INC. DREAM SMILES DENTAL ARTS | Organization | Dentist | 6360 WILSHIRE BLVD STE 510 LOS ANGELES, CA 90048 (323) 655-0865 | Non-Participating Provider | NO |
| 1124464508 | YOUSEFI, RODEF & YAGHOUBI DENTAL CORPORATION CHILDREN'S DENTAL FUN ZONE | Organization | Dentist (Pediatric Dentistry) | 8525 W PICO BLVD LOS ANGELES, CA 90035 (310) 625-3773 | Non-Participating Provider | NO |
| 1124623004 | ANA HELENA RANKOVIC DDS INC | Organization | Dentist | 5417 VENICE BLVD LOS ANGELES, CA 90019 (323) 634-9950 | Non-Participating Provider | NO |
| 1134252331 | ALBERT R. SILVERA, DDS, PC | Organization | Dentist (General Practice) | 2914 SAWTELLE BLVD LOS ANGELES, CA 90064 (310) 575-0886 | Non-Participating Provider | NO |
| 1134303282 | ANGELA AYZIN, DDS, YAN AYZIN, DDS, A DENTAL CORP | Organization | Dentist | 1621 COLORADO BLVD LOS ANGELES, CA 90041 (323) 344-0448 | Non-Participating Provider | NO |
| 1134304728 | DR.JACOB SLUTSKY, DDS INC. DENTAL CENTER OF WEST LA | Organization | Dentist | 1964 WESTWOOD BLVD STE 145 LOS ANGELES, CA 90025 (310) 474-5575 | Non-Participating Provider | NO |
| 1134314495 | GFV GROUP INC | Organization | Dentist (General Practice) | 1415 1/2 N VERMONT AVE LOS ANGELES, CA 90027 (323) 913-4420 | Non-Participating Provider | NO |
| 1134335185 | ROBERTO PARRA | Organization | Dentist (General Practice) | 215 W 5TH ST SUITE 210 LOS ANGELES, CA 90013 (213) 625-7575 | Non-Participating Provider | NO |
| 1134347982 | GONZALEZ PROFESSIONAL DENTAL CORPORATION | Organization | Dentist (General Practice) | 426 S SAN VICENTE BLVD LOS ANGELES, CA 90048 (310) 360-0767 | Non-Participating Provider | NO |
| 1134552912 | GUILBERTO A. RITO DMD, INC. | Organization | Dentist (General Practice) | 1321 N VERMONT AVE SUITE 1 LOS ANGELES, CA 90027 (213) 880-9572 | Non-Participating Provider | NO |
| 1134555063 | WESTSIDE ENDODONTICS INC | Organization | Dentist (Endodontics) | 2990 S SEPULVEDA BLVD #304 LOS ANGELES, CA 90064 (310) 575-4143 | Non-Participating Provider | NO |
| 1134637150 | TAMAYO INC & LASCOE INC DENTAL PARTNERSHIP | Organization | Dentist | 4400 S BROADWAY STE #103 LOS ANGELES, CA 90037 (323) 233-9400 | Non-Participating Provider | NO |
| 1144342791 | RICHARD M. ABRAMS GENTLE DENTAL CENTER | Organization | Dentist (General Practice) | 3311 GLENDALE BLVD LOS ANGELES, CA 90039 (323) 665-7665 | Non-Participating Provider | NO |
| 1144437898 | DE VELA DENTAL CORPORATION DE VELA DENTAL GROUP, INC. | Organization | Dentist (General Practice) | 5300 SANTA MONICA BLVD SUITE 404 LOS ANGELES, CA 90029 (323) 462-3305 | Non-Participating Provider | NO |
| 1144437930 | GRIGOR G. SARKISSIAN, DDS, APC | Organization | Dentist (General Practice) | 1912 HILLHURST AVE SUITE A LOS ANGELES, CA 90027 (323) 662-8835 | Non-Participating Provider | NO |
| 1144626268 | JOSHUA S. PRESSMAN, DDS INC | Organization | Dentist (General Practice) | 3720 HUGHES AVE APT 1 LOS ANGELES, CA 90034 (818) 448-0201 | Non-Participating Provider | NO |
| 1144714924 | DAVID S. KAO DDS, INC. LA WILSHIRE PERIODONTICS AND DENTAL IMPLANTS | Organization | Dentist (Periodontics) | 1127 WILSHIRE BLVD STE 812 LOS ANGELES, CA 90017 (213) 481-2699 | Non-Participating Provider | NO |
| 1144719410 | FAMILY DENTAL CARE 4 YOU | Organization | Dentist | 5602 W. MANCHESTER AVE LOS ANGELES, CA 90045 (310) 450-0300 | Non-Participating Provider | NO |
| 1144875592 | JAY SINGH | Individual | Dentist (General Practice) | 11346 IOWA AVE APT 203 LOS ANGELES, CA 90025 (702) 526-5890 | Non-Participating Provider | NO |
| 1154527596 | JOSEPH FU-SHOU YANG DDS CHINATOWN DENTAL CENTER | Organization | Dentist (General Practice) | 630 W COLLEGE ST LOS ANGELES, CA 90012 (213) 626-7311 | Non-Participating Provider | NO |
| 1154628931 | IGAL ELYASSI, D.D.S., INC. WILSHIRE SMILE STUDIO DENTAL GROUP | Organization | Dentist (General Practice) | 6200 WILSHIRE BLVD 1609 LOS ANGELES, CA 90048 (323) 937-5773 | Non-Participating Provider | NO |
| 1154758258 | PACIFIC OCEAN DENTAL GROUP,HYUN SOOK LIM DENTAL CORPORATION PACIFIC OCEAN DENTAL GROUP | Organization | Dentist | 5161 POMONA BLVD STE 112 LOS ANGELES, CA 90022 (323) 262-2600 | Non-Participating Provider | NO |
| 1154773968 | SUZANNE KHALILI DDS INC | Organization | Dentist (General Practice) | 9911 W PICO BLVD STE 950 LOS ANGELES, CA 90035 (213) 765-8161 | Non-Participating Provider | NO |
| 1164542635 | ROBERT TAEHONG PARK DDS, INC. | Organization | Dentist | 4220 W 3RD ST STE 202 LOS ANGELES, CA 90020 (213) 382-3215 | Non-Participating Provider | NO |
| 1164650164 | PETER H. BAE D.D.S DENTAL CORP. DENTAL PLAYGROUND | Organization | Dentist | 3651 CRENSHAW BLVD LOS ANGELES, CA 90016 (323) 291-3900 | Non-Participating Provider | NO |
| 1164656187 | ANNABELLA B CHU DMD INC | Organization | Dentist (General Practice) | 2105 BEVERLY BLVD STE. 215 LOS ANGELES, CA 90057 (213) 413-4444 | Non-Participating Provider | NO |
| 1164679809 | KAWATA DENTAL INC. | Organization | Dentist | 12211 W PICO BLVD LOS ANGELES, CA 90064 (310) 826-6123 | Non-Participating Provider | NO |
| 1164767489 | COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION WEST COAST DENTAL GROUP OF LA | Organization | Dentist | 2604 S VERMONT AVE SUITE F LOS ANGELES, CA 90007 (323) 731-3333 | Non-Participating Provider | NO |
| 1164791646 | UNITED DENTAL WILSHIRE CORPORATION | Organization | Dentist | 3800 WILSHIRE BLVD STE 207 LOS ANGELES, CA 90010 (213) 386-6700 | Non-Participating Provider | NO |
| 1164793899 | RISKA K. LIM DENTAL CORPORATION | Organization | Dentist (General Practice) | 1241 S SOTO ST SUITE # 117 LOS ANGELES, CA 90023 (323) 264-2410 | Non-Participating Provider | NO |
| 1164810305 | MERCADO DENTAL CORPORATION | Organization | Dentist (General Practice) | 5114 VENICE BLVD LOS ANGELES, CA 90019 (323) 634-9333 | Non-Participating Provider | NO |
| 1174076525 | JOSEPH YOON DENTAL CORP | Organization | Dentist | 3460 WILSHIRE BLVD STE 104 LOS ANGELES, CA 90010 (213) 383-3460 | Non-Participating Provider | NO |
| 1174139695 | ARTOUR KHACHATRIAN | Organization | Dentist (General Practice) | 7063 W SUNSET BLVD LOS ANGELES, CA 90028 (323) 962-9707 | Non-Participating Provider | NO |
| 1174291363 | BIJAN AFAR DENTAL CORP | Organization | Dentist (Dental Public Health) | 6200 WILSHIRE BLVD LOS ANGELES, CA 90048 (323) 938-6137 | Non-Participating Provider | NO |
| 1174682280 | HUANG AND WU DDS INC SAN MARINO DENTAL CENTER | Organization | Dentist (General Practice) | 1901 W 8TH ST SUITE E LOS ANGELES, CA 90057 (213) 483-8180 | Non-Participating Provider | NO |
| 1174813760 | MITCHELL LEVITT, DMD, A PROFESSIONAL DENTAL CORPORATION | Organization | Dentist | 5757 WILSHIRE BLVD STE 559 LOS ANGELES, CA 90036 (323) 934-9588 | Non-Participating Provider | NO |
| 1174863161 | MARTHA TENA DDS, INC | Organization | Dentist | 2326 W PICO BLVD LOS ANGELES, CA 90006 (213) 387-4366 | Non-Participating Provider | NO |
| 1174910699 | A. HAKHAMIAN DDS INC | Organization | Dentist | 6333 WILSHIRE BLVD STE 311 LOS ANGELES, CA 90048 (323) 653-7500 | Non-Participating Provider | NO |
| 1184285892 | MARK K. SAKAKURA, DDS., A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 1127 WILSHIRE BLVD STE 1200 LOS ANGELES, CA 90017 (213) 481-7500 | Non-Participating Provider | NO |
| 1184358913 | AFSHIN BADII DDS DENTAL CORPORATION | Organization | Dentist (Endodontics) | 11980 SAN VICENTE BLVD STE 900 LOS ANGELES, CA 90049 (310) 979-2160 | Non-Participating Provider | NO |
| 1184755498 | LEVON SOLAK DENTAL CORP | Organization | Dentist (General Practice) | 525 S OLIVE ST LOS ANGELES, CA 90013 (213) 624-3333 | Non-Participating Provider | NO |
| 1184760852 | DANNY SHIRI | Individual | Dentist (General Practice) | 6320 COMMODORE SLOAT DR LOS ANGELES, CA 90048 (323) 936-9102 | Non-Participating Provider | NO |
| 1184896409 | KARINEH ASSATOURIAN DDS INC. PC KARINEH ASSATOURIAN D.D.S. INC. PC | Organization | Dentist | 1115 COLORADO BLVD. LOS ANGELES, CA 90041 (323) 255-4600 | Non-Participating Provider | NO |
| 1184913550 | REGENTS OF UNIVERSITY OF CALIFORNIA LOS ANGELES UCLA OROFACIAL PAIN CLINIC | Organization | Dentist | 10833 LE CONTE AVE CHS 10-157 LOS ANGELES, CA 90095 (310) 794-1929 | Non-Participating Provider | NO |
| 1194192229 | DAVID VAYSLEYB DDS | Organization | Dentist | 10673 W PICO BLVD LOS ANGELES, CA 90064 (310) 474-1800 | Non-Participating Provider | NO |
| 1194246892 | PARSA ENDODONTICS DENTAL GROUP PC WEST LA ENDODONTICS | Organization | Dentist (Endodontics) | 10921 WILSHIRE BLVD STE 1203 LOS ANGELES, CA 90024 (818) 350-3368 | Non-Participating Provider | NO |
| 1194297572 | DR SONGHORIAN DENTAL GROUP INC. | Organization | Dentist | 8530 W PICO BLVD LOS ANGELES, CA 90035 (310) 854-6107 | Non-Participating Provider | NO |
| 1194327197 | D PARK MPH DENTAL, INC SMILE DENTAL OF VERNON | Organization | Dentist (General Practice) | 231 W VERNON AVE STE 107 LOS ANGELES, CA 90037 (323) 233-5906 | Non-Participating Provider | NO |
| 1194879627 | 6TH STREET FAMILY DENTAL GROUP | Organization | Dentist | 2065 W 6TH STREET SUITE 109 LOS ANGELES, CA 90057 (213) 484-2100 | Non-Participating Provider | NO |
| 1194989061 | ALAN M FRIEDMAN DDS A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 1990 WESTWOOD BLVD SUITE 250 LOS ANGELES, CA 90025 (310) 477-8043 | Non-Participating Provider | NO |
| 1205000387 | EDWIN BARZALLO, DDS, INC. | Organization | Dentist | 741 S ATLANTIC BLVD LOS ANGELES, CA 90022 (323) 263-3300 | Non-Participating Provider | NO |
| 1205019049 | SHARON T. LU DDS, INC. | Organization | Dentist | 2320 S ROBERTSON BLVD #102 LOS ANGELES, CA 90034 (310) 839-8831 | Non-Participating Provider | NO |
| 1205070455 | LANDS DENTAL, INC. | Organization | Dentist | 5027 EAGLE ROAD BLVD. LOS ANGELES, CA 90041 (323) 256-5680 | Non-Participating Provider | NO |
| 1205108479 | LILIT BAGHDASARIAN | Organization | Dentist | 5106 HOLLYWOOD BLVD 200 LOS ANGELES, CA 90027 (323) 667-9127 | Non-Participating Provider | NO |
| 1205297280 | ALEX BOUDAIE, DDS INC. PEARL DENTAL CARE | Organization | Dentist | 11955 W WASHINGTON BLVD APT 106 LOS ANGELES, CA 90066 (310) 237-5747 | Non-Participating Provider | NO |
| 1205370319 | WILSHIRE ORAL SURGERY & IMPLANT CENTER JONATHAN SHADI, DDS, INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 12300 WILSHIRE BLVD SUITE #326 LOS ANGELES, CA 90025 (310) 652-6553 | Non-Participating Provider | NO |
| 1205808243 | RAMSTRUM DENTAL PRACTICE, INC | Organization | Dentist (General Practice) | 643 W MANCHESTER AVE LOS ANGELES, CA 90044 (323) 753-1411 | Non-Participating Provider | NO |
| 1205928496 | DAVID R MOGHADDAS DDS INC WESTCHESTER DENTAL CARE | Organization | Dentist | 8930 S SEPULVEDA BLVD SUITE #117 LOS ANGELES, CA 90045 (310) 641-8890 | Non-Participating Provider | NO |
| 1215134226 | JUSTIN D HWANG DDS INC TOWN DENTAL GROUP | Organization | Dentist (General Practice) | 3352 W OLYMPIC BLVD LOS ANGELES, CA 90019 (323) 732-5500 | Non-Participating Provider | NO |
| 1215292883 | ALEXANDER VASSERMAN DDS A PROFESSIONAL CORPORATION | Organization | Dentist | 6200 WILSHIRE BLVD STE 1602 LOS ANGELES, CA 90048 (323) 931-8400 | Non-Participating Provider | NO |
| 1215293733 | QUEENSCARE | Organization | Dentist (Pediatric Dentistry) | 950 S GRAND AVE FL 2 LOS ANGELES, CA 90015 (323) 669-4346 | Non-Participating Provider | NO |
| 1215318597 | MARY FE G MONZON DDS INC | Organization | Dentist | 2703 1/2 S VERMONT AVE LOS ANGELES, CA 90007 (323) 735-7223 | Non-Participating Provider | NO |
| 1215360458 | JONG SOON YOON DMD INC | Organization | Dentist (General Practice) | 500 S VIRGIL AVE STE 305 LOS ANGELES, CA 90020 (213) 382-9800 | Non-Participating Provider | NO |
| 1215391289 | TMJ & SLEEP THERAPY CENTRE OF LOS ANGELES TMJ & SLEEP THERAPY CENTRE OF LOS ANGELES | Organization | Dentist | 11980 SAN VICENTE BLVD SUITE 619 LOS ANGELES, CA 90049 (805) 496-5700 | Non-Participating Provider | NO |
| 1225190135 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 4165 BEVERLY BLVD LOS ANGELES, CA 90004 (323) 662-0738 | Non-Participating Provider | NO |
| 1225277999 | COBB DENTAL CORPORATION COBB DENTAL GROUP | Organization | Dentist | 600 W MANCHESTER AVE STE 1 LOS ANGELES, CA 90044 (323) 753-2361 | Non-Participating Provider | NO |
| 1225307382 | JAY J. CHOBDEE, DDS A PROFESSIONAL CORPORATION | Organization | Dentist | 2105 BEVERLY BLVD #101 LOS ANGELES, CA 90057 (213) 484-1288 | Non-Participating Provider | NO |
| 1225346919 | E. BENJI BEHROOZAN DDS INC. | Organization | Dentist | 5255 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 463-7252 | Non-Participating Provider | NO |
| 1225367295 | MANOLO P NICOLAS DMD DENTAL CORP | Organization | Dentist (General Practice) | 5126 HOLLYWOOD BLVD SUITE 7 LOS ANGELES, CA 90027 (323) 665-1261 | Non-Participating Provider | NO |
| 1225640774 | CHANG RYUL LEE | Individual | Dentist (General Practice) | 2805 S SAN PEDRO ST LOS ANGELES, CA 90011 (323) 846-8443 | Non-Participating Provider | NO |
| 1225793458 | SINA EDALAT DENTAL GROUP, INC | Organization | Dentist (General Practice) | 1739 COLORADO BLVD LOS ANGELES, CA 90041 (323) 344-0682 | Non-Participating Provider | NO |
| 1235309550 | HAN K.TAK,D.D.S. A PROFESSIONAL CORPORATION DENTAL ARTS DENTISTRY | Organization | Dentist | 607 W 6TH ST LOS ANGELES, CA 90017 (213) 624-6482 | Non-Participating Provider | NO |
| 1235337882 | CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP | Organization | Dentist (Pediatric Dentistry) | 4650 W SUNSET BLVD MS# 116 LOS ANGELES, CA 90027 (323) 361-4131 | Non-Participating Provider | NO |
| 1235638594 | LORENE CATALA BOISVERT D.D.S., P.C. | Organization | Dentist | 10850 WILSHIRE BLVD STE 330 LOS ANGELES, CA 90024 (310) 310-4696 | Non-Participating Provider | NO |
| 1235683467 | LAWRENCE M. LOZADA D.D.S. PROFESSIONAL CORPORATION PINNACLE PEAK DENTAL CENTER | Organization | Dentist (General Practice) | 4855 SANTA MONICA BLVD STE 111 LOS ANGELES, CA 90029 (323) 664-9363 | Non-Participating Provider | NO |
| 1245490671 | JAE YON CHUNG DMD DENTAL CORPORATION | Organization | Dentist | 1570 S WESTERN AVE STE 201 LOS ANGELES, CA 90006 (310) 346-2148 | Non-Participating Provider | NO |
| 1245503754 | JABEEN MAH KHAN DDS, INC | Organization | Dentist (General Practice) | 643 W MANCHESTER AVE LOS ANGELES, CA 90044 (323) 753-1411 | Non-Participating Provider | NO |
| 1245552769 | GERARD S FRANKEL D.D.S INC | Organization | Dentist (General Practice) | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1245576321 | JAE YON CHUNG DENTAL INC WHITE PLUS DENTAL | Organization | Dentist | 1075 N WESTERN AVE SUITE 102 LOS ANGELES, CA 90029 (323) 466-4567 | Non-Participating Provider | NO |
| 1255453668 | JIN PARK DDS, INC | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2727 W OLYMPIC BLVD 301 LOS ANGELES, CA 90006 (213) 385-8000 | Non-Participating Provider | NO |
| 1255656823 | BINA, KOROURI, SAGE DENTAL CORPORATION PLAYHOUSE DENTAL | Organization | Dentist (General Practice) | 3000 WHITTIER BLVD LOS ANGELES, CA 90023 (310) 927-5848 | Non-Participating Provider | NO |
| 1255688214 | SOONKI LEE | Individual | Dentist (General Practice) | 3030 W OLYMPIC BLVD STE 216 LOS ANGELES, CA 90006 (213) 384-1036 | Non-Participating Provider | YES |
| 1255721916 | THIEN C NGUYEN, DDS, A DENTAL CORPORATION | Organization | Dentist (General Practice) | 2907 W SUNSET BLVD LOS ANGELES, CA 90026 (323) 663-2141 | Non-Participating Provider | NO |
| 1255808614 | PIRIAN DENTAL GROUP PROF CORP | Organization | Dentist (General Practice) | 231 W VERNON AVE STE 107 LOS ANGELES, CA 90037 (323) 233-5906 | Non-Participating Provider | NO |
| 1255867768 | FLORIDALMA LINARES DDS INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 5465 SANTA MONICA BLVD LOS ANGELES, CA 90029 (323) 467-8668 | Non-Participating Provider | NO |
| 1265511679 | CHARLES J. JUNG, DMD, A PROFESSIONAL CORP. | Organization | Dentist (General Practice) | 1830 W PICO BLVD LOS ANGELES, CA 90006 (213) 380-2646 | Non-Participating Provider | NO |
| 1265588412 | MARK S. LASKA, D.D.S. MID WILSHIRE DENTAL CARE | Organization | Dentist | 3460 WILSHIRE BLVD 210 LOS ANGELES, CA 90010 (213) 386-3348 | Non-Participating Provider | NO |
| 1265615553 | NICK A. AGPALO, D.M.D., INC. | Organization | Dentist (General Practice) | 4210 EAGLE ROCK BLVD LOS ANGELES, CA 90065 (323) 550-8341 | Non-Participating Provider | NO |
| 1265639421 | ANA GUEVARA, D.D.S. | Organization | Dentist (General Practice) | 5114 VENICE BLVD LOS ANGELES, CA 90019 (323) 634-9333 | Non-Participating Provider | NO |
| 1275141384 | MOHAMMAD ALI ZAREH DDS INC | Organization | Dentist | 1990 WESTWOOD BLVD SUITE 250 LOS ANGELES, CA 90025 (310) 807-6564 | Non-Participating Provider | NO |
| 1275775082 | GEORGE D. LIM, DMD, INC. | Organization | Dentist (General Practice) | 401 S FAIRFAX AVE LOS ANGELES, CA 90036 (323) 951-0814 | Non-Participating Provider | NO |
| 1275779795 | SHAHROKH JEDIAN DDS | Organization | Dentist (General Practice) | 998 S ROBERTSON BLVD LOS ANGELES, CA 90035 (310) 358-1200 | Non-Participating Provider | NO |
| 1275781692 | YASAMAN ZADEH D.D.S, INC | Organization | Dentist (Pediatric Dentistry) | 10992 ASHTON AVE APT 302 LOS ANGELES, CA 90024 (310) 473-8052 | Non-Participating Provider | NO |
| 1275781932 | HAN, JANG, SON & SUH, DENTAL GROUP, PC WILSHIRE PARK DENTAL GROUP | Organization | Dentist (Periodontics) | 3700 WILSHIRE BLVD 780 LOS ANGELES, CA 90010 (213) 380-7900 | Non-Participating Provider | NO |
| 1275944167 | JUST SMILE DENTAL CENTER,DENTAL GROUP OF ADONIS REGALA,D.D.S., INC JUST SMILE DENTAL | Organization | Dentist (General Practice) | 1269 S UNION AVE LOS ANGELES, CA 90015 (213) 251-1400 | Non-Participating Provider | NO |
| 1285024372 | USC ORAL AND MAXILLOFACIAL FACULTY PRACTICE | Organization | Dentist (Oral and Maxillofacial Surgery) | 925 W 34TH ST SUITE #149 LOS ANGELES, CA 90089 (213) 740-9648 | Non-Participating Provider | NO |
| 1285707158 | UNIVERSITY OF SOUTHERN CALIFORNIA USC ORAL HEALTH CENTER | Organization | Dentist (General Practice) | 3151 S HOOVER ST LOS ANGELES, CA 90089 (213) 740-2012 | Non-Participating Provider | NO |
| 1285736413 | PAUL B. PALMER D.D.S., INC CULVER DEL REY DENTAL CENTER | Organization | Dentist | 12202 W WASHINGTON BL LOS ANGELES, CA 90066 (310) 915-9797 | Non-Participating Provider | NO |
| 1285771378 | REGENTS OF THE UNIVERSITY OF UCLA MAXILLOFACIAL PROSTHODONTICS UCLA MAXILLOFACIAL PROSTHETICS | Organization | Dentist (Prosthodontics) | 10833 LE CONTE AVE RM AO-156A CHS BOX 951668 LOS ANGELES, CA 90095 (310) 825-6510 | Non-Participating Provider | NO |
| 1285795781 | GIHEN ANTHONY DDS ST KYROLLOS DENTAL OFFICE | Organization | Dentist | 2515 W PICO BLVD LOS ANGELES, CA 90006 (213) 384-4555 | Non-Participating Provider | NO |
| 1285815340 | JEFFRIE MANEEPETASUT DMD INC | Organization | Dentist | 4606 HOLLYWOOD BLVD SUITE B LOS ANGELES, CA 90027 (323) 663-3850 | Non-Participating Provider | NO |
| 1295066025 | KEVIN THUC TRUONG DDS, APC | Organization | Dentist (General Practice) | 2320 S ROBERTSON BLVD 102 LOS ANGELES, CA 90034 (310) 839-8831 | Non-Participating Provider | NO |
| 1295087211 | CARLOS CORTEZ , A DENTAL CORPORATION VERMONT FAMILY DENTAL | Organization | Dentist (General Practice) | 1330 S VERMONT AVE LOS ANGELES, CA 90006 (213) 383-7315 | Non-Participating Provider | NO |
| 1295243095 | ANGEL HAROUNIAN DDS INC | Organization | Dentist | 1440 REEVES ST APT 108 LOS ANGELES, CA 90035 (310) 867-5965 | Non-Participating Provider | NO |
| 1295291276 | KEVIN B. SETO, D.D.S, M.S., P.C. | Organization | Dentist (Endodontics) | 8930 S SEPULVEDA BLVD STE 101 LOS ANGELES, CA 90045 (310) 342-1399 | Non-Participating Provider | NO |
| 1295349082 | REZA MEHR | Individual | Dentist (General Practice) | 900 W TEMPLE ST APT 506 LOS ANGELES, CA 90012 (310) 592-1187 | Non-Participating Provider | NO |
| 1295867414 | AQUILEO MARTINEZ D.D.S., INC. | Organization | Dentist (General Practice) | 4521 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 261-4838 | Non-Participating Provider | NO |
| 1295943603 | FRATT DENTAL CORPORATION CASTLE DENTAL CENTERS-CRENSHAW | Organization | Dentist (General Practice) | 4251 CRENSHAW BLVD LOS ANGELES, CA 90008 (323) 295-5577 | Non-Participating Provider | NO |
| 1306040597 | EDWARD LOPEZ AMERICA DENTAL | Organization | Dentist (General Practice) | 2716 N BROADWAY STE 211 LOS ANGELES, CA 90031 (323) 221-5931 | Non-Participating Provider | NO |
| 1306059795 | HIRENKUMAR S PATEL DDS INC INLAND DENTAL OFFICE | Organization | Dentist | 4977 HUNTINGTON DR N LOS ANGELES, CA 90032 (323) 222-7198 | Non-Participating Provider | NO |
| 1306061734 | PLAZA DENTAL | Organization | Dentist (General Practice) | 505 S FLOWER ST LOS ANGELES, CA 90071 (213) 626-6161 | Non-Participating Provider | NO |
| 1306104245 | Z DENTAL GROUP | Organization | Dentist (General Practice) | 6320 COMMODORE SLOAT DR DENTAL SUITE LOS ANGELES, CA 90048 (323) 936-9997 | Non-Participating Provider | NO |
| 1306154380 | ANARAKI DENTAL CORPORATION | Organization | Dentist (General Practice) | 1561 W PICO BLVD LOS ANGELES, CA 90015 (213) 251-9994 | Non-Participating Provider | NO |
| 1306165964 | PICASSOSMILES | Organization | Dentist | 8863 ALCOTT ST APT 1 LOS ANGELES, CA 90035 (310) 663-6989 | Non-Participating Provider | NO |
| 1306223862 | VIRGINIA CASTELO DMD A DENTAL CORPORATION | Organization | Dentist (General Practice) | 1321 N VERMONT AVE SUITE #4 LOS ANGELES, CA 90027 (323) 666-3852 | Non-Participating Provider | NO |
| 1306923172 | MEREDITH E LEVINE DDS, INC | Organization | Dentist | 2080 CENTURY PARK E SUITE 1803 LOS ANGELES, CA 90067 (310) 286-3111 | Non-Participating Provider | NO |
| 1316065618 | ARMEN MIRZAYAN, DDS, INC ESTHETIC DENTISTRY DENTAL GROUP | Organization | Dentist (General Practice) | 1080 WILSHIRE BLVD LOS ANGELES, CA 90017 (213) 553-4535 | Non-Participating Provider | NO |
| 1316077977 | PEREZ AND STREETER DENTAL CORPORATION | Organization | Dentist (General Practice) | 3701 STOCKER ST SUITE # 405 LOS ANGELES, CA 90008 (323) 291-1024 | Non-Participating Provider | NO |
| 1316211808 | CORINA RAMIREZ, DDS, INC CHILDRENS DENTAL GROUP-EAGLE ROCK | Organization | Dentist (Pediatric Dentistry) | 2700 COLORADO BLVD SUITE 263 LOS ANGELES, CA 90041 (323) 987-2175 | Non-Participating Provider | NO |
| 1316471188 | ANA M GAMA DDS, INC | Organization | Dentist | 6201 WHITTIER BLVD STE 11-12 LOS ANGELES, CA 90022 (323) 723-2008 | Non-Participating Provider | NO |
| 1316595218 | IJEOMA C. IGWE, D.D.S., PC | Organization | Dentist (General Practice) | 11980 SAN VICENTE BLVD STE 901 LOS ANGELES, CA 90049 (310) 918-9422 | Non-Participating Provider | NO |
| 1326109646 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 355 W MANCHESTER AVE LOS ANGELES, CA 90003 (323) 751-4100 | Non-Participating Provider | NO |
| 1326141870 | VERTNER J. WHITE DENTAL CORPORATION | Organization | Dentist (General Practice) | 2711 S CENTRAL AVE LOS ANGELES, CA 90011 (323) 231-2108 | Non-Participating Provider | NO |
| 1326180993 | JAMES MOBASER DDS INC SILVERLAKE DENTAL | Organization | Dentist (General Practice) | 2390 N GLENDALE BLVD LOS ANGELES, CA 90039 (323) 913-9900 | Non-Participating Provider | NO |
| 1326255415 | ROBERTO PARRA | Organization | Dentist (General Practice) | 279 S ATLANTIC BLVD SUITE B LOS ANGELES, CA 90022 (213) 624-5333 | Non-Participating Provider | NO |
| 1326462045 | VICENTE P. SON, DDS A PROFESSIONAL DENTAL CORP. | Organization | Dentist | 3875 WILSHIRE BLVD STE 602 LOS ANGELES, CA 90010 (213) 739-0120 | Non-Participating Provider | NO |
| 1326493644 | HAYK ARAKELYAN D.D.S., INC | Organization | Dentist (General Practice) | 6333 WILSHIRE BLVD., SUITE # 504 LOS ANGELES, CA 90048 (323) 648-0001 | Non-Participating Provider | NO |
| 1326566035 | CONSUELA ZAU DENTAL, INC CONSUELA ZAU DENTAL, INC | Organization | Dentist (General Practice) | 4354 FOUNTAIN AVE LOS ANGELES, CA 90029 (323) 741-0556 | Non-Participating Provider | NO |
| 1326674607 | MICHELLE M KELMAN DDS PC | Organization | Dentist (Pediatric Dentistry) | 8635 W 3RD ST STE 255W LOS ANGELES, CA 90048 (818) 599-0000 | Non-Participating Provider | NO |
| 1326676263 | GOLSHANI DENTAL CORPORATION | Organization | Dentist | 2080 CENTURY PARK E STE 1109 LOS ANGELES, CA 90067 (310) 882-7882 | Non-Participating Provider | NO |
| 1336209600 | CARINA A. DIZON DMD,APC | Organization | Dentist (General Practice) | 3756 W AVENUE 40 SUITE 1C LOS ANGELES, CA 90065 (323) 255-1700 | Non-Participating Provider | NO |
| 1336327972 | FEIZBAKHSH DENTAL CORP | Organization | Dentist (General Practice) | 11628 SANTA MONICA BLVD STE 101 LOS ANGELES, CA 90025 (310) 207-1060 | Non-Participating Provider | NO |
| 1336384619 | DENNIS R HARDIN DDS INC. | Organization | Dentist (General Practice) | 5220 PACIFIC CONCOURSE DR SUITE #120 LOS ANGELES, CA 90045 (800) 373-5400 | Non-Participating Provider | NO |
| 1336459908 | PASHA HAKIMZADEH, DDS | Organization | Dentist (General Practice) | 3638 S. CENTINELA AVE SUITE A LOS ANGELES, CA 90066 (310) 350-5763 | Non-Participating Provider | NO |
| 1336580182 | BEVERLY HILLS ORTHODONTICS | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2080 CENTURY PARK E SUITE 505 LOS ANGELES, CA 90067 (310) 785-0770 | Non-Participating Provider | NO |
| 1336674019 | FLORIDALMA LINARES DDS INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 5465 SANTA MONICA BLVD SUITE 102 LOS ANGELES, CA 90029 (323) 467-8768 | Non-Participating Provider | NO |
| 1336675354 | BERLIN AND LEVITT DENTAL PARTNERSHIP TOOTH SHOP | Organization | Dentist | 1050 S GRAND AVE SUITE 2 LOS ANGELES, CA 90015 (310) 721-8250 | Non-Participating Provider | NO |
| 1346303112 | DAVID RABIZADEH, DDS, A PROFESSIONAL DENTAL CORPORATION | Organization | Dentist | 1018 1/2 N. VERMONT AVE. LOS ANGELES, CA 90029 (323) 953-7700 | Non-Participating Provider | NO |
| 1346303195 | REGENTS OF UNIV. OF CALIFORNIA DENTAL ANESTHESIA SERVICE | Organization | Dentist (Dentist Anesthesiologist) | 10833 LECONTE AVE 53-039 CHS LOS ANGELES, CA 90095 (310) 825-9300 | Non-Participating Provider | NO |
| 1346307477 | DEVANG M.GANDHI DENTAL CORP. | Organization | Dentist (General Practice) | 2500 W FLORENCE AVE LOS ANGELES, CA 90043 (323) 750-2082 | Non-Participating Provider | NO |
| 1346366499 | TSAI, HSLAO & LOO DENTAL CORPORATION UNIVERSAL CARE DENTAL | Organization | Dentist | 1111 W. 6TH ST. #120, #102 LOS ANGELES, CA 90017 (213) 895-0009 | Non-Participating Provider | NO |
| 1346464898 | FARID PAKRAVAN, D.D.S., INC. WEST COAST DENTAL GROUP OF LOS ANGELES | Organization | Dentist (General Practice) | 2604 S VERMONT AVE SUITE F LOS ANGELES, CA 90007 (323) 731-3333 | Non-Participating Provider | NO |
| 1346483914 | EDALAT PAJOUH DENTAL CORP | Organization | Dentist | 8704 W. PICO BLVD LOS ANGELES, CA 90035 (310) 854-6565 | Non-Participating Provider | NO |
| 1346494143 | YOUNG CHOI DENTAL GROUP | Organization | Dentist | 3201 W OLYMPIC BLVD LOS ANGELES, CA 90006 (213) 384-2828 | Non-Participating Provider | NO |
| 1346496353 | XIAOPANGCAI DENTAL CORP CHOICE DENTAL CENTER | Organization | Dentist | 733 NEW HIGH ST # A LOS ANGELES, CA 90012 (213) 680-2808 | Non-Participating Provider | NO |
| 1346511128 | ARAM ARAKELYAN DDS, INC | Organization | Dentist (General Practice) | 2426 W 8TH ST STE 209 LOS ANGELES, CA 90057 (213) 381-3900 | Non-Participating Provider | NO |
| 1346601903 | ASUNCION REYES INC | Organization | Dentist (General Practice) | 1321 N. VERMONT AVE. STE.3 LOS ANGELES, CA 90027 (323) 669-3033 | Non-Participating Provider | NO |
| 1346608676 | GEORGE B. SHINN DDS P.C | Organization | Dentist (Endodontics) | 8540 S SEPULVEDA BLVD #1200 LOS ANGELES, CA 90045 (310) 649-3636 | Non-Participating Provider | NO |
| 1346613593 | HENGAMEH ANARAKI, DDS, INC | Organization | Dentist | 244 S OXFORD AVE SUITE 12 LOS ANGELES, CA 90004 (213) 388-5533 | Non-Participating Provider | NO |
| 1346803897 | JASON YOO DDS INC | Organization | Dentist (General Practice) | 3660 WILSHIRE BLVD STE 102 LOS ANGELES, CA 90010 (213) 386-8866 | Non-Participating Provider | NO |
| 1346816808 | HB CHO DENTAL CORP | Organization | Dentist | 2336 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033 (323) 586-0556 | Non-Participating Provider | NO |
| 1356476865 | REGENTS OF UNIVERSITY OF CALIFORNIA UCLA DENTAL RADIOLOGY PRACTICE | Organization | Dentist (Oral and Maxillofacial Radiology) | 10833 LE CONTE AVE CHS 10 -165 LOS ANGELES, CA 90095 (310) 825-5634 | Non-Participating Provider | NO |
| 1356495865 | SAHABI D D S DENTAL CORPORATION | Organization | Dentist (General Practice) | 4701 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (323) 255-5572 | Non-Participating Provider | NO |
| 1356518054 | SOHEIL KHODADADI DMD DDS INC VERMONT DENTAL CARE | Organization | Dentist (General Practice) | 8914 S VERMONT AVE LOS ANGELES, CA 90044 (323) 750-3370 | Non-Participating Provider | NO |
| 1356546550 | DAVID SHABANZADEH D.D.S.,INC. | Organization | Dentist (General Practice) | 326 N VERMONT AVE SUITE B LOS ANGELES, CA 90004 (323) 661-2626 | Non-Participating Provider | NO |
| 1356563084 | SGEWAID PROFESSIONAL DENTAL CORPORATION | Organization | Dentist (General Practice) | 231 W VERNON AVE STE 107 LOS ANGELES, CA 90037 (323) 233-5906 | Non-Participating Provider | NO |
| 1356565758 | FARHAD MANAVI PROFESSIONAL DENTAL CORPORATION WEST COAST DENTAL GROUP OF EAST LOS ANGELES | Organization | Dentist (General Practice) | 5162 EAST WHITTIER BLVD LOS ANGELES, CA 90022 (323) 415-6161 | Non-Participating Provider | NO |
| 1356597223 | MARGARET A PAUL DDS, INC | Organization | Dentist (General Practice) | 2631 W OLYMPIC BLVD LOS ANGELES, CA 90006 (213) 383-7878 | Non-Participating Provider | NO |
| 1356745459 | ECHARTE,FERNANDEZ PROFESSIONAL DENTAL CORPORATION | Organization | Dentist | 525 S ALVARADO ST LOS ANGELES, CA 90057 (213) 483-1234 | Non-Participating Provider | NO |
| 1356753545 | KWON ORTHODONTICS | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 3700 WILSHIRE BLVD SUITE #400 LOS ANGELES, CA 90010 (213) 739-8678 | Non-Participating Provider | NO |
| 1356808711 | TOP WEST TOWER IMPLANT CENTER INC | Organization | Dentist (General Practice) | 2707 W OLYMPIC BLVD STE 202 LOS ANGELES, CA 90006 (213) 382-4336 | Non-Participating Provider | NO |
| 1366533069 | DR. FRED CHAO, DDS, INC | Organization | Dentist (General Practice) | 12301 WILSHIRE BLVD STE 405 LOS ANGELES, CA 90025 (424) 325-3244 | Non-Participating Provider | NO |
| 1366653792 | SOLEIMANI DENTAL CORPORATION ASSURE DENTAL | Organization | Dentist | 8740 S SEPULVEDA BLVD 130 LOS ANGELES, CA 90045 (310) 410-9494 | Non-Participating Provider | NO |
| 1366780082 | SANAZ PARSI DDS INC | Organization | Dentist | 10921 WILSHIRE BLVD STE 409 LOS ANGELES, CA 90024 (310) 926-6480 | Non-Participating Provider | NO |
| 1366847287 | CATREEN E COHEN DENTAL CORPORATION | Organization | Dentist | 1919 W 7TH ST # 2A LOS ANGELES, CA 90057 (213) 484-2186 | Non-Participating Provider | NO |
| 1366877417 | MIRZAYAN DENTAL INC CAD-RAY IMAGING CENTERS | Organization | Dentist | 1127 WILSHIRE BLVD #1204 LOS ANGELES, CA 90017 (818) 399-3509 | Non-Participating Provider | NO |
| 1376609032 | ARAXIE YETENEKIAN-GETTAS, D.M.D., INC. | Organization | Dentist (General Practice) | 2028 W PICO BLVD LOS ANGELES, CA 90006 (213) 380-5506 | Non-Participating Provider | NO |
| 1376635763 | HC MCCLENDON DDS INC | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 5117 MARBURN AVE LOS ANGELES, CA 90043 (323) 298-0109 | Non-Participating Provider | NO |
| 1376641720 | UCLA PERIODONTAL CLINIC | Organization | Dentist (Periodontics) | UCLA SCHOOL OF DENTISTRY CHS B0 130 LOS ANGELES, CA 90095 (310) 825-3795 | Non-Participating Provider | NO |
| 1376674432 | DEAN SALO DDS, INC PERSONAL DENTAL OFFICE | Organization | Dentist | 6222 WILSHIRE BLVD STE 103 LOS ANGELES, CA 90048 (323) 933-4444 | Non-Participating Provider | NO |
| 1376698993 | MARISSA LAGUSAY-TEMPLO D.D.S. INC. | Organization | Dentist (General Practice) | 3940 1-2 BEVERLY BLVD LOS ANGELES, CA 90004 (213) 384-5902 | Non-Participating Provider | NO |
| 1376759332 | CONSUMERHEALTH, INC. NEWPORT DENTAL - HOLLYWOOD | Organization | Dentist (General Practice) | 1155 N VERMONT AVE LOS ANGELES, CA 90029 (323) 660-8111 | Non-Participating Provider | NO |
| 1376813857 | YOUNG KIM, DDS, INC. WELCOME DENTISTRY & BRACES | Organization | Dentist (General Practice) | 1014 N VERMONT AVE LOS ANGELES, CA 90029 (323) 664-3400 | Non-Participating Provider | NO |
| 1376822197 | TSAI, HSIAO & LOO DENTAL CORPORATION UNIVERSAL CARE DENTAL GROUP | Organization | Dentist | 1025 W OLYMPIC BLVD LOS ANGELES, CA 90015 (562) 424-6200 | Non-Participating Provider | NO |
| 1376902064 | CONSUMERHEALTH, INC. NEWPORT DENTAL - EAST LOS ANGELES | Organization | Dentist (Dental Public Health) | 3635 E 1ST ST LOS ANGELES, CA 90063 (323) 269-7367 | Non-Participating Provider | NO |
| 1376909002 | ESHAGHIAN & PAZOOKY DENTAL CORPORATION | Organization | Dentist | 2978 WILSHIRE BLVD #201 LOS ANGELES, CA 90010 (310) 933-6033 | Non-Participating Provider | NO |
| 1376971739 | KENNETH W. CHENG, DDS, INC. | Organization | Dentist (General Practice) | 423 ALPINE ST LOS ANGELES, CA 90012 (213) 680-0380 | Non-Participating Provider | NO |
| 1376996678 | WESTWOOD DENTAL ASSOCIATES INC | Organization | Dentist | 10921 WILSHIRE BLVD #112 LOS ANGELES, CA 90024 (310) 208-7727 | Non-Participating Provider | NO |
| 1386135671 | PARK PROFESSIONAL DENTAL CORP SMILE DENTAL OF LOS ANGELES | Organization | Dentist | 600 W MANCHESTER AVE STE 2 LOS ANGELES, CA 90044 (323) 750-1582 | Non-Participating Provider | NO |
| 1386285427 | MCDONOUGH DENTAL CORPORATION BRENTWOOD MODERN DENTISTRY DENTAL GROUP | Organization | Dentist (General Practice) | 12013 WILSHIRE BLVD LOS ANGELES, CA 90025 (310) 219-6039 | Non-Participating Provider | NO |
| 1386727667 | KLEINMAN & WALLACE PROFESSIONAL DENTAL CORP | Organization | Dentist (General Practice) | 8615 S BROADWAY LOS ANGELES, CA 90003 (323) 752-3116 | Non-Participating Provider | NO |
| 1386791895 | RAMSTRUM DENTAL PRACTICE | Organization | Dentist (General Practice) | 643 W MANCHESTER AVE LOS ANGELES, CA 90044 (323) 753-1411 | Non-Participating Provider | NO |
| 1386811271 | KEIVAN SARRAF, DDS, INC | Organization | Dentist | 5703 S VERMONT AVE LOS ANGELES, CA 90037 (310) 460-9546 | Non-Participating Provider | NO |
| 1386823508 | JAIRO CASTRO, D.D.S., INC. | Organization | Dentist | 2703 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 263-2228 | Non-Participating Provider | NO |
| 1386936656 | JENNIFER CHEN, D.D.S., A PROFESSIONAL CORPORATION | Organization | Dentist | 8540 S. SEPULVEDA BLVD SUITE 705 LOS ANGELES, CA 90045 (310) 645-5705 | Non-Participating Provider | NO |
| 1396132833 | HAKHAMIAN DDS INC | Organization | Dentist | 2002 S HOOVER ST LOS ANGELES, CA 90007 (310) 858-7373 | Non-Participating Provider | NO |
| 1396136974 | KATAYOUN OMRANI, DDS A PROFESSIONAL DENTAL CORPORATION | Organization | Dentist | 444 S SAN VICENTE BLVD STE 1101 LOS ANGELES, CA 90048 (310) 423-9600 | Non-Participating Provider | NO |
| 1396149761 | ARNOLD CHO DDS, INC | Organization | Dentist | 630 S. SHATTO PL. LOS ANGELES, CA 90005 (213) 386-6446 | Non-Participating Provider | NO |
| 1396250189 | ELIOTT L CHEN, DMD, INC | Organization | Dentist (General Practice) | 4410 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 881-0881 | Non-Participating Provider | NO |
| 1396388849 | LASKA DENTAL INC | Organization | Dentist | 5602 W MANCHESTER AVE LOS ANGELES, CA 90045 (310) 450-0300 | Non-Participating Provider | NO |
| 1396933289 | JENNIFER R. PARK-CRUZ DENTAL CORPORATION WILSHIRE DENTAL GROUP | Organization | Dentist (General Practice) | 2975 WILSHIRE BLVD #400 LOS ANGELES, CA 90010 (213) 385-0053 | Non-Participating Provider | NO |
| 1407191810 | TAN, DDS AND TRAN, DDS, INC | Organization | Dentist (Pediatric Dentistry) | 151 S MEDNIK AVE LOS ANGELES, CA 90022 (323) 263-3303 | Non-Participating Provider | NO |
| 1407194350 | FRANK LAALY DDS INC AMALIA DENTAL GROUP | Organization | Dentist (Oral and Maxillofacial Surgery) | 528 AMALIA AVE LOS ANGELES, CA 90022 (323) 488-3366 | Non-Participating Provider | NO |
| 1407246994 | BADII LEE DENTAL CORPORATION, INC. SMILE WIDE | Organization | Dentist | 1111 W 6TH STREET SUITE 120 LOS ANGELES, CA 90017 (213) 895-0009 | Non-Participating Provider | NO |
| 1407360522 | BAUM ORTHODONTICS | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 8540 S SEPULVEDA BLVD STE 1012 LOS ANGELES, CA 90045 (310) 670-1411 | Non-Participating Provider | NO |
| 1407380025 | JU YOUNG LEE DDS INC | Organization | Dentist (General Practice) | 2500 W 8TH ST 106 LOS ANGELES, CA 90057 (213) 381-2827 | Non-Participating Provider | NO |
| 1407487622 | LENISE N. YARBER D.D.S , PROFESSIONAL DENTAL CORPORATION | Organization | Dentist (Pediatric Dentistry) | 5035 W SLAUSON AVE STE G LOS ANGELES, CA 90056 (323) 296-0211 | Non-Participating Provider | NO |
| 1407926132 | BAYRAMYAN PROFESSIONAL DENTAL CORP KIDS & FAMILY DENTAL PLACE | Organization | Dentist | 600 S ALVARADO ST STE 200 LOS ANGELES, CA 90057 (213) 259-0606 | Non-Participating Provider | NO |
| 1417000928 | CHONA FRIAS YU DDS INC. | Organization | Dentist (General Practice) | 2256 COLORADO BLVD STE.111 LOS ANGELES, CA 90041 (323) 982-1435 | Non-Participating Provider | NO |
| 1417138256 | HIENTHU THI DO DDS , INC LA AURORA DENTAL CARE | Organization | Dentist (General Practice) | 2319 S ATLANTIC BLVD LOS ANGELES, CA 90040 (323) 266-2120 | Non-Participating Provider | NO |
| 1417161050 | MANUEL G. DOMANTAYDDS, INC | Organization | Dentist | 6200 WILSHIRE BLVD., STE. 909 LOS ANGELES, CA 90048 (323) 935-2111 | Non-Participating Provider | NO |
| 1417170416 | MARVIN B. CARNOW D.D.S., INC. | Organization | Dentist (General Practice) | 5453 E BEVERLY BLVD LOS ANGELES, CA 90022 (323) 723-8249 | Non-Participating Provider | NO |
| 1417261132 | EVEREST DENTAL CARE INC EVEREST DENTAL CARE | Organization | Dentist (General Practice) | 2050 S. CENTRAL AVE. LOS ANGELES, CA 90011 (323) 423-5860 | Non-Participating Provider | NO |
| 1417349556 | ANDREI SOUCHITSKI D.D.S, INC. MC ARTHUR PARK DENTAL OFFICE | Organization | Dentist | 2007 WILSHIRE BLVD LOS ANGELES, CA 90057 (213) 928-7297 | Non-Participating Provider | NO |
| 1417385832 | A PLUS DENTAL | Organization | Dentist | 2520 W 8TH ST SUITE 207 LOS ANGELES, CA 90057 (213) 380-1894 | Non-Participating Provider | NO |
| 1417391616 | VIVIAN C. BANARIA, DMD, INC. | Organization | Dentist (General Practice) | 5300 SANTA MONICA BLVD STE. 401 LOS ANGELES, CA 90029 (323) 957-9227 | Non-Participating Provider | NO |
| 1417428376 | JENNIFER T. NGUYEN, DMD, INC. | Organization | Dentist (General Practice) | 888 S FIGUEROA ST STE 750 LOS ANGELES, CA 90017 (213) 340-3355 | Non-Participating Provider | NO |
| 1417563297 | ARTOUR KHACHATRIAN DDS APC ARTOUR KHACHATRIAN DDS | Organization | Dentist (General Practice) | 7063 W SUNSET BLVD LOS ANGELES, CA 90028 (323) 962-9707 | Non-Participating Provider | NO |
| 1427104488 | HARTANTO L. JUSTIN D.D.S. , INC | Organization | Dentist (General Practice) | 3231 N BROADWAY LOS ANGELES, CA 90031 (323) 221-6090 | Non-Participating Provider | NO |
| 1427187996 | MICHEL ELYSON DDS & RAMIN ASSILI DDS,A PROFESSIONAL CORPORATION | Organization | Dentist | 745 S KERN AVE LOS ANGELES, CA 90022 (323) 263-2125 | Non-Participating Provider | NO |
| 1427431964 | FARSHAD FARZAM DDS INC | Organization | Dentist | 1575 E FLORENCE AVE SUITE A LOS ANGELES, CA 90001 (323) 537-4121 | Non-Participating Provider | NO |
| 1427433069 | SAHAWNEH DENTAL CORPORATION BRIGHT NOW DENTAL - LOS ANGELES-PICO & SAN VICENTE | Organization | Dentist | 4550 W PICO BLVD SUITE C309 LOS ANGELES, CA 90019 (323) 602-0590 | Non-Participating Provider | NO |
| 1427482504 | AFSOON BARKHORDAR DDS INC. | Organization | Dentist | 6200 WILSHIRE BLVD STE 909 LOS ANGELES, CA 90048 (323) 935-2111 | Non-Participating Provider | NO |
| 1427488105 | PRECISION DENTAL GROUP OF CALIFORNIA LLC A-PLUS DENTISTRY | Organization | Dentist (General Practice) | 3756 SANTA ROSALIA DR SUITE 517 LOS ANGELES, CA 90008 (323) 298-7992 | Non-Participating Provider | NO |
| 1427527829 | PEDRAM FAKHERI DMD INC | Organization | Dentist | 1125 S BEVERLY DR STE 400 LOS ANGELES, CA 90035 (310) 458-4867 | Non-Participating Provider | NO |
| 1427708213 | RAYMOND SILKMAN | Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD STE 801 LOS ANGELES, CA 90025 (310) 445-9098 | Non-Participating Provider | NO |
| 1437211752 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 4364 S CENTRAL AVE LOS ANGELES, CA 90011 (323) 232-5266 | Non-Participating Provider | NO |
| 1437224664 | MAKHSUDOVA DENTAL CORPORATION KIDS DENTAL KARE | Organization | Dentist (General Practice) | 4905 HOLLYWOOD BLVD LOS ANGELES, CA 90027 (323) 461-9942 | Non-Participating Provider | NO |
| 1437239894 | MAURICE K. MASLIAH, DDS, A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 11645 WILSHIRE BLVD SUITE 1158 LOS ANGELES, CA 90025 (310) 820-5703 | Non-Participating Provider | NO |
| 1437274743 | K MUHAMMAD TAJSAR DDS INK | Organization | Dentist (General Practice) | 10913 VENICE BLVD LOS ANGELES, CA 90034 (310) 558-8123 | Non-Participating Provider | NO |
| 1437373859 | TISON DENTAL CORPORATION, INC. | Organization | Dentist (General Practice) | 1112 N VIRGIL AVE LOS ANGELES, CA 90029 (323) 665-1208 | Non-Participating Provider | NO |
| 1437477064 | KIM&PARK A DENTAL CORPORATION | Organization | Dentist (General Practice) | 3400 S LA BREA AVE LOS ANGELES, CA 90016 (323) 734-2284 | Non-Participating Provider | NO |
| 1437483443 | DAVID JAVDAN, D.D.S., INC. BEVERLY HILLS PRESTIGE DENTAL GROUP | Organization | Dentist | 1125 S. BEVERLY DRIVE SUITE 400 LOS ANGELES, CA 90035 (310) 286-7447 | Non-Participating Provider | NO |
| 1437580644 | ELSA WENDY HERNANDEZ, DDS, INC HEAVENLY KIDS DENTAL | Organization | Dentist | 11724 WILMINGTON AVE LOS ANGELES, CA 90059 (323) 484-9260 | Non-Participating Provider | NO |
| 1437707965 | CONSUMERHEALTH, INC. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 9851 SOUTH ALAMEDA UNIT A LOS ANGELES, CA 90002 (323) 513-1670 | Non-Participating Provider | NO |
| 1447345327 | DOWLATSHAHI DENTAL CORPORATION SINA DENTAL GROUP | Organization | Dentist | 11645 WILSHIRE BLVD SUITE 980 LOS ANGELES, CA 90025 (310) 820-0022 | Non-Participating Provider | NO |
| 1447429303 | MERVAT S. BAKHOUM, D.D.S. | Organization | Dentist (General Practice) | 5540 N FIGUEROA ST LOS ANGELES, CA 90042 (323) 478-1101 | Non-Participating Provider | NO |
| 1447441597 | GERTRUDE M. PECAOCO DENTAL CORP. GERTRUDES MANGANAAN VELENA DENTAL CORP | Organization | Dentist | 1925 W TEMPLE ST SUITE 214 LOS ANGELES, CA 90026 (213) 413-3910 | Non-Participating Provider | NO |
| 1447470844 | ELLIS C. WONG,DDS,INC. | Organization | Dentist (General Practice) | 607 N LARCHMONT BLVD LOS ANGELES, CA 90004 (323) 464-5555 | Non-Participating Provider | NO |
| 1447653555 | FRANCISCO ILEM JR DMD INC. | Organization | Dentist | 1253 VINE ST STE 18 LOS ANGELES, CA 90038 (323) 464-0489 | Non-Participating Provider | NO |
| 1447670617 | REYNALDO D ECLAVEA, DMD, INC | Organization | Dentist | 3508 W SUNSET BLVD # B LOS ANGELES, CA 90026 (323) 660-3876 | Non-Participating Provider | NO |
| 1447828967 | S KARAKOZIAN & T KOTCHOUNIAN DENTAL CORP | Organization | Dentist | 1080 WILSHIRE BLVD LOS ANGELES, CA 90017 (818) 667-0624 | Non-Participating Provider | NO |
| 1447912761 | LA SANTOS STARR DENTAL CORPORATION | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 1127 WILSHIRE BLVD STE 404 LOS ANGELES, CA 90017 (323) 600-5287 | Non-Participating Provider | NO |
| 1457400269 | IRINA SUMENKO, D.D.S., INC. WILSHIRE DENTAL GROUP | Organization | Dentist (General Practice) | 6200 WILSHIRE BLVD SUITE # 1104 LOS ANGELES, CA 90048 (323) 525-1819 | Non-Participating Provider | NO |
| 1457567414 | CONSUMER HEALTH INC NEWPORT DENTAL EAST LA | Organization | Dentist (General Practice) | 3635 E 1ST ST LOS ANGELES, CA 90063 (323) 269-7367 | Non-Participating Provider | NO |
| 1457576324 | WESTWOOD DENTAL SMILES, INC. | Organization | Dentist (Prosthodontics) | 10921 WILSHIRE BLVD STE 1112 LOS ANGELES, CA 90024 (310) 208-4084 | Non-Participating Provider | NO |
| 1457712200 | ARTURO IBARRA D.D.S. INC ARTURO IBARRA D.D.S. INC | Organization | Dentist | 2407 NORTH BROADWAY LOS ANGELES, CA 90031 (323) 221-3165 | Non-Participating Provider | NO |
| 1457796476 | MEIR AGAKI, DDS. INC. | Organization | Dentist | 11511 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 398-6161 | Non-Participating Provider | NO |
| 1457895492 | ALAN C NEWMAN DDS INC | Organization | Dentist (Orofacial Pain) | 444 S SAN VICENTE BLVD SUITE 1101 LOS ANGELES, CA 90048 (310) 423-9600 | Non-Participating Provider | NO |
| 1467467340 | REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES UCLA OROFACIAL PAIN | Organization | Dentist | 10833 LE CONTE AVE CHS 10-157 LOS ANGELES, CA 90095 (310) 794-1929 | Non-Participating Provider | NO |
| 1467514315 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 1565 S WESTERN AVE LOS ANGELES, CA 90006 (323) 734-8843 | Non-Participating Provider | NO |
| 1467572529 | YONG CHUN CHOE DDS INC | Organization | Dentist (General Practice) | 2675 W OLYMPIC BLVD 300 LOS ANGELES, CA 90006 (213) 739-0150 | Non-Participating Provider | NO |
| 1467658997 | SAM A. LAVI DMD INC | Organization | Dentist (General Practice) | 617 S OLIVE ST STE 800 LOS ANGELES, CA 90014 (213) 623-2212 | Non-Participating Provider | NO |
| 1467667618 | UCLA PEDIATRIC DENTISTRY | Organization | Dentist (Pediatric Dentistry) | 10833 LE CONTE AVE 20-137 LOS ANGELES, CA 90095 (310) 825-8755 | Non-Participating Provider | NO |
| 1467669291 | ELMER E. BANGLOY D.M.D., A PROF CORPORATION | Organization | Dentist (General Practice) | 4128 VERDUGO RD LOS ANGELES, CA 90065 (323) 256-1225 | Non-Participating Provider | NO |
| 1467789719 | PAP DENTAL GROUP, LLC | Organization | Dentist (General Practice) | 435 S DETROIT ST APT 202 LOS ANGELES, CA 90036 (310) 927-5848 | Non-Participating Provider | NO |
| 1467817015 | PHILLINE PARRENO DDS DENTAL CORP PERFECTLY BRIGHT SMILES | Organization | Dentist (General Practice) | 2750 W BROADWAY STE B LOS ANGELES, CA 90041 (323) 739-0215 | Non-Participating Provider | NO |
| 1467818401 | AMERIDENT HEALTH PRO, INC. | Organization | Dentist | 3130 S SEPULVEDA BLVD SUITE D LOS ANGELES, CA 90034 (310) 268-0646 | Non-Participating Provider | NO |
| 1467865238 | ITOH DENTAL CORPORATION | Organization | Dentist | 400 E 2ND ST STE. 207 LOS ANGELES, CA 90012 (213) 687-3895 | Non-Participating Provider | NO |
| 1467878918 | BAE LIM DENTAL CORPORATION | Organization | Dentist | 906 N VERMONT AVE LOS ANGELES, CA 90029 (323) 913-0053 | Non-Participating Provider | NO |
| 1467902031 | FUN DENTAL 4 KIDS 2 FUN DENTAL 4 KIDS | Organization | Dentist | 1014 E MANCHESTER AVE SUITE I LOS ANGELES, CA 90001 (323) 562-1301 | Non-Participating Provider | NO |
| 1467965798 | SOUNG HOON CHO DDS KMC DENTAL GROUP | Organization | Dentist | 3755 BEVERLY BL # 200 LOS ANGELES, CA 90004 (323) 660-2005 | Non-Participating Provider | NO |
| 1477032761 | FARID FARAHNIK | Individual | Dentist | 9707 HORNER ST LOS ANGELES, CA 90035 (310) 500-0720 | Non-Participating Provider | NO |
| 1477045045 | PORIA EDALAT, DDS, APC | Organization | Dentist | 5906 MONTEREY RD LOS ANGELES, CA 90042 (323) 256-2680 | Non-Participating Provider | NO |
| 1477798247 | ADONIS REGALA DDS INC | Organization | Dentist | 1269 S UNION AVE LOS ANGELES, CA 90015 (213) 251-1400 | Non-Participating Provider | NO |
| 1477812709 | JONG S YOON DMD INC SYMPHONY DENTAL | Organization | Dentist (General Practice) | 520 S VIRGIL AVE STE 101 LOS ANGELES, CA 90020 (213) 383-0010 | Non-Participating Provider | NO |
| 1477845113 | MARTINEZ DENTAL OFFICE | Organization | Dentist | 2228 W 7TH ST LOS ANGELES, CA 90057 (213) 381-7400 | Non-Participating Provider | NO |
| 1477861839 | P.H. BAE DENTAL CORPORATION DR. BAE'S DENTAL PLAYGROUND | Organization | Dentist (General Practice) | 4425 S MAIN ST LOS ANGELES, CA 90037 (323) 846-1158 | Non-Participating Provider | NO |
| 1477946846 | ESSEX DENTAL, PRACTICE OF SULEIMANAGICH DENTAL CORPERATION N/A | Organization | Dentist | 9911 W PICO BLVD #950 LOS ANGELES, CA 90035 (310) 553-8188 | Non-Participating Provider | NO |
| 1487027090 | KIM DDS A DENTAL CORP | Organization | Dentist (General Practice) | 3544 W 8TH ST LOS ANGELES, CA 90005 (213) 381-7967 | Non-Participating Provider | NO |
| 1487055943 | NORMA A BACA DDS,INC | Organization | Dentist | 1919 BEVERLY BLVD SUITE A LOS ANGELES, CA 90057 (231) 484-2165 | Non-Participating Provider | NO |
| 1487711388 | ABDOLREZA SAMENI DDS A PROFESSIONAL CORPORATION WLA DENTAL CENTER | Organization | Dentist (General Practice) | 1950 SAWTELLE BLVD #100 LOS ANGELES, CA 90025 (310) 312-0882 | Non-Participating Provider | NO |
| 1487745089 | HARVEY FREED DDS, INC | Organization | Dentist (Periodontics) | 2080 CENTURY PARK E # 405 LOS ANGELES, CA 90067 (310) 553-1583 | Non-Participating Provider | NO |
| 1487785291 | PAYMAN PIRNAZAR, D.D.S., M.S., INC. BABYTEETH CHILDREN'S DENTISTRY | Organization | Dentist (Pediatric Dentistry) | 11620 WILSHIRE BLVD SUITE 720 LOS ANGELES, CA 90025 (310) 443-9596 | Non-Participating Provider | NO |
| 1487867743 | MIKE MIN W KANG, DDS., INC. CROWN DENTAL GROUP | Organization | Dentist (General Practice) | 6907 LA TIJERA BLVD. A LOS ANGELES, CA 60045 (310) 645-0336 | Non-Participating Provider | NO |
| 1487946992 | MISTY MICHELLE BLACK DDS INC | Organization | Dentist | 3015 CRENSHAW BLVD # C LOS ANGELES, CA 90016 (323) 734-1534 | Non-Participating Provider | NO |
| 1497099725 | DR. SONG 8TH AND ALVARADO FAMILY DENTAL GROUP | Organization | Dentist | 824 S ALVARADO ST LOS ANGELES, CA 90057 (213) 252-1700 | Non-Participating Provider | NO |
| 1497169759 | UNIVERSITY OF SOUTHERN CALIFORNIA HERMAN OSTROW SCHOOL OF DENTISTRY MOBILE CLINIC | Organization | Dentist (General Practice) | 1149 S HILL ST SUITE H550 LOS ANGELES, CA 90015 (213) 740-7405 | Non-Participating Provider | NO |
| 1497209183 | NIMA ASTARAEE | Individual | Dentist | 11980 SAN VICENTE BLVD LOS ANGELES, CA 90049 (619) 261-3933 | Non-Participating Provider | YES |
| 1497264824 | FARIBA SALEHANI DDS,INC SMILE MAKERS DENTAL OFFICE | Organization | Dentist (General Practice) | 2105 BEVERLY BLVD STE 229 LOS ANGELES, CA 90057 (213) 908-6655 | Non-Participating Provider | NO |
| 1497318885 | YOON S. KIM DDS INC. UNION DENTAL CENTER | Organization | Dentist (General Practice) | 1517 W 6TH ST LOS ANGELES, CA 90017 (213) 483-0772 | Non-Participating Provider | NO |
| 1497366033 | JIN YI | Individual | Dentist | 11355 WASHINGTON PL APT 4 LOS ANGELES, CA 90066 (704) 264-6944 | Non-Participating Provider | NO |
| 1497716930 | HENRY HANG-YEE FUNG, D.D.S. INC. HAPPY DENTISTRY & PAIN MANAGEMENT | Organization | Dentist | 5424 E BEVERLY BLVD LOS ANGELES, CA 90022 (323) 721-3312 | Non-Participating Provider | NO |
| 1497764690 | DANIEL H TAMURA, DDS, A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 6200 WILSHIRE BLVD STE 1209 LOS ANGELES, CA 90048 (323) 937-0197 | Non-Participating Provider | NO |
| 1497951750 | GEORGE D. LIM DMD INC-HOLLYWOOD GEORGE D LIM DMD INC. | Organization | Dentist (General Practice) | 1551 N VERMONT AVE LOS ANGELES, CA 90027 (323) 953-0505 | Non-Participating Provider | NO |
| 1497961858 | SCOTT JACKS, DDS, INC CHILDREN'S DENTAL GROUP | Organization | Dentist | 2700 COLORADO BLVD STE 263 LOS ANGELES, CA 90041 (323) 987-2175 | Non-Participating Provider | NO |
| 1497966212 | ALIREZA MOVASSAGHI DDS INC | Organization | Dentist | 811 S ALVARADO ST LOS ANGELES, CA 90057 (213) 383-3314 | Non-Participating Provider | NO |
| 1497977904 | FLOYD CAWTHON DENTAL CORPORATION | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 8635 W. 3RD STREET SUITE 255-W LOS ANGELES, CA 90048 (310) 659-5430 | Non-Participating Provider | NO |
| 1508010497 | EDWARD E BLACK DDS,MS,INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 3015 CRENSHAW BLVD SUITE C LOS ANGELES, CA 90016 (323) 734-1534 | Non-Participating Provider | NO |
| 1508017344 | SANGDUK OH, DDS, INC | Organization | Dentist (General Practice) | 3500 W 6TH ST SUITE 317 LOS ANGELES, CA 90020 (213) 385-1414 | Non-Participating Provider | NO |
| 1508045907 | MIR DENTAL CORPORATION | Organization | Dentist (General Practice) | 4301 N FIGUEROA ST LOS ANGELES, CA 90065 (323) 223-1517 | Non-Participating Provider | NO |
| 1508065715 | MARSHALL DENTAL GROUP | Organization | Dentist (General Practice) | 6200 WILSHIRE BLVD #1709 LOS ANGELES, CA 90048 (323) 634-6334 | Non-Participating Provider | NO |
| 1508245192 | THEODORE BURNETT, DDS, INC LOS ANGELES DENTAL ARTS | Organization | Dentist | 8540 S SEPULVEDA BLVD SUITE 918 LOS ANGELES, CA 90045 (310) 670-0379 | Non-Participating Provider | NO |
| 1508269598 | MARILOU MERCADO-ULIT,D.D.S. INC. | Organization | Dentist | 2105 BEVERLY BLVD STE 125 SUITE# 125 LOS ANGELES, CA 90057 (213) 413-8766 | Non-Participating Provider | NO |
| 1508273046 | RUBEN R. SANTANA, DMD, INC. 4TH-VERMONT DENTAL CARE | Organization | Dentist | 356 S VERMONT AVE LOS ANGELES, CA 90020 (213) 386-1418 | Non-Participating Provider | NO |
| 1508462649 | D PARK MPH DENTAL, INC. SMILE DENTAL OF MLK | Organization | Dentist (General Practice) | 12021 S. WILMINGTON AVE STE 1100 LOS ANGELES, CA 90059 (888) 585-3368 | Non-Participating Provider | NO |
| 1518093749 | STEPHEN G SCHONFIELD DDS INC | Organization | Dentist | 8158 BEVERLY BLVD LOS ANGELES, CA 90048 (323) 651-2829 | Non-Participating Provider | NO |
| 1518326321 | CONSUMERHEALTH, INC. NEWPORT DENTAL - LOS ANGELES - PICO & SAN VICENTE | Organization | Dentist (Dental Public Health) | 4550 W PICO BLVD STE C309 LOS ANGELES, CA 90019 (323) 602-0590 | Non-Participating Provider | NO |
| 1518409770 | CHRISTOPHER LAI DDS APDC | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2320 S ROBERTSON BLVD 102 LOS ANGELES, CA 90034 (310) 839-8831 | Non-Participating Provider | NO |
| 1518506773 | FRANCISCO SUAREZ, DDS INC. | Organization | Dentist (Oral and Maxillofacial Surgery) | 4606 HOLLYWOOD BLVD STE A LOS ANGELES, CA 90027 (818) 468-2757 | Non-Participating Provider | NO |
| 1518538735 | TARA MAVADAT | Individual | Dentist (General Practice) | 150 N CLIFFWOOD AVE LOS ANGELES, CA 90049 (310) 883-5434 | Non-Participating Provider | NO |
| 1518572247 | WILLIAM HWANG | Individual | Dentist | 2727 W OLYMPIC BLVD STE 311 LOS ANGELES, CA 90006 (213) 365-2360 | Non-Participating Provider | NO |
| 1528070703 | GREGORY D. KAPLAN,DDS WILSHIRE CENTER DENTAL GROUP | Organization | Dentist | 3932 WILSHIRE BLVD SUITE 100 LOS ANGELES, CA 90010 (213) 386-3336 | Non-Participating Provider | NO |
| 1528192317 | DAVIS FAMILI DDS MAGD INC | Organization | Dentist | 11500 W OLYMPIC BLVD #508 LOS ANGELES, CA 90064 (310) 477-7744 | Non-Participating Provider | NO |
| 1528363207 | COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION WEST COAST DENTAL GROUP OF 6TH | Organization | Dentist | 1725 W 6TH ST LOS ANGELES, CA 90017 (213) 413-5151 | Non-Participating Provider | NO |
| 1528366143 | NICOLE SAKAI | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 11340 W OLYMPIC BLVD STE 337 LOS ANGELES, CA 90064 (310) 479-8900 | Non-Participating Provider | NO |
| 1528544814 | B. DEIRMENJIAN, DDS, INC SMILES WEST | Organization | Dentist (General Practice) | 1440 W MANCHESTER AVE LOS ANGELES, CA 90047 (323) 753-1141 | Non-Participating Provider | NO |
| 1528546264 | JEFFREY BRUMBAUGH, DDS, MS, INC. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 12121 WILSHIRE BLVD STE 1111 LOS ANGELES, CA 90025 (626) 536-6650 | Non-Participating Provider | NO |
| 1528662921 | LIFE POWER GROUP | Organization | Dentist (General Practice) | 11901 SANTA MONICA BLVD STE 203 LOS ANGELES, CA 90025 (626) 986-8226 | Non-Participating Provider | NO |
| 1528737087 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 5373 W CENTINELA AVE LOS ANGELES, CA 90045 (310) 953-0590 | Non-Participating Provider | NO |
| 1538556147 | LA TOYA C. MORRIS, DDS, INC. | Organization | Dentist (General Practice) | 4423 DON ZAREMBO DR LOS ANGELES, CA 90008 (323) 295-3397 | Non-Participating Provider | NO |
| 1538822242 | Z SHEILA YAGHMAI | Individual | Dentist (General Practice) | UCLA SCHOOL OF DENTISTRY 10833 LE CONTE AVE CHS RM23086 LOS ANGELES, CA 90095 (310) 486-9656 | Non-Participating Provider | NO |
| 1538893458 | JUSTIN KIM | Individual | Dentist | 4220 W 3RD ST LOS ANGELES, CA 90020 (213) 407-7475 | Non-Participating Provider | NO |
| 1548439284 | MERVAT S. BAKHOUM, D.D.S. | Organization | Dentist (General Practice) | 443 S SOTO ST SUITE 100 LOS ANGELES, CA 90033 (323) 263-6103 | Non-Participating Provider | NO |
| 1548472772 | POLIDO PROFESSIONAL DENTAL CORPORATION | Organization | Dentist | 4650 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 669-4131 | Non-Participating Provider | NO |
| 1548474984 | ROBERT S. VON WENDT DENTAL CORPORATION | Organization | Dentist (General Practice) | 321 N LARCHMONT BLVD STE 722 LOS ANGELES, CA 90004 (323) 466-8607 | Non-Participating Provider | NO |
| 1548567480 | GONZALO CORZO, D.D.S. A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 875 N WESTERN AVE LOS ANGELES, CA 90029 (323) 798-5427 | Non-Participating Provider | NO |
| 1548647944 | BO LEE MACDONALD DDS INC | Organization | Dentist | 11340 W OLYMPIC BLVD SUITE 148 LOS ANGELES, CA 90064 (310) 479-4459 | Non-Participating Provider | NO |
| 1548757347 | LISA KEDERIAN DDS, INC. | Organization | Dentist (General Practice) | 11500 W OLYMPIC BLVD STE 604 LOS ANGELES, CA 90064 (424) 901-0701 | Non-Participating Provider | NO |
| 1548763808 | CLAUDIA VIDES SAMARITANA DENTAL, INC SAMARITANA DENTAL CLINIC | Organization | Dentist | 510 S ALVARADO ST STE 208 LOS ANGELES, CA 90057 (213) 483-3600 | Non-Participating Provider | NO |
| 1558427815 | LADDARAN DENTAL CORP | Organization | Dentist (General Practice) | 2105 BEVERLY BLVD #101 LOS ANGELES, CA 90057 (213) 484-1288 | Non-Participating Provider | NO |
| 1558455998 | GEORGE D. LIM, DMD, INC. | Organization | Dentist (General Practice) | 11725 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 391-7173 | Non-Participating Provider | NO |
| 1558486860 | NAMIAN AND BORJIAN DENTAL CORPORATION DR. NAMIAN FAMILY DENTISTRY | Organization | Dentist (General Practice) | 609 S ATLANTIC BLVD LOS ANGELES, CA 90022 (323) 980-9768 | Non-Participating Provider | NO |
| 1558489849 | GONZALEZ PROFESSIONAL DENTAL CORPORATION | Organization | Dentist (General Practice) | 2010 WILSHIRE BLVD STE.# 512 LOS ANGELES, CA 90057 (213) 413-1283 | Non-Participating Provider | NO |
| 1558547240 | CHUN,DU,LIU DENTAL CORPORATION | Organization | Dentist (General Practice) | 5165 WHITTIER BLVD SUITE 103 LOS ANGELES, CA 90022 (323) 263-9803 | Non-Participating Provider | NO |
| 1558551689 | RALPH A CALLENDER DDS CORP. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 3701 STOCKER ST SUITE 304 LOS ANGELES, CA 90008 (323) 296-6711 | Non-Participating Provider | NO |
| 1558561886 | CATREEN COHEN DDS, A PROFESSIONAL DENTAL CORP DENTAL CENTRAL GROUP | Organization | Dentist (General Practice) | 3009 S VERMONT AVE LOS ANGELES, CA 90007 (323) 730-7200 | Non-Participating Provider | NO |
| 1558573337 | MARINA CORTINOVIS L. RIOS, DDS, INC. MARINA DENTAL CARE | Organization | Dentist (General Practice) | 12732 W WASHINGTON BLVD STE D LOS ANGELES, CA 90066 (310) 827-7467 | Non-Participating Provider | NO |
| 1558771626 | MICHAEL VLADIMIR D.D.S. INC. | Organization | Dentist (General Practice) | 1321 NO. VERMONT AVE. STE 1-A LOS ANGELES, CA 90027 (323) 663-8842 | Non-Participating Provider | NO |
| 1558772723 | GWENDOLYN KELLY DDS & ASSOC. GWENDOLYN KELLY DDS | Organization | Dentist | 6230 W MANCHESTER AVE LOS ANGELES, CA 90045 (310) 412-9291 | Non-Participating Provider | NO |
| 1558889485 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 1155 N VERMONT AVE STE 100 LOS ANGELES, CA 90029 (323) 461-9942 | Non-Participating Provider | NO |
| 1558984799 | INTEGRATIVE ENDODONTICS, INC | Organization | Dentist (Endodontics) | 10850 WILSHINE BLVD STE 301 LOS ANGELES, CA 90027 (424) 341-3028 | Non-Participating Provider | NO |
| 1568058816 | PB LEE DENTAL GROUP, INC. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 4867 EAGLE ROCK BLVD STE B LOS ANGELES, CA 90041 (323) 255-0193 | Non-Participating Provider | NO |
| 1568667236 | RAMIN NOORVASH DDS INC | Organization | Dentist | 968 W VERNON AVE LOS ANGELES, CA 90037 (310) 968-5666 | Non-Participating Provider | NO |
| 1568680254 | MICHELLE A. WOODS, DDS, MPH, INC | Organization | Dentist (General Practice) | 8540 S SEPULVEDA BLVD SUITE 108 LOS ANGELES, CA 90045 (310) 676-2922 | Non-Participating Provider | NO |
| 1568702389 | JERRY L LANIER DDS, INC KIDS DENTAL KARE | Organization | Dentist | 3015 CRENSHAW BLVD STE B LOS ANGELES, CA 90016 (323) 461-9942 | Non-Participating Provider | NO |
| 1568804110 | MAK DDS INC KLEIGER DDS INC DEMESA DDS INC MKD DENTAL | Organization | Dentist (General Practice) | 523 W 6TH ST STE 515 LOS ANGELES, CA 90014 (213) 550-2697 | Non-Participating Provider | NO |
| 1568897155 | WESTSIDE ENDODONTICS INC | Organization | Dentist (Endodontics) | 2990 S SEPULVEDA BLVD #304 LOS ANGELES, CA 90064 (310) 575-4143 | Non-Participating Provider | NO |
| 1578605499 | MEHRAN JAVAHERIAN D.D.S. INC. | Organization | Dentist (General Practice) | 5109 E. WHITTIER BLVD. LOS ANGELES, CA 90022 (323) 265-2222 | Non-Participating Provider | NO |
| 1578736872 | MIN SEOK KIM DDS INC PREMIERE DENTAL CARE | Organization | Dentist | 3680 WILSHIRE BLVD STE 210 LOS ANGELES, CA 90010 (213) 739-8855 | Non-Participating Provider | NO |
| 1578889192 | SOLOMON & KHAEF A DENTAL CORPORATION CALM DENTAL 1 | Organization | Dentist | 525 S OLIVE ST LOS ANGELES, CA 90013 (213) 624-3333 | Non-Participating Provider | NO |
| 1578932935 | KARLA F. SOLIS DDS, INC. | Organization | Dentist (General Practice) | 10850 WILSHIRE BLVD SUITE 330 LOS ANGELES, CA 90024 (310) 208-4297 | Non-Participating Provider | NO |
| 1578944484 | MAIA MONTOYA DDS INC | Organization | Dentist (General Practice) | 2706 W JEFFERSON BLVD LOS ANGELES, CA 90018 (323) 734-9333 | Non-Participating Provider | NO |
| 1588182414 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 3015 CRENSHAW BLVD STE B LOS ANGELES, CA 90016 (323) 733-0969 | Non-Participating Provider | NO |
| 1588206171 | DENTAL HELP SOLUTIONS, LLC | Organization | Dentist | 4606 HOLLYWOOD BLVD, SUITE A LOS ANGELES, CA 90027 (213) 342-5918 | Non-Participating Provider | NO |
| 1588703300 | MARIA PILAR BERNARDO DDS INC | Organization | Dentist (General Practice) | 4331 W SUNSET BLVD LOS ANGELES, CA 90029 (323) 660-2011 | Non-Participating Provider | NO |
| 1588716450 | NESTOR M CASTRO DDS INC | Organization | Dentist | 2610 WEST 6TH STREET LOS ANGELES, CA 90057 (213) 384-9522 | Non-Participating Provider | NO |
| 1588717383 | LISA NGUYEN DDS INC | Organization | Dentist (General Practice) | 2511 S CENTRAL AVE SUITE A LOS ANGELES, CA 90011 (213) 763-2510 | Non-Participating Provider | NO |
| 1588852479 | YIWEN LIU, DDS, A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 11103 VENICE BLVD LOS ANGELES, CA 90034 (310) 559-9191 | Non-Participating Provider | NO |
| 1588925010 | ONE DENTAL SPECIALTIES | Organization | Dentist (General Practice) | 621 S WESTERN AVE SUITE 116 LOS ANGELES, CA 90005 (213) 381-2828 | Non-Participating Provider | NO |
| 1588969000 | EXCEL DENTAL CARE, INC. | Organization | Dentist (General Practice) | 3980 GLENFELIZ BLVD LOS ANGELES, CA 90039 (323) 663-2050 | Non-Participating Provider | NO |
| 1598038630 | DENTAL BILLING FIRST | Organization | Dentist (General Practice) | 2015 S CURSON AVE LOS ANGELES, CA 90016 (310) 384-8398 | Non-Participating Provider | NO |
| 1598055527 | GANJI DENTAL CORPORATION WASHINGTON DENTAL SERVICES | Organization | Dentist (General Practice) | 1005 E WASHINGTON BLVD STE B LOS ANGELES, CA 90021 (213) 765-0004 | Non-Participating Provider | NO |
| 1598166464 | GEORGETTE ZOUEIN DENTAL CORP GEORGETTE ZOUEIN DENTAL GROUP | Organization | Dentist (General Practice) | 4400 S BROADWAY STE 103 LOS ANGELES, CA 90037 (323) 233-9400 | Non-Participating Provider | NO |
| 1598166548 | SUREN CHTCHYAN MD DDS PROFESSIONAL CORPORATION | Organization | Dentist | 3727 W. SUNSET BLVD. LOS ANGELES, CA 90026 (323) 665-9693 | Non-Participating Provider | NO |
| 1598802704 | MEHRDAD KHOSHROZEH | Individual | Dentist (General Practice) | 4080 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 582-4744 | Non-Participating Provider | NO |
| 1609016518 | SCHLANG DENTAL CORPORATION | Organization | Dentist | 1800 CENTURY PARK E SUITE 600 LOS ANGELES, CA 90067 (888) 833-8441 | Non-Participating Provider | NO |
| 1609089507 | SAMUEL ROXAS AND LEONCIA ROXAS DENTAL CORP | Organization | Dentist (General Practice) | 3130 W. 6TH ST. LOS ANGELES, CA 90020 (213) 382-5650 | Non-Participating Provider | NO |
| 1609229541 | AUDREY JUNG-SUN YOON DDS MS DENTAL CORP | Organization | Dentist | 3460 WILSHIRE BLVD #104 LOS ANGELES, CA 90010 (213) 383-3460 | Non-Participating Provider | NO |
| 1609277433 | ETHAN C. A LEE DENTAL INC. | Organization | Dentist (General Practice) | 6046 WHITTIER BLVD. LOS ANGELES, CA 90022 (323) 726-3204 | Non-Participating Provider | NO |
| 1609382860 | DR DANIEL MEIR KLEIN DDS, APC | Organization | Dentist (Pediatric Dentistry) | 5001 WILSHIRE BLVD STE 209 LOS ANGELES, CA 90036 (323) 471-4250 | Non-Participating Provider | NO |
| 1609513746 | SAKAI DENTAL CORPORATION | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 11340 W OLYMPIC BLVD LOS ANGELES, CA 90064 (310) 479-8900 | Non-Participating Provider | NO |
| 1619037231 | REYNALDO D FERNANDEZ DMD | Organization | Dentist | 6660 W SUNSET BLVD K LOS ANGELES, CA 90028 (323) 467-5717 | Non-Participating Provider | NO |
| 1619099033 | JIRAIR GASPARIAN DDS INC. | Organization | Dentist (General Practice) | 3535 CAHUENGA BLVD W SUITE 115 LOS ANGELES, CA 90068 (323) 874-5855 | Non-Participating Provider | NO |
| 1619101540 | HYUNG-JU JOHN KIM DDS INC CHILDREN DENTAL WORLD | Organization | Dentist | 2805 S SAN PEDRO ST LOS ANGELES, CA 90011 (323) 846-8443 | Non-Participating Provider | NO |
| 1619116936 | PREMIERE DENTAL CARE, INC. | Organization | Dentist | 11340 W. OLYMPIC BLVD #240 LOS ANGELES, CA 90064 (310) 575-8828 | Non-Participating Provider | NO |
| 1619322294 | JOHNNY K. KIM DDS INC | Organization | Dentist (General Practice) | 1014 N VERMONT AVE LOS ANGELES, CA 90029 (323) 664-3400 | Non-Participating Provider | NO |
| 1619456928 | WHITE MEMORIAL COMMUNITY HEALTH CENTER | Organization | Dentist | 1828 E CESAR E CHAVEZ AVE STE 4100 LOS ANGELES, CA 90033 (323) 987-1200 | Non-Participating Provider | NO |
| 1619545159 | TASKER AND ROWAN DENTAL CORPORATION OF BEVERLY HILLS | Organization | Dentist (Pediatric Dentistry) | 8635 W 3RD ST STE 255 LOS ANGELES, CA 90048 (916) 479-3432 | Non-Participating Provider | NO |
| 1629148895 | JERRY L LANIER DDS INC. KIDS DENTAL KARE | Organization | Dentist (General Practice) | 1155 N VERMONT AVE STE 100 LOS ANGELES, CA 90029 (323) 461-9942 | Non-Participating Provider | NO |
| 1629234802 | HOMAN HANASAB D.D.S. INC. | Organization | Dentist (Periodontics) | 1580 MANNING AVE APT 302 LOS ANGELES, CA 90024 (310) 892-6631 | Non-Participating Provider | NO |
| 1629252432 | PARVIZ AZAR-MEHR,DMD HANYOUNG P.AZAR-MEHR,DDS | Organization | Dentist (Prosthodontics) | 10921 WILSHIRE BLVD STE 501 LOS ANGELES, CA 90024 (310) 443-3030 | Non-Participating Provider | NO |
| 1629258785 | OJAN GHALCHI DMD INC | Organization | Dentist (General Practice) | 281 SOUTH COLUMBIA AVE LOS ANGELES, CA 90026 (213) 483-3020 | Non-Participating Provider | NO |
| 1629259080 | GONZALO ECHARTE PROFESSIONAL DENTAL CORPORATION | Organization | Dentist | 525 S ALVARADO ST LOS ANGELES, CA 90057 (212) 483-1221 | Non-Participating Provider | NO |
| 1629512157 | LILIAN LOTFY DDS INC | Organization | Dentist | 5711 E BEVERLY BLVD LOS ANGELES, CA 90022 (323) 213-3676 | Non-Participating Provider | NO |
| 1629679667 | EDUARD AVETISYAN DDS INC | Organization | Dentist (General Practice) | 5300 SANTA MONICA BLVD LOS ANGELES, CA 90029 (323) 798-5271 | Non-Participating Provider | NO |
| 1639204241 | GARY R. MASSA DDS, MSD, INC. | Organization | Dentist (Endodontics) | 8930 S SEPULVEDA BLVD SUITE 101 LOS ANGELES, CA 90045 (310) 342-1399 | Non-Participating Provider | NO |
| 1639229099 | ATEF BOUTROS DDS INC. | Organization | Dentist (General Practice) | 5207 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 269-0266 | Non-Participating Provider | NO |
| 1639295173 | LITTLE TOKYO DENTAL GROUP | Organization | Dentist (General Practice) | 316 E 2ND ST SUITE 301 LOS ANGELES, CA 90012 (213) 680-9935 | Non-Participating Provider | NO |
| 1639322431 | SANTA CLARA DENTAL | Organization | Dentist (General Practice) | 4126 CRENSHAW BLVD LOS ANGELES, CA 90008 (323) 294-9600 | Non-Participating Provider | NO |
| 1639697568 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 1357 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 835-0444 | Non-Participating Provider | NO |
| 1649300575 | PHILIP H. RUBEN, DDS INC | Organization | Dentist (Prosthodontics) | 9201 W SUNSET BLVD STE 903 LOS ANGELES, CA 90069 (323) 272-2211 | Non-Participating Provider | NO |
| 1649486499 | DARYL CRANON DDS GENERAL DENTISTRY | Organization | Dentist | 1541 CRENSHAW BLVD LOS ANGELES, CA 90019 (323) 937-2838 | Non-Participating Provider | NO |
| 1649611591 | COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION WEST COAST DENTAL GROUP | Organization | Dentist (General Practice) | 12121 WILSHIRE BLVD SUITE 1111 LOS ANGELES, CA 90025 (310) 820-9933 | Non-Participating Provider | NO |
| 1649781758 | GAYANE MATULIANDDS | Organization | Dentist (General Practice) | 2650 GRIFFITH PARK BLVD LOS ANGELES, CA 90039 (323) 660-5522 | Non-Participating Provider | NO |
| 1649815697 | TMJ THERAPY SLEEP SOLUTION LLC | Organization | Dentist (Periodontics) | 11633 SAN VICENTE BLVD STE 216 LOS ANGELES, CA 90049 (310) 826-3399 | Non-Participating Provider | NO |
| 1659588432 | JONATHAN C YEUNG DDS A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 1148 S ROWAN AVE STE 1 LOS ANGELES, CA 90023 (323) 267-1622 | Non-Participating Provider | NO |
| 1659619856 | FRATT DENTAL CORPORATION BRIGHTNOW DENTAL WESTCHESTER | Organization | Dentist | 8611 S SEPULVEDA BLVD LOS ANGELES, CA 90045 (866) 898-1355 | Non-Participating Provider | NO |
| 1659689016 | P.H. BAE, DDS,INC. DR. BAE'S DENTAL PLAYGROUND | Organization | Dentist | 3651 CRENSHAW BLVD LOS ANGELES, CA 90016 (323) 291-3900 | Non-Participating Provider | NO |
| 1659746881 | ARACELI STOUT D.D.S. INC. | Organization | Dentist (General Practice) | 4762 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 604-9555 | Non-Participating Provider | NO |
| 1659820637 | BAE LIM DENTAL CORPORATION | Organization | Dentist | 3631 W 3RD ST LOS ANGELES, CA 90020 (310) 386-1799 | Non-Participating Provider | NO |
| 1659820686 | PEGAH GHASSEMI BAKHTIARI DDS INC THE CULVER MARINA DENTAL GROUP | Organization | Dentist | 12756 WEST WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 822-6066 | Non-Participating Provider | NO |
| 1659895829 | ALEX PARSI DDS INC | Organization | Dentist | 1127 WILSHIRE BLVD STE 1111 LOS ANGELES, CA 90017 (213) 291-7358 | Non-Participating Provider | NO |
| 1669096160 | LEORA H SHEILY DDS PC | Organization | Dentist (General Practice) | 4852 MELROSE AVE LOS ANGELES, CA 90029 (323) 665-8168 | Non-Participating Provider | NO |
| 1669518627 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 1535 S WESTERN AVE STE J LOS ANGELES, CA 90006 (323) 766-2500 | Non-Participating Provider | NO |
| 1669637203 | DR.PEDRO E. BELLO, D.D.S; INC | Organization | Dentist (General Practice) | 2217 E 1ST ST LOS ANGELES, CA 90033 (323) 264-4466 | Non-Participating Provider | NO |
| 1669671210 | DR. JUNE CINCO SIRON,DDS,INC. | Organization | Dentist (General Practice) | 912 S VICTORIA AVE LOS ANGELES, CA 90019 (323) 935-5583 | Non-Participating Provider | NO |
| 1669685384 | TODD H. YAMADA, D.D.S., INC. | Organization | Dentist (Periodontics) | 11340 W OLYMPIC BLVD #360 LOS ANGELES, CA 90064 (310) 473-2727 | Non-Participating Provider | NO |
| 1669691531 | RICHARD B FEINSTEIN DDS A PROFESSIONAL CORP | Organization | Dentist (Endodontics) | 8540 S SEPULVEDA BLVD SUITE 1210 LOS ANGELES, CA 90045 (310) 670-0225 | Non-Participating Provider | NO |
| 1669691705 | ARAXIE YETENEKIAN-GETTAS, D.M.D., INC. SANTA MONICA FAMILY DENTAL GROUP | Organization | Dentist | 5828 SANTA MONICA BLVD LOS ANGELES, CA 90038 (323) 871-9191 | Non-Participating Provider | NO |
| 1669693479 | RAMIN RAVAEI DMD INC | Organization | Dentist (General Practice) | 1835 S LA CIENEGA BLVD SUITE 200 LOS ANGELES, CA 90035 (310) 836-0300 | Non-Participating Provider | NO |
| 1669849360 | J BAYRAMYAN DDS PROFESSIONAL DENTAL CORP | Organization | Dentist (General Practice) | 4221 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90063 (323) 332-0201 | Non-Participating Provider | NO |
| 1669954566 | ASTARAEE DENTAL CORP LUXE DENTAL COSMETICS | Organization | Dentist (General Practice) | 11980 SAN VICENTE BLVD STE 819 LOS ANGELES, CA 90049 (424) 372-9159 | Non-Participating Provider | NO |
| 1679005045 | MARJAN MOHAMMADI D.D.S. INC. SMILE DZINE | Organization | Dentist (General Practice) | 550 N LARCHMONT BLVD STE 103 LOS ANGELES, CA 90004 (323) 962-6000 | Non-Participating Provider | NO |
| 1679756464 | STEPHEN WEISBERG DDS INC | Organization | Dentist | 11600 WILSHIRE BLVD SUITE 520 LOS ANGELES, CA 90025 (310) 444-9900 | Non-Participating Provider | NO |
| 1679763916 | ROBERT B GERBER DDS A PROF CORP TOWER DENTAL GROUP | Organization | Dentist (General Practice) | 8631 WEST THIRD STREET SUITE 730E LOS ANGELES, CA 90048 (310) 652-0450 | Non-Participating Provider | NO |
| 1679814636 | CONSUMERHEALTH, INC. NEWPORT DENTAL - LA PICO (ORTHO) | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 4550 W PICO BLVD # C309 LOS ANGELES, CA 90019 (323) 602-0590 | Non-Participating Provider | NO |
| 1679883714 | IMPRESSIVE DENTAL CARE | Organization | Dentist | 1435 S VERMONT AVE STE 101 LOS ANGELES, CA 90006 (951) 217-5027 | Non-Participating Provider | NO |
| 1679964456 | J. CHUNG, D.D.S., INC. | Organization | Dentist (Prosthodontics) | 3250 W OLYMPIC BLVD STE 208 LOS ANGELES, CA 90006 (323) 766-1004 | Non-Participating Provider | NO |
| 1679966055 | RAMIL C. BAUTISTA D.D.S.,INC. | Organization | Dentist (General Practice) | 4837 HUNTINGTON DR N STE.8 LOS ANGELES, CA 90032 (323) 223-7200 | Non-Participating Provider | NO |
| 1689186140 | ANGEL DENTAL GROUP INC | Organization | Dentist | 687 S VERMONT AVE LOS ANGELES, CA 90005 (213) 381-7770 | Non-Participating Provider | NO |
| 1689692303 | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA UCLA DENTAL ORAL SURGERY ASSOCIATES | Organization | Dentist (Oral and Maxillofacial Surgery) | 10833 LE CONTE AVE #A0-156 LOS ANGELES, CA 90095 (310) 825-0834 | Non-Participating Provider | NO |
| 1689722159 | DAVID DAVOODPOUR D.D.S, A PROFESSIONAL DENTAL CORP. | Organization | Dentist (General Practice) | 11859 WILSHIRE BLVD STE 660 LOS ANGELES, CA 90025 (310) 477-4214 | Non-Participating Provider | NO |
| 1689919995 | COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION WEST COAST DENTAL GROUP OF GAGE | Organization | Dentist | 1423 E GAGE AVE SUITE A LOS ANGELES, CA 90001 (323) 983-4000 | Non-Participating Provider | NO |
| 1699002329 | SCOTT GOULD NEWHART DMD, INC. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 321 N LARCHMONT BLVD SUITE 500 LOS ANGELES, CA 90004 (310) 550-1533 | Non-Participating Provider | NO |
| 1699113050 | CHANOOK AHN | Individual | Dentist (Periodontics) | 1127 WILSHIRE BLVD LOS ANGELES, CA 90017 (213) 481-0664 | Non-Participating Provider | YES |
| 1699119362 | EUGENE SONG DDS INC | Organization | Dentist | 2206 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033 (323) 265-3680 | Non-Participating Provider | NO |
| 1699265157 | COURTNEY M CLAYTON | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1357 E FLORENCE AVE LOS ANGELES, CA 90001 (626) 437-9799 | Non-Participating Provider | NO |
| 1699931006 | KIUMARS RAHIMI D.D.S., INC. | Organization | Dentist (General Practice) | 5010 S LA BREA AVE LOS ANGELES, CA 90056 (323) 296-2300 | Non-Participating Provider | NO |
| 1699979369 | APLA DENTAL CLINIC AIDS PROJECT LOS ANGELES | Organization | Dentist (General Practice) | 1127 WILSHIRE BLVD 1504 LOS ANGELES, CA 90017 (213) 201-1388 | Non-Participating Provider | NO |
| 1700056462 | RAMIN KHALILI, DDS, INC. | Organization | Dentist (Endodontics) | 1330 LONGWORTH DR LOS ANGELES, CA 90049 (310) 621-0687 | Non-Participating Provider | NO |
| 1700065950 | SABET DENTAL CORP. AIRPORT CENTER FAMILY DENTAL OFFICE | Organization | Dentist (General Practice) | 5304 W CENTURY BLVD LOS ANGELES, CA 90045 (310) 215-1455 | Non-Participating Provider | NO |
| 1700069051 | UCLA SCHOOL OF DENTISRTY SECTION OF ORTHODONTICS | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 10833 LE CONTE AVE CHS 20-140 LOS ANGELES, CA 90095 (310) 825-5161 | Non-Participating Provider | NO |
| 1700093721 | CONSUMERHEALTH, INC. NEWPORT DENTAL EAST LOS ANGELES ORTHO | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 3635 E 1ST ST LOS ANGELES, CA 90063 (323) 269-7367 | Non-Participating Provider | NO |
| 1700229903 | RAMI ETESSAMI DDS. INC. | Organization | Dentist (Endodontics) | 9201 W SUNSET BLVD SUITE 908 LOS ANGELES, CA 90069 (310) 550-0506 | Non-Participating Provider | NO |
| 1700239365 | STEEVE CHOE DDS PC | Organization | Dentist (General Practice) | 680 WILSHIRE PL SUITE 314 LOS ANGELES, CA 90005 (213) 263-2833 | Non-Participating Provider | NO |
| 1700260312 | ASK DENTAL GROUP | Organization | Dentist | 10921 WILSHIRE BLVD #1008 LOS ANGELES, CA 90024 (310) 443-4000 | Non-Participating Provider | NO |
| 1700471828 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 3303 N BROADWAY STE 101-103 LOS ANGELES, CA 90031 (323) 200-2630 | Non-Participating Provider | NO |
| 1700910627 | KIDS DENTAL KARE | Organization | Dentist (General Practice) | 2323 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033 (323) 262-5172 | Non-Participating Provider | NO |
| 1700912599 | MAHENDRAKUMAR MEHTA DDS INC | Organization | Dentist (General Practice) | 4576 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 261-0369 | Non-Participating Provider | NO |
| 1700978780 | UCLA FACULTY GROUP DENTAL PRACTICE | Organization | Dentist (Endodontics) | 100 UCLA MEDICAL PLZ STE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1700998101 | D S RABIZADEH DDS INC WHITTIER DENTAL GROUP | Organization | Dentist | 2901 E WHITTIER BLVD #C LOS ANGELES, CA 90023 (323) 526-1992 | Non-Participating Provider | NO |
| 1710007877 | GLORIANA C. VILLAGO D. D. S., INC. | Organization | Dentist (General Practice) | 4863 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (323) 258-3333 | Non-Participating Provider | NO |
| 1710074513 | BUSTAMANTE ENDODONTICS ADC | Organization | Dentist (Endodontics) | 11645 WILSHIRE BLVD SUITE 1160 LOS ANGELES, CA 90025 (310) 473-5559 | Non-Participating Provider | NO |
| 1710167648 | DR PETER VON POWER DDS MD | Organization | Dentist (General Practice) | 2110 CESAR CHAVEZ AVE LOS ANGELES, CA 90033 (323) 262-1555 | Non-Participating Provider | NO |
| 1710183736 | M. SERAJI, DDS, A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 523 W 6TH ST STE 202 LOS ANGELES, CA 90014 (213) 627-5895 | Non-Participating Provider | NO |
| 1710357157 | A. H. SHEILY, D.D.S., A DENTAL CORPORATION CULVER MARINA DENTAL GROUP | Organization | Dentist | 12756 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 822-6066 | Non-Participating Provider | NO |
| 1710358726 | SHAHGALDIAN PROFESSIONAL DENTAL CORP | Organization | Dentist | 279 S ATLANTIC BLVD STE # B LOS ANGELES, CA 90022 (818) 523-7626 | Non-Participating Provider | NO |
| 1710428552 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 1111 W 6TH ST SUITE 120 LOS ANGELES, CA 90017 (213) 895-0009 | Non-Participating Provider | NO |
| 1710481304 | YUN S LEE DDS. INC WILSHIRE COSMETICS & IMPLANT DENTAL GROUP | Organization | Dentist | 3550 WILSHIRE BLVD. SUITE 835 LOS ANGELES, CA 90010 (213) 251-0066 | Non-Participating Provider | NO |
| 1710541511 | MICHEL H. ELYSON DDS INC. | Organization | Dentist | 4975 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 263-2125 | Non-Participating Provider | NO |
| 1710556550 | WESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W | Organization | Dentist (Oral and Maxillofacial Surgery) | 8540 S SEPULVEDA BLVD STE 1206 LOS ANGELES, CA 90045 (310) 375-0514 | Non-Participating Provider | NO |
| 1710908991 | GORDON L. PATTISON, D.D.S., APDC | Organization | Dentist (Periodontics) | 11859 WILSHIRE BLVD STE. 550 LOS ANGELES, CA 90025 (310) 473-3800 | Non-Participating Provider | NO |
| 1720158124 | COMMUNITY DENTAL SERVICES SMILECARE DENTAL GROUP | Organization | Dentist | 1440 W MANCHESTER AVE LOS ANGELES, CA 90047 (323) 753-1141 | Non-Participating Provider | NO |
| 1720219629 | PARASTOO FARHOODI, DDS, INC | Organization | Dentist (General Practice) | 3169 BARBARA CT LOS ANGELES, CA 90068 (323) 876-6440 | Non-Participating Provider | NO |
| 1720239668 | SANTA MONICA DENTAL,A DR SHENAVAD DENTAL GROUP CORPORATION SANTA MONICA DENTAL ASSOCIATES | Organization | Dentist (General Practice) | 11775 SANTA MONICA BLVD LOS ANGELES, CA 90025 (310) 444-1818 | Non-Participating Provider | NO |
| 1720298052 | DR. BRYAN'S DENTAL OFFICE | Organization | Dentist (General Practice) | 3030 W 8TH ST STE 305 LOS ANGELES, CA 90005 (213) 389-0937 | Non-Participating Provider | NO |
| 1720457500 | NATALYA SHAGRAMANOVA DDS, INC | Organization | Dentist | 1656 WILSHIRE BLVD LOS ANGELES, CA 90017 (213) 484-5050 | Non-Participating Provider | NO |
| 1720472723 | DERICK GHARIBIAN DDS INC | Organization | Dentist (General Practice) | 8530 W PICO BLVD LOS ANGELES, CA 90035 (310) 854-6107 | Non-Participating Provider | NO |
| 1720478597 | MARSHA MOUTON DDS, INC LA TIJERA DENTAL PROFESSIONALS | Organization | Dentist | 6820 LATIJERA BLVD SUITE # 205 LOS ANGELES, CA 90045 (310) 256-4326 | Non-Participating Provider | NO |
| 1720614894 | NASIRY DENTAL CORPORATION | Organization | Dentist | 3377 WILSHIRE BLVD STE 202 LOS ANGELES, CA 90010 (213) 385-9710 | Non-Participating Provider | NO |
| 1730196387 | GERARD S FRANKEL DDS INC DR G S FRANKEL DENTAL GROUP | Organization | Dentist | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1730232497 | TOM NGUYEN DDS INC | Organization | Dentist (General Practice) | 4301 S FIGUEROA ST SUITE A LOS ANGELES, CA 90037 (323) 231-6663 | Non-Participating Provider | NO |
| 1730373689 | GERALD NAFTALIN INC | Organization | Dentist | 9911 W PICO BLVD SUITE 1450 LOS ANGELES, CA 90035 (310) 553-4727 | Non-Participating Provider | NO |
| 1730556390 | CHANTISTE BEAL DDS INC. | Organization | Dentist | 5830 OVERHILL DR SUIT #1 LOS ANGELES, CA 90043 (323) 292-2505 | Non-Participating Provider | NO |
| 1730667411 | VAHAG MEHRABIAN DENTAL CORPORATION COMFORT DENTAL GROUP | Organization | Dentist | 5815 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 721-1212 | Non-Participating Provider | NO |
| 1740319094 | DR. FERNANDO DE LA PENA DENTAL CORPORATION DE LA PENA DENTAL GROUP | Organization | Dentist (General Practice) | 2701 BEVERLY BLVD LOS ANGELES, CA 90057 (213) 389-6211 | Non-Participating Provider | NO |
| 1740323401 | KINGDENTAL | Organization | Dentist | 646 N LARCHMONT BLVD LOS ANGELES, CA 90004 (323) 464-8677 | Non-Participating Provider | NO |
| 1740323716 | A. PINEDA SO, DDS, INC. | Organization | Dentist (General Practice) | 1619 GLENDALE BLVD LOS ANGELES, CA 90026 (213) 484-9416 | Non-Participating Provider | NO |
| 1740392182 | UCLA DENTAL CLINICS UCLA DENTAL SCHOOL | Organization | Dentist | 10833 LE CONTE AVE SUITE 10137 CHS LOS ANGELES, CA 90095 (310) 825-9805 | Non-Participating Provider | NO |
| 1740484393 | ROBERTO PARRA, D.D.S, INC. | Organization | Dentist (General Practice) | 215 W 5TH ST SUITE 210 LOS ANGELES, CA 90013 (213) 625-7575 | Non-Participating Provider | NO |
| 1740577873 | YOUNG H. KIM AND DOIL KIM DDS INC DOIL KIM DDS MMSC ORTHODONTICS | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 3663 W 6TH ST SUITE #207 LOS ANGELES, CA 90020 (213) 383-2080 | Non-Participating Provider | NO |
| 1740747880 | DAVID BAE | Individual | Dentist (General Practice) | 687 S VERMONT AVE LOS ANGELES, CA 90005 (213) 381-7770 | Non-Participating Provider | NO |
| 1750013900 | CHUNG & LEE DENTAL CORP | Organization | Dentist (General Practice) | 258 S OXFORD AVE STE 101 LOS ANGELES, CA 90004 (213) 385-8242 | Non-Participating Provider | NO |
| 1750431516 | CELIA P. OCTOMAN, DMD, INC. CENTRAL DENTAL CARE | Organization | Dentist (General Practice) | 2023 BEVERLY BLVD LOS ANGELES, CA 90057 (213) 353-9930 | Non-Participating Provider | NO |
| 1750491536 | DAN P BENYAMINI DDS INC | Organization | Dentist | 1826 WEST SEVEN STREET LOS ANGELES, CA 90057 (218) 484-6660 | Non-Participating Provider | NO |
| 1750592093 | E. CARMEL PRADEL, D.M.D, INC. | Organization | Dentist (Oral and Maxillofacial Surgery) | 9201 W SUNSET BLVD SUITE #708 LOS ANGELES, CA 90069 (310) 276-8317 | Non-Participating Provider | NO |
| 1750611000 | EDWARD K LEW DDS INC | Organization | Dentist (General Practice) | 201 S ALVARADO ST SUITE 115 LOS ANGELES, CA 90057 (213) 484-5377 | Non-Participating Provider | NO |
| 1750672549 | MARGARET A PAUL DDS, INC | Organization | Dentist (General Practice) | 2655 W OLYMPIC BLVD STE 201 LOS ANGELES, CA 90006 (213) 383-7878 | Non-Participating Provider | NO |
| 1750690954 | JOSEPH R. MICHERI DDS INC | Organization | Dentist (General Practice) | 2815 W. SUNSET BLVD. SUITE 106 LOS ANGELES, CA 90026 (213) 380-2008 | Non-Participating Provider | NO |
| 1750735296 | VICTOR DE LOS SANTOS, DDS PROFESSIONAL DENTAL CARE | Organization | Dentist | 201 S ALVARADO STREET SUITE 402 LOS ANGELES, CA 90057 (213) 484-2919 | Non-Participating Provider | NO |
| 1750765889 | SAHAWNEH DENTAL CORPORATION BRIGHT NOW DENTAL - CRENSHAW | Organization | Dentist | 4251 CRENSHAW BLVD LOS ANGELES, CA 90008 (323) 295-5577 | Non-Participating Provider | NO |
| 1750787800 | OMID VATAN DENTAL CORP VATAN DENTAL GROUP | Organization | Dentist (General Practice) | 8540 S SEPULVEDA BLVD 108 LOS ANGELES, CA 90045 (310) 676-2922 | Non-Participating Provider | NO |
| 1750873907 | MIN ROH DDS DENTAL CORPORATION | Organization | Dentist (General Practice) | 3421 W 8TH ST STE 1 LOS ANGELES, CA 90005 (714) 539-8275 | Non-Participating Provider | NO |
| 1750978763 | FREDIA ISIS CADAVID | Organization | Dentist | 875 N WESTERN AVE LOS ANGELES, CA 90029 (562) 572-8261 | Non-Participating Provider | NO |
| 1760058929 | KEVIN PARK, DDS, INC. | Organization | Dentist | 104 W 7TH ST LOS ANGELES, CA 90014 (626) 215-5810 | Non-Participating Provider | NO |
| 1760535322 | DR. PORFIRIO S. MARAVILLA JR. DMD INC | Organization | Dentist (General Practice) | 3540 WILSHIRE BLVD STE 208 LOS ANGELES, CA 90010 (213) 388-2466 | Non-Participating Provider | NO |
| 1760602635 | KILPYUNG AUH DDS A PROFESSIONAL CORPORATION LA BREA FAMILY DENTAL PRACTICE | Organization | Dentist (General Practice) | 3400 S LA BREA AVE LOS ANGELES, CA 90016 (323) 734-2284 | Non-Participating Provider | NO |
| 1760697130 | WESTWOOD DENTAL GROUP | Organization | Dentist (General Practice) | 1762 WESTWOOD BLVD. SUITE 460 LOS ANGELES, CA 90024 (310) 474-3765 | Non-Participating Provider | NO |
| 1760762421 | C COHEN DENTAL GROUP, INC 7TH STREET DENTAL GROUP | Organization | Dentist (General Practice) | 1919 W 7TH ST UNIT B LOS ANGELES, CA 90057 (213) 484-2186 | Non-Participating Provider | NO |
| 1760806376 | ROTA DENTAL CORPORATION | Organization | Dentist (General Practice) | 10850 WILSHIRE BLVD SUITE 330 LOS ANGELES, CA 90024 (310) 208-4297 | Non-Participating Provider | NO |
| 1760828776 | JEONG-HO ROH DDS INC LA BREA FAMILY DENTAL GROUP | Organization | Dentist (General Practice) | 3400 S LA BREA AVE LOS ANGELES, CA 90016 (323) 734-2284 | Non-Participating Provider | NO |
| 1760882591 | MONICA BRUCE, D.D.S., INC THE SMILING DENTIST | Organization | Dentist | 3756 SANTA ROSALIA DR SUITE 204 LOS ANGELES, CA 90008 (323) 293-7225 | Non-Participating Provider | NO |
| 1760906887 | SHERIE PARK DDS, INC. SHERIE PARK DENTAL, INC | Organization | Dentist | 3663 W 6TH ST STE 110 LOS ANGELES, CA 90020 (213) 380-1767 | Non-Participating Provider | NO |
| 1770067001 | KTLE DMD, PC | Organization | Dentist (General Practice) | 2520 W 8TH ST STE 207 LOS ANGELES, CA 90057 (213) 380-1894 | Non-Participating Provider | NO |
| 1770199275 | CHANTELLE ASAL GHIAM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1658 CAMDEN AVE LOS ANGELES, CA 90025 (818) 730-1209 | Non-Participating Provider | NO |
| 1770615692 | JAMES E. DICKEY D.D.S. A.P.C. | Organization | Dentist | 3660 WILSHIRE BLVD STE 1026 LOS ANGELES, CA 90010 (213) 383-4151 | Non-Participating Provider | NO |
| 1770642548 | JANJIK & RODEF DENTAL CORPORATION | Organization | Dentist (Pediatric Dentistry) | 1501 COLORADO BLVD LOS ANGELES, CA 90041 (323) 255-9663 | Non-Participating Provider | NO |
| 1770648065 | LOIDA B PARUNGAO DMD INC | Organization | Dentist (General Practice) | 5300 SANTA MONICA BLVD SUITE 403 LOS ANGELES, CA 90029 (323) 461-5696 | Non-Participating Provider | NO |
| 1770776767 | EMAD & KATERINA MOAWAD DENTAL CORP DBA ALEGRIA DENTAL CENTER | Organization | Dentist (General Practice) | 4242 BEVERLY BLVD., LOS ANGELES, CA 90004 (213) 384-8400 | Non-Participating Provider | NO |
| 1780045781 | J & R DENTAL ENTERPRISE HERBERT FAMILY DENTISTRY | Organization | Dentist | 4065 WHITTIER BLVD SUITE 201 LOS ANGELES, CA 90023 (818) 455-1734 | Non-Participating Provider | NO |
| 1780259176 | NATHAN ESHOIEE | Individual | Dentist | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-2805 | Non-Participating Provider | NO |
| 1780811885 | JOVEN PROFESSIONAL DENTAL CORP DR. JOVEN'S FAMILY DENTISTRY | Organization | Dentist (General Practice) | 2251 COLORADO BLVD LOS ANGELES, CA 90041 (323) 259-3118 | Non-Participating Provider | NO |
| 1780878082 | JOSH LAGATTA DDS INC | Organization | Dentist (General Practice) | 1201 E FLORENCE AVE # B LOS ANGELES, CA 90001 (562) 773-6057 | Non-Participating Provider | NO |
| 1780880047 | GEORGE D LIM DMD INC-ECHO PARK GEORGE D LIM DMD INC. | Organization | Dentist (General Practice) | 1569 W SUNSET BLVD FL 2 LOS ANGELES, CA 90026 (213) 481-0777 | Non-Participating Provider | NO |
| 1780891101 | BRYAN H CHUNG DENTAL CORPORATION BOSTON DENTAL GROUP | Organization | Dentist | 266 S HARVARD BLVD #110 LOS ANGELES, CA 90004 (213) 380-2727 | Non-Participating Provider | NO |
| 1790065761 | LOO, HSIAO, & TSAI, A PROFESSIONAL CORPORATION CALIFORNIA DENTAL SPECIALTIES | Organization | Dentist | 1111 W 6TH ST #102 LOS ANGELES, CA 90017 (562) 424-6200 | Non-Participating Provider | NO |
| 1790151249 | NDIDI ONUGHA UKA DDS INC | Organization | Dentist | 3756 SANTA ROSALIA DR STE 517 LOS ANGELES, CA 90008 (323) 298-7992 | Non-Participating Provider | NO |
| 1790164960 | DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC. SALUD DENTAL GROUP | Organization | Dentist (General Practice) | 2621 EAST FIRST STREET LOS ANGELES, CA 90033 (323) 268-9386 | Non-Participating Provider | NO |
| 1790176717 | KATAYOUN OMRANI, DDS, A PROFESSIONAL DENTAL CORPORATION | Organization | Dentist | 444 S SAN VICENTE BLVD STE1101 LOS ANGELES, CA 90048 (310) 423-9600 | Non-Participating Provider | NO |
| 1790334134 | RODEF & YOUSEFI DENTAL CORPORATION | Organization | Dentist (Pediatric Dentistry) | 3736 CRENSHAW BLVD LOS ANGELES, CA 90016 (626) 412-0200 | Non-Participating Provider | NO |
| 1790349751 | VON WESTERNHAGEN DENTAL CORPORATION CANAM DENTAL | Organization | Dentist (General Practice) | 520 E MANCHESTER AVE LOS ANGELES, CA 90003 (323) 521-5444 | Non-Participating Provider | NO |
| 1790385227 | JOHNSON ANN WONG DENTAL CORPORATION | Organization | Dentist (Pediatric Dentistry) | 6512 N FIGUEROA ST STE 3 LOS ANGELES, CA 90042 (323) 521-9833 | Non-Participating Provider | NO |
| 1790424356 | SAM SEGAL | Individual | Dentist (General Practice) | 1319 N DETROIT ST APT 201 LOS ANGELES, CA 90046 (323) 868-5401 | Non-Participating Provider | NO |
| 1790909836 | KARAPETYAN DENTAL CORP | Organization | Dentist | 1711 N GRAMERCY PL LOS ANGELES, CA 90028 (323) 460-6611 | Non-Participating Provider | NO |
| 1790943215 | NEDA NAIM DDS APC | Organization | Dentist | 11645 WILSHIRE BLVD SUITE 804 LOS ANGELES, CA 90025 (310) 479-7852 | Non-Participating Provider | NO |
| 1790966133 | GLOSMAN DENTAL GROUP, LTD DENTALVILLE | Organization | Dentist | 1180 S BEVERLY DR STE 401 LOS ANGELES, CA 90035 (310) 804-1972 | Non-Participating Provider | NO |
| 1801030044 | MICHAEL J. WHITE DDS INC FUN ZONE DENTAL | Organization | Dentist (General Practice) | 2002 S HOOVER ST LOS ANGELES, CA 90007 (213) 596-8056 | Non-Participating Provider | NO |
| 1801034970 | TSAI, HSIAO & LOO DENTAL CORPORATION UNIVERSAL CARE DENTAL | Organization | Dentist | 2839 N. EASTERN AVE LOS ANGELES, CA 90032 (323) 987-1020 | Non-Participating Provider | NO |
| 1801075676 | MAXIMA ERNACIO , DMD, INC. | Organization | Dentist (General Practice) | 2105 BEVERLY BLVD LOS ANGELES, CA 90057 (213) 483-8756 | Non-Participating Provider | NO |
| 1801160635 | CHERYL D BINGHAM DDS INC | Organization | Dentist | 11905 S CENTRAL AVE 203 LOS ANGELES, CA 90059 (323) 564-7504 | Non-Participating Provider | NO |
| 1801215710 | YOUNG BAE KIM D.D.S INC. BARUN DENTAL GROUP | Organization | Dentist (General Practice) | 903 CRENSHAW BLVD STE 303 LOS ANGELES, CA 90019 (323) 930-4800 | Non-Participating Provider | NO |
| 1801304845 | ZIED DENTAL GROUP INC HD SMILE DENTAL | Organization | Dentist | 1680 NORTH VINE STREET SUITE #200 LOS ANGELES, CA 90028 (323) 464-2033 | Non-Participating Provider | NO |
| 1801336235 | ERIK NARIYOSHI | Individual | Dentist (Dentist Anesthesiologist) | 530 S BERENDO ST APT #350 LOS ANGELES, CA 90020 (808) 349-0317 | Non-Participating Provider | NO |
| 1801397369 | DR KWAK YONSEI DENTAL CORPORATION | Organization | Dentist | 981 S WESTERN AVE STE 200A LOS ANGELES, CA 90006 (323) 731-0707 | Non-Participating Provider | NO |
| 1801498902 | ERICA JOSEPHINE KATZ | Individual | Dentist (General Practice) | 11600 WILSHIRE BLVD STE 316 LOS ANGELES, CA 90025 (310) 444-4977 | Non-Participating Provider | NO |
| 1801526892 | KAREN ARMOUR DDS INC | Organization | Dentist (General Practice) | 11905 S CENTRAL AVE STE 203 LOS ANGELES, CA 90059 (323) 702-4899 | Non-Participating Provider | NO |
| 1811154768 | DANIEL SUR DDS, INC. KIDS DENTAL LAND | Organization | Dentist (General Practice) | 2323 CESAR CHAVEZ AVE LOS ANGELES, CA 90033 (323) 262-1171 | Non-Participating Provider | NO |
| 1811180995 | JOHN PEDERSEN D D S INC CULVER WESTSIDE DENTAL GROUP | Organization | Dentist (General Practice) | 12504 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 390-6272 | Non-Participating Provider | NO |
| 1811181977 | RAMIN SHABTAIE, DDS, INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 10921 WILSHIRE BLVD SUITE 608 LOS ANGELES, CA 90024 (310) 208-3471 | Non-Participating Provider | NO |
| 1811211022 | NATALIE KHADAVI, DDS, INC | Organization | Dentist | 12331 1/4 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 482-3971 | Non-Participating Provider | NO |
| 1811264831 | MARTIN B. YU D.D.S. INC. | Organization | Dentist (General Practice) | 1001 S VERMONT AVE STE 109 LOS ANGELES, CA 90006 (213) 384-9800 | Non-Participating Provider | NO |
| 1811319981 | QING HUI FU DDS INC | Organization | Dentist (General Practice) | 1498 W SUNSET BLVD STE 4 LOS ANGELES, CA 90026 (213) 481-2700 | Non-Participating Provider | NO |
| 1811320690 | CHENG AND GARCIA DENTAL CORPORATION VISION DENTAL | Organization | Dentist (General Practice) | 10700 SANTA MONICA BLVD STE 140 LOS ANGELES, CA 90025 (626) 551-8992 | Non-Participating Provider | NO |
| 1811553324 | DR JAY GROSSMAN & ASSOCIATES | Organization | Dentist (General Practice) | 11980 SAN VICENTE BLVD STE 507 LOS ANGELES, CA 90049 (310) 820-0123 | Non-Participating Provider | NO |
| 1811582968 | DONGHEE LEE D.D.S. INC. | Organization | Dentist (General Practice) | 2655 W OLYMPIC BLVD STE 206 LOS ANGELES, CA 90006 (213) 385-4011 | Non-Participating Provider | NO |
| 1821130477 | MONCADA DENTAL CORPORATION | Organization | Dentist | 1321 N VERMONT AVE SUITE B LOS ANGELES, CA 90027 (323) 663-7897 | Non-Participating Provider | NO |
| 1821168113 | UNIVERSITY OF SOUTHERN CALIFORNIA USC SCHOOL OF DENTISTRY | Organization | Dentist (General Practice) | 925 W 34TH ST ROOM #151 LOS ANGELES, CA 90089 (213) 740-7405 | Non-Participating Provider | NO |
| 1821183807 | KIAN DOWLATSHAHI DDS INC | Organization | Dentist | 11645 WILSHIRE BLVD SUITE 980 LOS ANGELES, CA 90025 (310) 820-0022 | Non-Participating Provider | NO |
| 1821246513 | WON JUNG JEONG,DDS,INC. | Organization | Dentist | 936 S ALVARADO ST LOS ANGELES, CA 90006 (213) 380-1996 | Non-Participating Provider | NO |
| 1821277500 | BIYAN YANG DDS INC | Organization | Dentist (General Practice) | 1498 W SUNSET BLVD LOS ANGELES, CA 90026 (213) 481-2700 | Non-Participating Provider | NO |
| 1821306929 | TSAI, HSIAO & LOO DENTAL CORPORATION UNIVERSAL CARE DENTAL GROUP | Organization | Dentist | 1000 VENICE BLVD LOS ANGELES, CA 90015 (213) 748-8810 | Non-Participating Provider | NO |
| 1821339888 | CONSUMERHEALTH, INC. BRIGHTNOW DENTAL WESTCHESTER ORTHO | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 8611 S SEPULVEDA BLVD LOS ANGELES, CA 90045 (310) 846-0172 | Non-Participating Provider | NO |
| 1821473463 | SAHAWNEH DENTAL CORPORATION BRIGHT NOW DENTAL - WESTCHESTER | Organization | Dentist | 8611 S SEPULVEDA BLVD LOS ANGELES, CA 90045 (310) 846-0172 | Non-Participating Provider | NO |
| 1821498981 | HWANG DENTAL CORPORATION ANGEL DENTAL GROUP WILSHIRE | Organization | Dentist (General Practice) | 3540 WILSHIRE BLVD STE. 210 LOS ANGELES, CA 90010 (213) 384-3389 | Non-Participating Provider | NO |
| 1821526419 | DR ALEXANDER S MORADZADEH DDS INC CRYSTAL DENTAL | Organization | Dentist (General Practice) | 2206 S FIGUEROA ST LOS ANGELES, CA 90007 (213) 748-8448 | Non-Participating Provider | NO |
| 1821686999 | SAIDO OZAWA | Individual | Dentist (General Practice) | 255 S GRAND AVE APT 1201 LOS ANGELES, CA 90012 (323) 496-8060 | Non-Participating Provider | NO |
| 1831109644 | NEJATFARD DENTAL CORPORATION ELEGANT SMILE FAMILY DENTAL | Organization | Dentist | 12222 WHILSHIRE BLVD # 104 LOS ANGELES, CA 90025 (310) 207-6453 | Non-Participating Provider | NO |
| 1831211820 | DAE H SONG DDS INC DAE H SONG DDS INC | Organization | Dentist | 3129 N SAN FERNANDO RD LOS ANGELES, CA 90065 (323) 257-7744 | Non-Participating Provider | NO |
| 1831231018 | BARROS AND BARROS DMD INC DR BARROS FAMILY DENTISTRY | Organization | Dentist (General Practice) | 1860 GLENDALE BLVD LOS ANGELES, CA 90026 (323) 953-0762 | Non-Participating Provider | NO |
| 1831251685 | EUGENE A GONCHAROV DDS INC | Organization | Dentist | 6221 WILSHIRE BLVD STE 303 LOS ANGELES, CA 90048 (323) 931-2000 | Non-Participating Provider | NO |
| 1831316140 | RYAN SEIN CHEIN LEE DENTAL CORPORATION WEST COAST DENTAL GROUP OF GAGE | Organization | Dentist (General Practice) | 1423 E GAGE AVE SUITE A LOS ANGELES, CA 90001 (323) 983-4000 | Non-Participating Provider | NO |
| 1831338680 | HUMOR DENTAL GROUP OF DR. LAUREN R. FRIEDMAN, DDS DR. LAUREN R. FRIEDMAN, DDS | Organization | Dentist (General Practice) | 2355 WESTWOOD BLVD # 718 LOS ANGELES, CA 90064 (310) 418-7788 | Non-Participating Provider | NO |
| 1831468362 | JOHN KIM DDS, INC | Organization | Dentist (General Practice) | 906 N. VERMONT AVE. LOS ANGELES, CA 90029 (323) 522-3382 | Non-Participating Provider | NO |
| 1831578780 | HENRY LO DDS INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 6360 WILSHIRE BLVD SUITE NUMBER 403 LOS ANGELES, CA 90048 (323) 653-9440 | Non-Participating Provider | NO |
| 1831661586 | RODY PAZ CASANOVA DENTAL INC. HAPPY SMILES | Organization | Dentist (General Practice) | 1655 S WESTERN AVE STE C LOS ANGELES, CA 90006 (323) 529-0002 | Non-Participating Provider | NO |
| 1841407970 | STEVE J. H. LEE | Organization | Dentist (General Practice) | 11901 SANTA MONICA BLVD 203 LOS ANGELES, CA 90025 (310) 575-1577 | Non-Participating Provider | NO |
| 1841455938 | RAMBOD R. ALIREZAEI BRENTWOOD ENDODONTICS | Organization | Dentist (Endodontics) | 11633 SAN VICENTE BLVD STE 308 LOS ANGELES, CA 90049 (310) 207-3707 | Non-Participating Provider | NO |
| 1841503646 | JERRY L LANIER DDS INC KIDS DENTAL KARE | Organization | Dentist | 1357 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 835-0444 | Non-Participating Provider | NO |
| 1841691425 | DANIEL SUR DDS, INC. KIDS DENTAL LAND | Organization | Dentist (General Practice) | 4749 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90022 (323) 268-2881 | Non-Participating Provider | NO |
| 1841724168 | UNIVERSITY OF SOUTHERN CALIFORNIA HERMAN OSTROW SCHOOL OF DENTISTRYURM | Organization | Dentist (General Practice) | 545 S. SAN PEDRO STREET SECOND FLOOR LOS ANGELES, CA 90013 (213) 347-6300 | Non-Participating Provider | NO |
| 1841939261 | BENEVOLENCE INDUSTRIES INC. | Organization | Dentist | 525 S ALVARADO ST LOS ANGELES, CA 90057 (323) 732-0100 | Non-Participating Provider | NO |
| 1851502504 | BRIAN Y HONG DENTAL CORPORATION CHILDREN'S DENTISTRY | Organization | Dentist (Pediatric Dentistry) | 2789 W OLYMPIC BLVD STE 301 LOS ANGELES, CA 90006 (213) 383-5437 | Non-Participating Provider | NO |
| 1851518807 | BERNICE T. KO, D.D.S., INC. | Organization | Dentist (Endodontics) | 11340 W OLYMPIC BLVD #360 LOS ANGELES, CA 90064 (310) 473-2120 | Non-Participating Provider | NO |
| 1851714125 | NIKZAD NAFISI DENTAL CORP KISS DENTAL CARE | Organization | Dentist | 600 W MANCHESTER AVE #2 LOS ANGELES, CA 90044 (323) 750-1582 | Non-Participating Provider | NO |
| 1851759963 | CONSUMERHEALTH, INC. NEWPORT DENTAL - CRENSHAW | Organization | Dentist (Dental Public Health) | 4251 CRENSHAW BLVD LOS ANGELES, CA 90008 (323) 295-5577 | Non-Participating Provider | NO |
| 1851793418 | ALLURE DENTISTRY | Organization | Dentist | 1872 S SEPULVEDA BLVD SUITE #2 LOS ANGELES, CA 90025 (310) 444-9121 | Non-Participating Provider | NO |
| 1851992481 | CENTINELA JOSEPH DENTAL GROUP | Organization | Dentist | 6907 LA TIJERA BLVD LOS ANGELES, CA 90045 (310) 645-0336 | Non-Participating Provider | NO |
| 1861084964 | BAE LIM DENTAL GROUP | Organization | Dentist (General Practice) | 3631 W 3RD ST LOS ANGELES, CA 90020 (213) 251-1059 | Non-Participating Provider | NO |
| 1861591521 | HIRI ETESSAMI DDS, INC. | Organization | Dentist (Endodontics) | 9201 SUNSET BLVD SUITE 908 LOS ANGELES, CA 90069 (310) 550-0506 | Non-Participating Provider | NO |
| 1861638132 | RICHARD F STAFFORD DDS INC | Organization | Dentist (Dentist Anesthesiologist) | 321 N LARCHMONT BLVD STE 721 LOS ANGELES, CA 90004 (323) 856-9502 | Non-Participating Provider | NO |
| 1861645418 | NASIRY DENTAL CORPORATION | Organization | Dentist (General Practice) | 2500 WILSHIRE BLVD SUITE 1100 LOS ANGELES, CA 90057 (213) 385-9710 | Non-Participating Provider | NO |
| 1861691495 | NAGWA METIAS DDS INC VENICE DENTAL GROUP | Organization | Dentist | 12563 VENICE BLVD LOS ANGELES, CA 90066 (310) 390-2423 | Non-Participating Provider | NO |
| 1861750051 | KIM, YONG YUL D.D.S, A PROF DENTAL | Organization | Dentist (General Practice) | 3100 W 8TH ST 105 LOS ANGELES, CA 90005 (213) 389-2211 | Non-Participating Provider | NO |
| 1861801243 | KOUROSH YOUSEFZADEH DDS | Organization | Dentist | 523 W 6TH ST STE 202 LOS ANGELES, CA 90014 (213) 627-5895 | Non-Participating Provider | NO |
| 1861882698 | TARLAN, P. AKHAVAN DDS A PROF CORP | Organization | Dentist | 2407 SOUTH VERMONT AVE LOS ANGELES, CA 90007 (213) 222-2990 | Non-Participating Provider | NO |
| 1861938474 | UTIBE EFFIOM DDS, INC. LEIMERT DENTAL PRACTICE OF UTIBE EFFIOM DDS, INC. | Organization | Dentist (General Practice) | 3991 S WESTERN AVE #7 LOS ANGELES, CA 90062 (310) 397-1064 | Non-Participating Provider | NO |
| 1871149930 | SHERBANK AZIZI DENTAL CORPORATION | Organization | Dentist (General Practice) | 6907 LA TIJERA BLVD STE A LOS ANGELES, CA 90045 (310) 645-0336 | Non-Participating Provider | NO |
| 1871269753 | SHIVA GHAHREMANI DDS, INC. | Organization | Dentist (General Practice) | 2180 WESTWOOD BLVD STE 2C2D LOS ANGELES, CA 90025 (310) 441-8888 | Non-Participating Provider | NO |
| 1871631622 | JAMES T. BLACK, DDS A PROFESSIONAL DENTAL CORPORATION DBA CRENSHAW PROFESSIONAL DENTAL CENTER | Organization | Dentist (General Practice) | 3015 CRENSHAW BLVD LOS ANGELES, CA 90016 (323) 731-0801 | Non-Participating Provider | NO |
| 1871655795 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist (General Practice) | 1054 VINE ST LOS ANGELES, CA 90038 (323) 465-9055 | Non-Participating Provider | NO |
| 1871700666 | TON DDS COPORATION | Organization | Dentist (Pediatric Dentistry) | 1148 S ROWAN AVE STE 1 LOS ANGELES, CA 90023 (323) 267-1622 | Non-Participating Provider | NO |
| 1871772368 | DENTALVILLE ARTHUR GLOSMAN DDS LTD | Organization | Dentist | 1180 S BEVERLY DR STE 401 LOS ANGELES, CA 90035 (310) 804-1972 | Non-Participating Provider | NO |
| 1871801852 | HENGAMEH ANARAKI, DDS, INC | Organization | Dentist (General Practice) | 3875 WILSHIRE BLVD SUITE 901 LOS ANGELES, CA 90010 (213) 383-2700 | Non-Participating Provider | NO |
| 1871883090 | WESTERN DENTAL SERVICES, INC | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 4242 BEVERLY BLVD LOS ANGELES, CA 90004 (714) 480-3000 | Non-Participating Provider | NO |
| 1871948448 | JOHN C. PETERSON D.D.S. CRAIG B. PURSUIT D.D.S. INC. | Organization | Dentist | 8729 LA TIJERA BLVD LOS ANGELES, CA 90045 (310) 670-2646 | Non-Participating Provider | NO |
| 1871992081 | ALINA TIRASPOLSKAYA, DDS, INC. | Organization | Dentist (General Practice) | 1914 SELBY AVE APT 301 LOS ANGELES, CA 90025 (323) 497-1303 | Non-Participating Provider | NO |
| 1881139442 | KANG & CHANG DENTAL GROUP INC | Organization | Dentist | 2520 W 8TH ST SUITE 207 LOS ANGELES, CA 90057 (213) 380-1894 | Non-Participating Provider | NO |
| 1881347987 | VON WESTERNHAGEN DENTAL CORPORATION | Organization | Dentist (General Practice) | 10804 S WESTERN AVE LOS ANGELES, CA 90047 (312) 274-4581 | Non-Participating Provider | NO |
| 1881711281 | UNTALAN DENTAL CORPORATION | Organization | Dentist (General Practice) | 730 S WESTERN AVE SUITE 202 LOS ANGELES, CA 90005 (213) 385-3828 | Non-Participating Provider | NO |
| 1881732360 | CHINATOWN DENTAL CLINIC | Organization | Dentist (General Practice) | 633 N SPRING ST STE 1 LOS ANGELES, CA 90012 (213) 680-8770 | Non-Participating Provider | NO |
| 1881831196 | JIMMY SLAMAT, D.D.S., A PROFESSIONAL CORPORATION | Organization | Dentist (General Practice) | 607 W 6TH ST LOS ANGELES, CA 90017 (213) 624-6482 | Non-Participating Provider | NO |
| 1881863066 | DAVID A PETO DDS, A PROFESSIONAL CORPORATION | Organization | Dentist | 1125 S BEVERLY DR STE 750B LOS ANGELES, CA 90035 (310) 277-7645 | Non-Participating Provider | NO |
| 1881866234 | PETER H. BAE DDS. DENTAL CORPORATION | Organization | Dentist (General Practice) | 1810 W SLAUSON AVE STE J LOS ANGELES, CA 90047 (323) 294-8654 | Non-Participating Provider | NO |
| 1881891463 | RANDY CHEN, DDS | Organization | Dentist (General Practice) | 4857 HUNTINGTON DR N LOS ANGELES, CA 90032 (323) 227-4615 | Non-Participating Provider | NO |
| 1881894590 | EKATERINA N. GALINA, DDS,PROFESSIONAL DENTAL CORPORATION | Organization | Dentist (General Practice) | 7109 1/2 W SUNSET BLVD LOS ANGELES, CA 90046 (323) 850-7007 | Non-Participating Provider | NO |
| 1881900157 | DENTAL PARK | Organization | Dentist (General Practice) | 753 S VERMONT AVE LOS ANGELES, CA 90005 (213) 385-2875 | Non-Participating Provider | NO |
| 1881964807 | ALLAIRE DENTAL CORPORATION ALLAIRE DENTAL CARE | Organization | Dentist (General Practice) | 5757 WILSHIRE BLVD STE 360 LOS ANGELES, CA 90036 (323) 988-8021 | Non-Participating Provider | NO |
| 1891003257 | PETER HYUN BAE, DDS, INC. DR. BAE'S DENTAL PLAYGROUND | Organization | Dentist | 1810 W SLAUSON AVE STE J LOS ANGELES, CA 90047 (323) 294-8654 | Non-Participating Provider | NO |
| 1891394060 | JACK BAYRAYMYAN DENTAL GROUP INC. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 600 S ALVARADO ST STE 200-201 LOS ANGELES, CA 90057 (719) 576-1850 | Non-Participating Provider | NO |
| 1891442927 | DW CHO DENTAL CORPORATION | Organization | Dentist (General Practice) | 4633 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 264-4400 | Non-Participating Provider | NO |
| 1891863361 | IVY O. LI D.D.S. INC. | Organization | Dentist (General Practice) | 420 ORD ST SUITE #102 LOS ANGELES, CA 90012 (213) 617-0136 | Non-Participating Provider | NO |
| 1891902813 | CONSUMERHEALTH, INC. NEWPORT DENTAL HOLLYWOOD ORTHO | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 1155 N VERMONT AVE LOS ANGELES, CA 90029 (323) 660-8111 | Non-Participating Provider | NO |
| 1891984928 | IDA GANAPOLSKY, D.D.S. A PROFESSIONAL DENTAL CORP. SMILES DENTAL PRACTICE | Organization | Dentist (General Practice) | 3356 E OLYMPIC BLVD LOS ANGELES, CA 90023 (323) 269-5221 | Non-Participating Provider | NO |
| 1891995833 | LIM DENTAL CORPORATION | Organization | Dentist (General Practice) | 1211 N VERMONT AVE #102 LOS ANGELES, CA 90029 (323) 666-7562 | Non-Participating Provider | NO |
| 1902020456 | FARID PAKRAVAN, D.D.S., II, INC. DENTAL CENTER OF HIGHLAND PARK | Organization | Dentist (General Practice) | 5807 N FIGUEROA ST LOS ANGELES, CA 90042 (323) 982-0999 | Non-Participating Provider | NO |
| 1902040108 | JASON LAHMANI, DDS, INC FIGUEROA & SLAUSON DENTAL GROUP | Organization | Dentist | 5801 S FIGUEROA ST LOS ANGELES, CA 90003 (323) 750-0030 | Non-Participating Provider | NO |
| 1902335219 | YULIA NIKOGHOSYAN DDS INC | Organization | Dentist (General Practice) | 5005 HOLLYWOOD BLVD LOS ANGELES, CA 90027 (323) 662-9308 | Non-Participating Provider | NO |
| 1902918105 | CHONA FRIAS YU D.D.S INC. | Organization | Dentist (General Practice) | 2256 COLORADO BLVD STE. 111 LOS ANGELES, CA 90041 (323) 982-1435 | Non-Participating Provider | NO |
| 1912061417 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 1200 W MARTIN LUTHER KING JR BLVD LOS ANGELES, CA 90037 (323) 295-8004 | Non-Participating Provider | NO |
| 1912311317 | SANAZ PARSI DDS, INC ANGELENO SMILE | Organization | Dentist | 10921 WILSHIRE BLVD 409 LOS ANGELES, CA 90024 (310) 824-2624 | Non-Participating Provider | NO |
| 1912469883 | YOONBUM BAE DDS INC | Organization | Dentist (Oral and Maxillofacial Surgery) | 866 S WESTMORELAND AVE STE 102 LOS ANGELES, CA 90005 (213) 352-1366 | Non-Participating Provider | NO |
| 1912923749 | HAROLD L. MCQUINN, DDS INC | Organization | Dentist (General Practice) | 9911 W PICO BLVD 1500 LOS ANGELES, CA 90035 (310) 843-0909 | Non-Participating Provider | NO |
| 1922144633 | FARSHID ARIZ DMD INC | Organization | Dentist | 11633 SAN VICENTE BLVD SUITE #216 LOS ANGELES, CA 90049 (310) 826-3399 | Non-Participating Provider | NO |
| 1922171404 | CHARLES L. FOSTER JR. DDS INC. KIDS DENTAL KARE | Organization | Dentist (General Practice) | 1357 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 835-0444 | Non-Participating Provider | NO |
| 1922405505 | CONSUMER HEALTH INC BRIGHT NOW DENTAL - WESTCHESTER ORTHO | Organization | Dentist | 8611 S SEPULVEDA BLVD LOS ANGELES, CA 90045 (310) 846-0172 | Non-Participating Provider | NO |
| 1922450121 | CHAD ARTHUR, DDS, MS, INC | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 8540 S SEPULVEDA BLVD STE 1115 LOS ANGELES, CA 90045 (310) 291-3594 | Non-Participating Provider | NO |
| 1922514819 | LARCHMONT VILLAGE DENTAL SPECIALTY CENTER, INC. | Organization | Dentist (Endodontics) | 321 N LARCHMONT BLVD STE 721 LOS ANGELES, CA 90004 (323) 465-3116 | Non-Participating Provider | NO |
| 1932279106 | BEVERLY HILLS ORTHODONTIC GROUP F. ISAAC HAKIM, D.M.D., P.C. F. ISAAC HAKIM, D.M.D., P.C. | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 9201 W SUNSET BLVD SUITE 905 LOS ANGELES, CA 90069 (310) 271-7287 | Non-Participating Provider | NO |
| 1932381266 | RK CHETTY DDS INC EAGLE ROCK FAMILY DENTISTRY | Organization | Dentist (General Practice) | 2525 COLORADO BLVD #A LOS ANGELES, CA 90041 (323) 258-2885 | Non-Participating Provider | NO |
| 1932439213 | ALINA OGANYAN D.D.S. INC. | Organization | Dentist (General Practice) | 1727 N. VERMONT AVE ALINA OGANYAN D.D.S. INC. SUIT 109 LOS ANGELES, CA 90027 (323) 644-3366 | Non-Participating Provider | NO |
| 1932455631 | MITRA MASHREGHI DMD DENTAL CORPORATION ONSITE DENTAL (DBA) | Organization | Dentist | 3575 CAHUENGA BLVD W STE 115 LOS ANGELES, CA 90068 (818) 980-1200 | Non-Participating Provider | NO |
| 1932533528 | KIM & KIM PROFESSIONAL DENTAL CORP PICO VISTA DENTAL | Organization | Dentist (General Practice) | 2300 W PICO BLVD SUITE 204 LOS ANGELES, CA 90006 (213) 385-6919 | Non-Participating Provider | NO |
| 1932599412 | BADII LEE DENTAL CORPORATION, INC. SMILE WIDE | Organization | Dentist | 2839 N EASTERN AVE LOS ANGELES, CA 90032 (323) 987-1020 | Non-Participating Provider | NO |
| 1932627866 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 4900 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 780-0009 | Non-Participating Provider | NO |
| 1932640786 | WESTERN DENTAL SERVICES, INC. | Organization | Dentist | 2839 N EASTERN AVE LOS ANGELES, CA 90032 (323) 987-1020 | Non-Participating Provider | NO |
| 1942275128 | HAITHAM ELGENDI DDS INC | Organization | Dentist (General Practice) | 824 S ALVARADO ST LOS ANGELES, CA 90057 (213) 252-1700 | Non-Participating Provider | NO |
| 1942331434 | SAEGHI PROFESSIONAL DENTAL CORP. | Organization | Dentist (General Practice) | 3151 GLENDALE BLVD LOS ANGELES, CA 90039 (818) 712-0073 | Non-Participating Provider | NO |
| 1942348107 | SERGEY SIRENKO DDS A DENTAL CORPORATION | Organization | Dentist (General Practice) | 6221 WILSHIRE BLVD #307 LOS ANGELES, CA 90048 (323) 937-4014 | Non-Participating Provider | NO |
| 1942382064 | UCLA DENTAL CLINICS | Organization | Dentist (General Practice) | 10833 LE CONTE AVENUE 10-137 CHS LOS ANGELES, CA 90095 (310) 825-9805 | Non-Participating Provider | NO |
| 1942411830 | DR EDUARD GUTGARTS DDS A PROFESSIONAL DENTAL CORPORATION | Organization | Dentist (General Practice) | 1510 N POINSETTIA PL LOS ANGELES, CA 90046 (323) 851-7140 | Non-Participating Provider | NO |
| 1942526157 | FARZADKOHANBASH INC. DBA UNITEDDENTALOFFICE | Organization | Dentist | 1720 S WESTERN AVE LOS ANGELES, CA 90006 (323) 733-0570 | Non-Participating Provider | NO |
| 1942712526 | SUNDO HAM, DDS. INC. SUNDO HAM, DDS | Organization | Dentist | 711 S VERMONT AVE STE 111 LOS ANGELES, CA 90005 (213) 387-2325 | Non-Participating Provider | NO |
| 1952318040 | LEWIS A. ENSTEDT, D.D.S, APC | Organization | Dentist | 5757 WILSHIRE BLVD SUITE 559 LOS ANGELES, CA 90036 (323) 934-9588 | Non-Participating Provider | NO |
| 1952458887 | ISAAC CHEN DENTAL PRACTICE INC. EAST LOS ANGELES FAMILY DENTISTRY | Organization | Dentist | 4410 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 881-0881 | Non-Participating Provider | NO |
| 1952774598 | CONSUMERHEALTH INCORPORATED NEWPORT DENTAL - WESTCHESTER | Organization | Dentist | 8611 S SEPULVEDA BLVD LOS ANGELES, CA 90045 (310) 846-0172 | Non-Participating Provider | NO |
| 1952902272 | PRAJNA BANAN | Individual | Dentist (Prosthodontics) | 10833 LE CONTE AVE RM A0-156A LOS ANGELES, CA 90095 (310) 825-6510 | Non-Participating Provider | YES |
| 1952911323 | STRANDBURG, CHENG, GARCIA AND HUYNH DENTAL CORPORATION VISION DENTAL | Organization | Dentist (General Practice) | 11687 NATIONAL BLVD LOS ANGELES, CA 90064 (424) 426-1234 | Non-Participating Provider | NO |
| 1962508689 | ORTEGA DENTAL OFFICE DENTAL ZACATECAS | Organization | Dentist | 312 N SOTO ST LOS ANGELES, CA 90033 (323) 263-3918 | Non-Participating Provider | NO |
| 1962545103 | UCLA SCHOOL OF DENTISTRY ESTHETIC ESTHETIC DENTISTRY DEPARTMENT- BILL YANCEY | Organization | Dentist (General Practice) | 10833 LE CONTE AVE RM 33-064A LOS ANGELES, CA 90095 (310) 825-4736 | Non-Participating Provider | NO |
| 1962826313 | DONNA LIEU DDS INC | Organization | Dentist (General Practice) | 6200 WILSHIRE BLVD SUITE 1109 LOS ANGELES, CA 90048 (323) 933-9349 | Non-Participating Provider | NO |
| 1962829143 | CALIFORNIA ORAL & FACIAL SURGERY, INC. DAVID KIM, MD, DDS, INC. | Organization | Dentist (Oral and Maxillofacial Surgery) | 266 S HARVARD BLVD STE 220 LOS ANGELES, CA 90004 (213) 999-7590 | Non-Participating Provider | NO |
| 1962873687 | A. H. SHEILY, D.D.S., A DENTAL CORPORATION CULVER MARINA DENTAL GROUP | Organization | Dentist | 12756 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 574-8574 | Non-Participating Provider | NO |
| 1962878199 | FIELDS AND ROJAS DENTAL PARTNERSHIP, A CALIFORNIA GENERAL PARTNERSHIP ROJAS AND FIELDS ORTHODONTICS -THE EAGLE ROCK SMILE STUDIO- | Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2244 FAIR PARK AVE LOS ANGELES, CA 90041 (323) 363-2244 | Non-Participating Provider | NO |
| 1972068518 | FUN DENTAL 4 KIDS 4 | Organization | Dentist (General Practice) | 1000 E WASHINGTON BLVD LOS ANGELES, CA 90021 (323) 562-1301 | Non-Participating Provider | NO |
| 1972098259 | MONICA NICOLE LEFKOF | Individual | Dentist (General Practice) | 1725 W 6TH ST LOS ANGELES, CA 90017 (213) 413-5151 | Non-Participating Provider | NO |
| 1972679124 | MARK TREYSTMAN DDS INC NEW CENTURY DENTAL GROUP | Organization | Dentist | 6333 WILSHIRE BLVD 207 LOS ANGELES, CA 90048 (323) 653-5484 | Non-Participating Provider | NO |
| 1972709509 | MAKHSUDOVA DENTAL CORPORATION KIDS DENTAL KARE | Organization | Dentist (General Practice) | 4900 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 780-0009 | Non-Participating Provider | NO |
| 1972917052 | BERTRAM B. AMIRI DDS INC. GENTLE CARE DENTAL | Organization | Dentist (General Practice) | 3500 WHITTIER BLVD 101 LOS ANGELES, CA 90023 (323) 264-8834 | Non-Participating Provider | NO |
| 1972930873 | CHRISTINE SHAHGALDIAN DDS INC | Organization | Dentist | 2323 E 4TH ST LOS ANGELES, CA 90033 (323) 980-9090 | Non-Participating Provider | NO |
| 1982002002 | WPD DENTAL GROUP | Organization | Dentist (Periodontics) | 3700 WILSHIRE BLVD STE 780 STE780 LOS ANGELES, CA 90010 (213) 380-7900 | Non-Participating Provider | NO |
| 1982009908 | M. CHUNG DENTAL CORP. BIRDSEYE DENTISTRY | Organization | Dentist (General Practice) | 5535 HOLLYWOOD BLVD LOS ANGELES, CA 90028 (626) 488-3712 | Non-Participating Provider | NO |
| 1982102034 | P HYUN BAE DENTAL CORPORATION DR. BAE'S DENTAL PLAYGROUND | Organization | Dentist (General Practice) | 1637 E 103RD ST LOS ANGELES, CA 90002 (323) 563-3322 | Non-Participating Provider | NO |
| 1982704839 | RENATO L. CALUGCUGAN, DMD, INC. | Organization | Dentist (General Practice) | 3820 FOUNTAIN AVE LOS ANGELES, CA 90029 (323) 664-0777 | Non-Participating Provider | NO |
| 1982719126 | STEVEN B. GRAFF-RADFORD, B.D.S., INC. | Organization | Dentist | 444 S SAN VICENTE BLVD 1101 LOS ANGELES, CA 90048 (310) 423-9600 | Non-Participating Provider | NO |
| 1982738639 | UCLA SCHOOL OF DENTISTRY AEGD | Organization | Dentist (General Practice) | 10833 LE CONTE AVE #33-039 CHS LOS ANGELES, CA 90095 (310) 825-6672 | Non-Participating Provider | NO |
| 1982738803 | JERRY L LANIER DDS INC. KIDS DENTAL KARE | Organization | Dentist (General Practice) | 4900 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 780-0009 | Non-Participating Provider | NO |
| 1982759148 | CONVALESCENT DENTAL CARE | Organization | Dentist (General Practice) | 6226 HALF W MANCHESTER AVE LOS ANGELES, CA 90045 (310) 215-9156 | Non-Participating Provider | NO |
| 1982871042 | ERIKA B. SALAO, DMD, INC. | Organization | Dentist (General Practice) | 3756 WEST AVE 40 STE 1C LOS ANGELES, CA 90065 (323) 255-1700 | Non-Participating Provider | NO |
| 1982885729 | STEVEN K. LIU, DDS, INC. | Organization | Dentist (General Practice) | 455 N. MEDNIK AVE LOS ANGELES, CA 90022 (323) 267-1343 | Non-Participating Provider | NO |
| 1982926408 | DR. G.S. FRANKEL DENTAL GROUP DR. G.S. FRANKEL DENTAL GROUP | Organization | Dentist | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1982937843 | ZACHARY A. CARNOW, DDS, INC. | Organization | Dentist (General Practice) | 5453 E BEVERLY BLVD LOS ANGELES, CA 90022 (323) 723-8249 | Non-Participating Provider | NO |
| 1982941555 | SAHAWNEH DENTAL CORPORATION BRIGHT NOW DENTAL LA-PICO VICENTE | Organization | Dentist | 4550 W PICO BLVD C319 LOS ANGELES, CA 90019 (323) 602-0590 | Non-Participating Provider | NO |
| 1992066435 | HYUNG-JU JOHN KIM DDS INC CHILDREN DENTAL WORLD INC | Organization | Dentist | 2528 W OLYMPIC BLVD SUITE 110-111 LOS ANGELES, CA 90006 (213) 387-2100 | Non-Participating Provider | NO |
| 1992079693 | YOUNG KIM DENTAL GROUP OF WESTMORELAND INC BETHESDA COMMUNITY CLINIC | Organization | Dentist (General Practice) | 900 S. WESTMORELAND AVE SUITE #206 LOS ANGELES, CA 90006 (213) 352-1166 | Non-Participating Provider | NO |
| 1992163786 | UCLA FACULTY GROUP DENTAL PRACTICE | Organization | Dentist (Endodontics) | 100 UCLA MEDICAL PLZ STE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1992236517 | ARMAN TORBATI DDS ARMAN TORBATI DDS | Organization | Dentist | 11600 WILSHIRE BLVD STE 300 LOS ANGELES, CA 90025 (310) 553-3428 | Non-Participating Provider | NO |
| 1992298624 | HAK S. CHOI DDS INC JOEUN DENTAL GROUP | Organization | Dentist (Dental Public Health) | 680 WILSHIRE PL STE 314 LOS ANGELES, CA 90005 (213) 263-2833 | Non-Participating Provider | NO |
| 1992831655 | REGENTS OF THE UNIVERSITY OF CALIFORNIA | Organization | Dentist (Dental Public Health) | 10833 LE CONTE AVE BOX 951668 RM A0-125CHS LOS ANGELES, CA 90095 (310) 825-8879 | Non-Participating Provider | NO |
| 1992914196 | PERIO IMPLANT HEALTH PROFESSIONALS | Organization | Dentist (Periodontics) | 1127 WILSHIRE BLVD SUITE 1110 LOS ANGELES, CA 90017 (213) 481-0664 | Non-Participating Provider | NO |
| 1649802752 | EMILY YIMIAO CHEN | Individual | Dentist (General Practice) | 11600 WILSHIRE BLVD STE 504 LOS ANGELES, CA 90025 (310) 231-5100 | Non-Participating Provider | NO |
| 1962840546 | ESSENCE KAI PAGE | Individual | Dentist | 6228 FLORES AVE LOS ANGELES, CA 90056 (626) 512-8183 | Non-Participating Provider | NO |
| 1952859043 | SMIT JAYANT DANGARIA | Individual | Dentist | 2323 E 4TH ST LOS ANGELES, CA 90033 (323) 980-9090 | Non-Participating Provider | NO |
| 1912049123 | STANLEY SELWYN KEYS | Individual | Dentist | 8673 W PICO BLVD LOS ANGELES, CA 90035 (310) 275-4887 | Non-Participating Provider | NO |
| 1932836905 | DANIELLA HANASABZADEH | Individual | Dentist | 1455 GLENVILLE DR LOS ANGELES, CA 90035 (310) 689-6969 | Non-Participating Provider | NO |
| 1154685741 | FARIHA SHIVJI | Individual | Dentist | 2727 ELLENDALE PL APT 114 LOS ANGELES, CA 90007 (213) 545-1119 | Non-Participating Provider | NO |
| 1063891513 | ROD NAJIBI | Individual | Dentist | 1512 S CENTINELA AVE APT 8 LOS ANGELES, CA 90025 (310) 266-9567 | Non-Participating Provider | YES |
| 1982865713 | GERARD S. FRANKEL | Individual | Dentist | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1811052343 | NORMAN ROY ZALAMEDA UNTALAN | Individual | Dentist (General Practice) | 730 S WESTERN AVE STE 202 LOS ANGELES, CA 90005 (213) 385-3828 | Non-Participating Provider | NO |
| 1134240740 | HEIDI H PARK | Individual | Dentist | 1127 WILSHIRE BLVD SUITE #1500 LOS ANGELES, CA 90017 (213) 446-4207 | Non-Participating Provider | NO |
| 1477700276 | MARK SROL LASKA | Individual | Dentist | 3460 WILSHIRE BLVD STE 210 LOS ANGELES, CA 90010 (213) 386-3348 | Non-Participating Provider | YES |
| 1588878268 | ALBERT E. RODRIGUEZ | Individual | Dentist (General Practice) | 8930 S SEPULVEDA BLVD SUITE 210 LOS ANGELES, CA 90045 (310) 670-0902 | Non-Participating Provider | NO |
| 1760561450 | STEPHEN JIN PARK | Individual | Dentist (Endodontics) | 925 W 34TH ST # 124C LOS ANGELES, CA 90089 (213) 740-0655 | Non-Participating Provider | NO |
| 1811155252 | KHOI N PHAN | Individual | Dentist | 11301 WILSHIRE BLVD BLDG 500 LOS ANGELES, CA 90073 (310) 268-3776 | Non-Participating Provider | NO |
| 1760611875 | DERRICK LANE THOMPSON | Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD 703 LOS ANGELES, CA 90025 (310) 479-4432 | Non-Participating Provider | NO |
| 1215935564 | MARCELO GENESTON MONCADA | Individual | Dentist (General Practice) | 1321 N VERMONT AVE STE. B LOS ANGELES, CA 90027 (323) 663-7897 | Non-Participating Provider | NO |
| 1598356636 | IMRAN AHMED | Individual | Dentist (Pediatric Dentistry) | 10833 LE CONTE AVE # CHS20137 LOS ANGELES, CA 90095 (310) 825-5619 | Non-Participating Provider | NO |
| 1477985778 | VINCENT HA | Individual | Dentist | 7507 ROSEWOOD AVE LOS ANGELES, CA 90036 (704) 668-7893 | Non-Participating Provider | NO |
| 1275894909 | ANISHA KARNIK | Individual | Dentist | 2323 E 4TH ST LOS ANGELES, CA 90033 (323) 980-9090 | Non-Participating Provider | NO |
| 1750398418 | MEHRSHAD SHELYAN | Individual | Dentist (General Practice) | 6200 WILSHIRE BLVD 1604 LOS ANGELES, CA 90048 (310) 909-3689 | Non-Participating Provider | NO |
| 1780181412 | DONIELLE FA'NICE WILLIAMS | Individual | Dentist (Pediatric Dentistry) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 206-3904 | Non-Participating Provider | NO |
| 1982894358 | ELAINE GORELIK | Individual | Dentist (General Practice) | 11377 W OLYMPIC BLVD SUITE 125 LOS ANGELES, CA 90064 (310) 430-2443 | Non-Participating Provider | NO |
| 1003024308 | WILLIAM W MORGAN | Individual | Dentist (General Practice) | 100 UCLA MEDICAL PLZ STE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1851319842 | NASIR AHMED | Individual | Dentist | 4972 W PICO BLVD STE 107 LOS ANGELES, CA 90019 (323) 931-6664 | Non-Participating Provider | NO |
| 1619400595 | ANNA CHAMBERLAIN | Individual | Dentist (Pediatric Dentistry) | 1441 VETERAN AVE APT 216 LOS ANGELES, CA 90024 (310) 985-1316 | Non-Participating Provider | NO |
| 1134286701 | SORAYA OMAR | Individual | Dentist (General Practice) | 1523 N LA BREA SUITE # 206 LOS ANGELES, CA 90028 (323) 882-6387 | Non-Participating Provider | NO |
| 1053486639 | FRANCISCO RAMOS-GOMEZ | Individual | Dentist (Pediatric Dentistry) | 10833 LE CONTE AVE UCLA LOS ANGELES, CA 90095 (310) 825-9460 | Non-Participating Provider | NO |
| 1649367350 | EVA L HOGAN | Individual | Dentist (Periodontics) | 11980 SAN VICENTE BLVD 503 LOS ANGELES, CA 90049 (310) 966-9444 | Non-Participating Provider | YES |
| 1619188638 | RODRIGO ORTEGA | Individual | Dentist (General Practice) | 312 N SOTO ST LOS ANGELES, CA 90033 (323) 263-3918 | Non-Participating Provider | NO |
| 1497814214 | EMAD MOAWAD | Individual | Dentist (General Practice) | 4242 BEVERLY BLVD LOS ANGELES, CA 90004 (213) 384-8400 | Non-Participating Provider | NO |
| 1700181880 | NDIDI UKA | Individual | Dentist | 3756 SANTA ROSALIA DR SUITE 517 LOS ANGELES, CA 90008 (323) 298-7992 | Accepts Medicare | YES |
| 1306916275 | JEFFREY DAVID WATERMAN | Individual | Dentist (Periodontics) | 1964 WESTWOOD BLVD SUITE 200 LOS ANGELES, CA 90025 (310) 441-1141 | Non-Participating Provider | YES |
| 1821441809 | NAZLI HAMED MAJD | Individual | Dentist | 11956 KIOWA AVE #3 LOS ANGELES, CA 90049 (310) 666-3716 | Non-Participating Provider | YES |
| 1578161501 | MARIDETTE CUNANAN | Individual | Dentist (General Practice) | 3731 WILSHIRE BLVD STE 625 LOS ANGELES, CA 90010 (213) 381-3738 | Non-Participating Provider | NO |
| 1235146200 | EDDIE CARBIN | Individual | Dentist | 3701 STOCKER ST SUITE 409 LOS ANGELES, CA 90008 (323) 295-3397 | Non-Participating Provider | NO |
| 1912195348 | NANCY JOANNE TRINH | Individual | Dentist | 1138 S GRAND VIEW ST APT 305 LOS ANGELES, CA 90006 (310) 628-1294 | Non-Participating Provider | NO |
| 1922677475 | NABAT M DAVRANI | Individual | Dentist | 700 W 9TH ST APT 1613 LOS ANGELES, CA 90015 (240) 351-9642 | Non-Participating Provider | NO |
| 1235214149 | LISABETH SU CHIU | Individual | Dentist (General Practice) | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 747-5542 | Non-Participating Provider | YES |
| 1740459304 | FELIPE B OAMAR | Individual | Dentist (General Practice) | 3647 OVERLAND AVE LOS ANGELES, CA 90034 (310) 559-7789 | Non-Participating Provider | NO |
| 1508197146 | TANIA POURAT | Individual | Dentist | 12021 WILSHIRE BLVD # 745 LOS ANGELES, CA 90025 (310) 880-5643 | Non-Participating Provider | NO |
| 1770624330 | STEVE T WONG | Individual | Dentist (General Practice) | 423 ALPINE ST LOS ANGELES, CA 90012 (213) 680-0380 | Non-Participating Provider | NO |
| 1811351604 | ERIC C CHEN | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-4705 | Non-Participating Provider | NO |
| 1497879126 | YOUNG HEE CHOI | Individual | Dentist (General Practice) | 3201 W OLYMPIC BLVD LOS ANGELES, CA 90006 (213) 384-2828 | Non-Participating Provider | NO |
| 1912215849 | SEONGIL LEE | Individual | Dentist | 3400 S LA BREA AVE LOS ANGELES, CA 90016 (323) 734-2284 | Non-Participating Provider | NO |
| 1881849958 | ADAM NMN CHEN | Individual | Dentist | 11600 WILSHIRE BLVD SUITE 10 LOS ANGELES, CA 90025 (310) 312-5070 | Non-Participating Provider | NO |
| 1497365696 | ARIAN BAROOTY | Individual | Dentist | 1125 S BEVERLY DR STE 400 LOS ANGELES, CA 90035 (310) 286-9655 | Non-Participating Provider | NO |
| 1518145937 | ALESSANDRA RASCHKOVSKY | Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD SUITE 804 LOS ANGELES, CA 90025 (310) 479-7852 | Non-Participating Provider | NO |
| 1720338809 | ANDRE GHARIBIAN | Individual | Dentist | 4360 SAN PEDRO PL LOS ANGELES, CA 90011 (323) 238-7682 | Non-Participating Provider | NO |
| 1760766000 | KANA SATO | Individual | Dentist | 10920 WILSHIRE BLVD STE 150-9115 LOS ANGELES, CA 90024 (949) 378-2187 | Non-Participating Provider | NO |
| 1932564846 | ELLIOT NAYSSAN | Individual | Dentist | 10350 SANTA MONICA BLVD STE 190 LOS ANGELES, CA 90025 (310) 557-1704 | Non-Participating Provider | NO |
| 1003906256 | ROBERT BURTON GERBER | Individual | Dentist (General Practice) | 8631 W 3RD ST SUITE 730-E LOS ANGELES, CA 90048 (310) 652-0450 | Non-Participating Provider | NO |
| 1821052796 | RUSSELL CHRISTENSEN | Individual | Dentist (Oral and Maxillofacial Pathology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-6848 | Non-Participating Provider | YES |
| 1013037878 | JAMES R. TATE | Individual | Dentist (General Practice) | 8540 S SEPULVEDA BLVD SUITE 815 LOS ANGELES, CA 90045 (310) 410-9470 | Non-Participating Provider | NO |
| 1205240785 | NICOLE CHENG | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 10700 SANTA MONICA BLVD STE 140 LOS ANGELES, CA 90025 (310) 470-6121 | Non-Participating Provider | YES |
| 1740719012 | FATEMEH ARABPOUR | Individual | Dentist (General Practice) | 505 N FIGUEROA APT #534 LOS ANGELES, CA 90012 (512) 363-9415 | Non-Participating Provider | NO |
| 1902253479 | IAN S. LEHRER | Individual | Dentist (Oral and Maxillofacial Surgery) | 6360 WILSHIRE BLVD STE 403 LOS ANGELES, CA 90048 (323) 653-9440 | Non-Participating Provider | YES |
| 1063567980 | THOMAS H SHINMOTO | Individual | Dentist | 800 W 1ST ST #202 LOS ANGELES, CA 90012 (213) 617-2344 | Non-Participating Provider | YES |
| 1760514368 | MARCELA MARIA LEZAMA | Individual | Dentist | 130 S ALVARADO ST LOS ANGELES, CA 90057 (213) 484-9660 | Non-Participating Provider | NO |
| 1275750465 | HERMINEH TAHMASSIAN | Individual | Dentist (General Practice) | 5040 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (323) 254-5547 | Non-Participating Provider | NO |
| 1932499100 | ROBERTO ROGES | Individual | Dentist (Endodontics) | 8540 S SEPULVEDA BLVD STE 1117 LOS ANGELES, CA 90045 (310) 337-1388 | Non-Participating Provider | YES |
| 1215369038 | FARZAD TOJARIEH | Individual | Dentist (General Practice) | 11524 LA GRANGE AVE LOS ANGELES, CA 90025 (310) 801-2124 | Non-Participating Provider | NO |
| 1811260003 | ANDREA B HOLSTEIN | Individual | Dentist (Endodontics) | 10921 WILSHIRE BLVD SUITE 807 LOS ANGELES, CA 90024 (310) 209-5050 | Non-Participating Provider | YES |
| 1841337581 | PETER K MOY | Individual | Dentist (Oral and Maxillofacial Surgery) | 11980 SAN VICENTE BLVD SUITE 503 AND 505 LOS ANGELES, CA 90049 (310) 820-6691 | Non-Participating Provider | NO |
| 1508299637 | JULIA HOY BROOKS | Individual | Dentist | 3780 KEYSTONE AVE #407 LOS ANGELES, CA 90034 (310) 869-2797 | Non-Participating Provider | NO |
| 1992115034 | ALEXANDER HYUNJOO LEE | Individual | Dentist (General Practice) | 722 S OXFORD AVE APT 205 LOS ANGELES, CA 90005 (707) 328-8256 | Non-Participating Provider | YES |
| 1003958745 | MIRIAM BAUTISTA BUENAVENTURA | Individual | Dentist (General Practice) | 5031 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (323) 256-6428 | Non-Participating Provider | NO |
| 1033302914 | RAMIN KHALILI | Individual | Dentist (Endodontics) | 1330 LONGWORTH DR LOS ANGELES, CA 90049 (310) 621-0687 | Non-Participating Provider | YES |
| 1346913803 | SHARON ABRAHAM | Individual | Dentist | 520 E MANCHESTER AVE LOS ANGELES, CA 90003 (323) 753-3000 | Non-Participating Provider | NO |
| 1376055103 | NAVID NOBAHARESTAN | Individual | Dentist (General Practice) | 1844 GLENDON AVE APT 302 LOS ANGELES, CA 90025 (310) 968-6150 | Non-Participating Provider | NO |
| 1841355633 | RAMIN SHABTAIE | Individual | Dentist (Oral and Maxillofacial Surgery) | 10921 WILSHIRE BLVD SUITE 608 LOS ANGELES, CA 90024 (310) 208-3471 | Non-Participating Provider | NO |
| 1043868698 | SEMYON SEGAL | Individual | Dentist (General Practice) | 2815 W SUNSET BLVD STE 106 LOS ANGELES, CA 90026 (213) 380-2008 | Non-Participating Provider | NO |
| 1770907826 | RACHEL LEE | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 505 S BONNIE BRAE ST APT 501 LOS ANGELES, CA 90057 (626) 354-1035 | Non-Participating Provider | NO |
| 1649881376 | IRENE NGUYEN | Individual | Dentist (General Practice) | 5877 S VERMONT AVE LOS ANGELES, CA 90044 (323) 759-1523 | Non-Participating Provider | NO |
| 1982278115 | LEWIS WENBUO YIN LUO | Individual | Dentist | 714 TIVERTON AVE LOS ANGELES, CA 90095 (424) 835-0471 | Non-Participating Provider | NO |
| 1114016672 | JASON HAN | Individual | Dentist | 311 E WINSTON STREET LOS ANGELES MISSION COMMUNITY CLINIC LOS ANGELES, CA 90013 (213) 893-1960 | Non-Participating Provider | NO |
| 1073651584 | GLORIANA CO TING KEH VILLAGO | Individual | Dentist (General Practice) | 4863 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (323) 258-3333 | Non-Participating Provider | NO |
| 1073801692 | MITA JETHWANI | Individual | Dentist (General Practice) | 960 S WESTGATE AVE #105 LOS ANGELES, CA 90049 (310) 880-7069 | Non-Participating Provider | NO |
| 1598975575 | ESTHER ABRAHAM | Individual | Dentist (General Practice) | 3460 WILSHIRE BLVD 210 LOS ANGELES, CA 90010 (213) 386-3348 | Non-Participating Provider | NO |
| 1699934026 | SANAZ ASAL ABADI | Individual | Dentist (General Practice) | 2143 CAMDEN AVE LOS ANGELES, CA 90025 (310) 923-1700 | Non-Participating Provider | YES |
| 1063559573 | SEVERINO BARTOLOME PALAGANAS | Individual | Dentist (General Practice) | 2023 BEVERLY BLVD LOS ANGELES, CA 90057 (213) 353-9931 | Non-Participating Provider | NO |
| 1477611093 | DAN E RUDIN | Individual | Dentist (Oral and Maxillofacial Surgery) | 12202 WEST WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 915-9797 | Non-Participating Provider | NO |
| 1891848453 | ADRIANA GALVAN DE BARBOSA | Individual | Dentist (General Practice) | 4901 YORK BLVD LOS ANGELES, CA 90042 (323) 478-1515 | Non-Participating Provider | NO |
| 1710397559 | BONNIE K. KRYSTAL | Individual | Dentist | 1803 W SUNSET BLVD # 1 LOS ANGELES, CA 90026 (213) 484-9063 | Non-Participating Provider | NO |
| 1053492272 | PORFIRIO S MARAVILLA | Individual | Dentist (General Practice) | 3540 WILSHIRE BLVD STE 208 LOS ANGELES, CA 90010 (213) 388-2466 | Non-Participating Provider | NO |
| 1790398964 | BEHRAD VAHDATI NIA | Individual | Dentist | 514 E WASHINGTON BLVD LOS ANGELES, CA 90015 (213) 749-3934 | Non-Participating Provider | NO |
| 1740339233 | GLEN THOMAS CLARK | Individual | Dentist | 925 W 34TH ST ROOM #151 LOS ANGELES, CA 90089 (213) 740-7405 | Non-Participating Provider | NO |
| 1821211798 | MAHNAZ BAGHERPOUR | Individual | Dentist (General Practice) | 11775 SANTA MONICA BLVD LOS ANGELES, CA 90025 (310) 444-1818 | Non-Participating Provider | NO |
| 1881056992 | ANDREA TATIANA USTAREZ | Individual | Dentist (General Practice) | 3945 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 307-0449 | Non-Participating Provider | YES |
| 1891817482 | SYLVA T BEZIAN | Individual | Dentist (General Practice) | 321 N LARCHMONT BLVD SUITE #517 LOS ANGELES, CA 90004 (323) 957-5100 | Non-Participating Provider | YES |
| 1942558614 | CHRISTINA HSIEH LIM | Individual | Dentist (Pediatric Dentistry) | 8525 W PICO BLVD LOS ANGELES, CA 90035 (310) 362-1742 | Non-Participating Provider | NO |
| 1457599656 | SANGMOO LEE | Individual | Dentist (Periodontics) | 3030 W 8TH ST #305 LOS ANGELES, CA 90005 (213) 384-4400 | Non-Participating Provider | NO |
| 1083252936 | PAUL JAY KIM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 3932 WILSHIRE BLVD STE 300 LOS ANGELES, CA 90010 (213) 386-7846 | Non-Participating Provider | NO |
| 1326418930 | PAULINE MOSHFEGH | Individual | Dentist (General Practice) | 6221 WILSHIRE BLVD SUITE 404 LOS ANGELES, CA 90048 (310) 435-2111 | Non-Participating Provider | YES |
| 1568510725 | KYORK NERSES DABBAGH | Individual | Dentist | 4242WEST SUNSET BLD#11 SUITE 11 LOS ANGELES, CA 90029 (323) 665-7181 | Non-Participating Provider | NO |
| 1417014655 | BRYAN BUMSOO KIM | Individual | Dentist | 3030 W 8TH ST #305 LOS ANGELES, CA 90005 (213) 389-0937 | Non-Participating Provider | NO |
| 1508077751 | ELAINE S SYMONDS | Individual | Dentist (General Practice) | 2080 CENTURY PARK E SUITE 206 LOS ANGELES, CA 90067 (310) 553-2183 | Non-Participating Provider | NO |
| 1053708024 | ATOOSA PAHLAVANI | Individual | Dentist | 10488 EASTBORNE AVE APT 202 LOS ANGELES, CA 90024 (310) 689-4585 | Non-Participating Provider | YES |
| 1679508477 | WILLIAM D HARRISON | Individual | Dentist | 11980 SAN VICENTE BLVD #918 LOS ANGELES, CA 90049 (310) 826-6535 | Non-Participating Provider | NO |
| 1053935486 | NIKITA SHAMS | Individual | Dentist | 11301 WILSHIRE BLVD LOS ANGELES, CA 90073 (310) 478-3711 | Non-Participating Provider | NO |
| 1730219346 | GARY BRUCE BRATMAN | Individual | Dentist (General Practice) | 10231 SANTA MONICA BOULEVARD SUITE A LOS ANGELES, CA 90067 (310) 839-2722 | Opted out of Medicare | YES |
| 1669914420 | SHANNA LUSTRE LIM | Individual | Dentist | 11725 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 391-7173 | Non-Participating Provider | NO |
| 1063620219 | KEN NAKAMURA | Individual | Dentist (General Practice) | 200 S SAN PEDRO ST SUITE 401 LOS ANGELES, CA 90012 (213) 620-9236 | Non-Participating Provider | NO |
| 1407180342 | GITAE KIM | Individual | Dentist (General Practice) | 3054 W 8TH ST #106 LOS ANGELES, CA 90005 (213) 384-2864 | Non-Participating Provider | NO |
| 1679775043 | KAREN ANDERSON-CURTIN | Individual | Dentist | 149 S BARRINGTON AVE # 321 LOS ANGELES, CA 90049 (310) 770-4476 | Non-Participating Provider | NO |
| 1508881012 | CATREEN COHEN | Individual | Dentist (General Practice) | 9188 W PICO BLVD LOS ANGELES, CA 90035 (310) 276-9966 | Non-Participating Provider | NO |
| 1093998700 | MOHAMMAD AMIN GHAEMI | Individual | Dentist | 10535 WILSHIRE BLVD APT 904 LOS ANGELES, CA 90024 (310) 985-2646 | Non-Participating Provider | NO |
| 1316057052 | LUCIA RADUCA | Individual | Dentist (General Practice) | 11373 WASHINGTON BLVD #B LOS ANGELES, CA 90066 (310) 636-9292 | Non-Participating Provider | NO |
| 1487225264 | XIAOXU LIU | Individual | Dentist | 687 S HOBART BLVD APT 539 LOS ANGELES, CA 90005 (310) 721-8039 | Non-Participating Provider | NO |
| 1386205235 | JASON DO DIEP | Individual | Dentist | 311 WINSTON ST LOS ANGELES, CA 90013 (626) 321-7337 | Non-Participating Provider | YES |
| 1497943237 | KEVIN JIRO KOMATSU | Individual | Dentist (General Practice) | 10584 W PICO BLVD LOS ANGELES, CA 90064 (310) 837-2000 | Non-Participating Provider | YES |
| 1720330590 | BRIAN YOUNG KANG | Individual | Dentist (General Practice) | 3544 W OLYMPIC BLVD STE 118 LOS ANGELES, CA 90019 (323) 735-0448 | Non-Participating Provider | NO |
| 1043664162 | CHERYL EUNU KIM | Individual | Dentist | 1050 S GRAND AVE STE 2 LOS ANGELES, CA 90015 (213) 568-0008 | Non-Participating Provider | NO |
| 1306056452 | WILLIAM M DORFMAN | Individual | Dentist | 2080 CENTURY PARK E SUITE 1601 LOS ANGELES, CA 90067 (310) 277-5678 | Non-Participating Provider | NO |
| 1457435588 | SUNWOONG STEVE CHOI | Individual | Dentist (Oral and Maxillofacial Surgery) | 12121 WILSHIRE BLVD STE 1111 FRONTIER DENTAL MANAGEMENT LOS ANGELES, CA 90025 (310) 820-9933 | Non-Participating Provider | YES |
| 1669821633 | PETER B LEE | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 4867 EAGLE ROCK BLVD STE B LOS ANGELES, CA 90041 (661) 993-1139 | Non-Participating Provider | NO |
| 1851506125 | NEDA NAIM | Individual | Dentist | 11645 WILSHIRE BLVD STE 804 LOS ANGELES, CA 90025 (310) 479-7852 | Non-Participating Provider | NO |
| 1508849241 | ALMA CARBONELL ROBLES | Individual | Dentist | 3875 WILSHIRE BLVD SUITE 1301 LOS ANGELES, CA 90010 (213) 383-5047 | Non-Participating Provider | NO |
| 1285809335 | CHRIS HABU | Individual | Dentist (General Practice) | 1431 S BURLINGTON AVE APT. 6 LOS ANGELES, CA 90006 (213) 458-4659 | Non-Participating Provider | NO |
| 1003083817 | EMILY KWONG | Individual | Dentist (General Practice) | 2130 SAWTELLE BLVD SUITE 210A LOS ANGELES, CA 90025 (310) 479-8833 | Non-Participating Provider | NO |
| 1245589126 | VIVIAN CATERIO BANARIA | Individual | Dentist (General Practice) | 5300 SANTA MONICA BLVD SUITE 401 LOS ANGELES, CA 90029 (323) 957-9227 | Non-Participating Provider | YES |
| 1023010766 | JOSEPH S. YOON | Individual | Dentist | 3460 WILSHIRE BLVD 104 LOS ANGELES, CA 90010 (213) 383-3460 | Non-Participating Provider | YES |
| 1174688865 | INNA SHERR | Individual | Dentist (General Practice) | 7791 W SUNSET BLVD LOS ANGELES, CA 90046 (323) 850-5906 | Non-Participating Provider | YES |
| 1922086651 | GAYANE ANDRANIK MATULIAN | Individual | Dentist (General Practice) | 2650 GRIFFITH PARK BLVD LOS ANGELES, CA 90039 (323) 660-5522 | Non-Participating Provider | NO |
| 1831244268 | JANE LIM | Individual | Dentist (Pediatric Dentistry) | 1211 N VERMONT AVE STE 102 LOS ANGELES, CA 90029 (323) 666-7562 | Non-Participating Provider | NO |
| 1548365513 | MARK A COLLONS | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1033 GAYLEY AVE #106 LOS ANGELES, CA 90024 (310) 208-6333 | Non-Participating Provider | NO |
| 1760636195 | CAROLYN ARISTORENAS CANCIO | Individual | Dentist (General Practice) | 1300 N VERMONT AVE SUITE #801 LOS ANGELES, CA 90027 (323) 661-8001 | Non-Participating Provider | NO |
| 1043640667 | DEANDRA NICHELLE TURNER | Individual | Dentist (Pediatric Dentistry) | 808 W 58TH ST LOS ANGELES, CA 90037 (323) 541-1600 | Non-Participating Provider | YES |
| 1275019143 | EUNICE GOWOON KIM | Individual | Dentist (General Practice) | 2805 S SAN PEDRO ST LOS ANGELES, CA 90011 (708) 949-0395 | Non-Participating Provider | NO |
| 1740581420 | LISA A CHAN | Individual | Dentist (General Practice) | 2468 OVERLAND AVE LOS ANGELES, CA 90064 (310) 839-2371 | Non-Participating Provider | NO |
| 1932394566 | BRIAN DANIEL REICH | Individual | Dentist (General Practice) | 11973 SAN VICENTE BLVD SUITE #212 LOS ANGELES, CA 90049 (310) 472-6001 | Non-Participating Provider | NO |
| 1215291059 | STEVE LIM | Individual | Dentist (Oral and Maxillofacial Surgery) | 722 S LOS ANGELES ST APT 415 LOS ANGELES, CA 90014 (213) 327-7640 | Non-Participating Provider | YES |
| 1295076925 | SARIT HAZANI KARZ | Individual | Dentist | 9537 KIRKSIDE RD LOS ANGELES, CA 90035 (310) 500-7242 | Non-Participating Provider | NO |
| 1194966408 | ALINA ESTHER ZEIDLER | Individual | Dentist (General Practice) | 10535 WILSHIRE BLVD PH 6 LOS ANGELES, CA 90024 (310) 345-7429 | Non-Participating Provider | NO |
| 1801222344 | SUSAN CANE | Individual | Dentist (General Practice) | 11771 MONTANA AVE #212 LOS ANGELES, CA 90049 (818) 926-2036 | Non-Participating Provider | NO |
| 1699141010 | SHAHNAZ DAROUEI | Individual | Dentist | 8930 S SEPULVEDA BLVD SUITE 117 LOS ANGELES, CA 90045 (310) 641-8890 | Non-Participating Provider | NO |
| 1376029892 | DANIELLA ORNER | Individual | Dentist (General Practice) | 8525 W PICO BLVD LOS ANGELES, CA 90035 (424) 274-3260 | Non-Participating Provider | NO |
| 1366642076 | ZHIXIN GUAN | Individual | Dentist | 3251 S SEPULVEDA BLVD APT. 106 LOS ANGELES, CA 90034 (415) 606-0197 | Non-Participating Provider | YES |
| 1063508166 | LOUSIN LUCY KSAJIKIAN | Individual | Dentist (General Practice) | 4855 SANTA MONICA BLVD SUITE 106 LOS ANGELES, CA 90029 (323) 665-8806 | Non-Participating Provider | NO |
| 1659401800 | JA CHANG KOO | Individual | Dentist (General Practice) | 2900 W 8TH ST LOS ANGELES, CA 90005 (213) 386-1918 | Non-Participating Provider | NO |
| 1437378668 | WILLIAM MATOSKA | Individual | Dentist (Periodontics) | 1127 WILSHIRE BLVD SUITE 1110 LOS ANGELES, CA 90017 (213) 481-0664 | Non-Participating Provider | YES |
| 1306839162 | MARK HOWARD DAVIS | Individual | Dentist | 1414 S GRAND AVE SUITE 485 LOS ANGELES, CA 90015 (213) 744-1752 | Non-Participating Provider | YES |
| 1992954275 | NATALIE NGUYEN TUNG | Individual | Dentist (Oral and Maxillofacial Surgery) | 925 W 34TH ST DEN 149 LOS ANGELES, CA 90089 (213) 740-9648 | Non-Participating Provider | YES |
| 1154635548 | AVISHAI SADAN | Individual | Dentist (Prosthodontics) | 925 W 34TH ST RM#151 LOS ANGELES, CA 90089 (213) 740-7405 | Non-Participating Provider | NO |
| 1487880589 | JANE ELIZABETH CABALLERO | Individual | Dentist (Pediatric Dentistry) | 4711 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (818) 212-9911 | Non-Participating Provider | YES |
| 1063619062 | BERTRAM B AMIRI | Individual | Dentist | 3500 E WHITTIER BLVD #101 LOS ANGELES, CA 90023 (323) 264-8834 | Non-Participating Provider | YES |
| 1902268600 | EUNICE YOUEUN HWANG | Individual | Dentist (Pediatric Dentistry) | 10833 LE CONTE AVE UCLA SCHOOL OF DENTISTRY- PEDIATRICS LOS ANGELES, CA 90095 (818) 399-3708 | Non-Participating Provider | YES |
| 1659613610 | SUNDO HAM | Individual | Dentist (General Practice) | 3800 WILSHIRE BLVD # 207 LOS ANGELES, CA 90010 (213) 386-6700 | Non-Participating Provider | NO |
| 1922346774 | DREW KEVIN ADDY | Individual | Dentist | 1184 W 30TH ST APARTMENT #8 LOS ANGELES, CA 90007 (213) 925-0210 | Non-Participating Provider | NO |
| 1669782918 | ILONA CASELLINI | Individual | Dentist | 10921 WILSHIRE BLVD STE 1013 LOS ANGELES, CA 90024 (310) 208-3125 | Non-Participating Provider | NO |
| 1629372669 | LIEZL FLORES | Individual | Dentist (General Practice) | 1233 N VERMONT AVE SUITE #5 LOS ANGELES, CA 90029 (323) 953-9471 | Non-Participating Provider | YES |
| 1831285170 | SAGHI SHAYAN RAZI | Individual | Dentist | 1440 W MANCHESTER AVE LOS ANGELES, CA 90047 (323) 753-1141 | Non-Participating Provider | YES |
| 1427260066 | TIMOTHY STEVEN MOY | Individual | Dentist | 420 ORD ST #102-A LOS ANGELES, CA 90012 (213) 617-0136 | Non-Participating Provider | NO |
| 1750663266 | CARL LAU | Individual | Dentist (General Practice) | 1200 WILSHIRE BLVD SUITE 205 LOS ANGELES, CA 90017 (818) 897-5512 | Non-Participating Provider | NO |
| 1407334683 | JOSE IGNACIO PEREA | Individual | Dentist (Endodontics) | 12300 WILSHIRE BLVD STE 404 LOS ANGELES, CA 90025 (310) 207-2272 | Non-Participating Provider | NO |
| 1639427404 | DAVID VAYSLEYB | Individual | Dentist (General Practice) | 10673 W PICO BLVD LOS ANGELES, CA 90064 (310) 963-7066 | Non-Participating Provider | YES |
| 1023459856 | ARSHAN HAGHI | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 705 W 9TH ST APT 3106 LOS ANGELES, CA 90015 (310) 433-0043 | Non-Participating Provider | YES |
| 1720097264 | JOHN C PHAM | Individual | Dentist (General Practice) | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 747-5542 | Non-Participating Provider | NO |
| 1114297447 | IDENIS FUNDORA | Individual | Dentist (General Practice) | 9201 W SUNSET BLVD STE 315 LOS ANGELES, CA 90069 (310) 274-7124 | Non-Participating Provider | NO |
| 1033244819 | GRIGOR GEORGE SARKISSIAN | Individual | Dentist | 1912 HILLHURST AVE SUITE A LOS ANGELES, CA 90027 (323) 662-8835 | Non-Participating Provider | NO |
| 1689706202 | DONG WON PARK | Individual | Dentist (General Practice) | 130 S ALVARADO ST LOS ANGELES, CA 90057 (213) 484-9660 | Non-Participating Provider | NO |
| 1013126333 | REUBEN HAN-KYU KIM | Individual | Dentist (General Practice) | 100 UCLA MEDICAL PLZ STE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1710018726 | PETER CHE-HAO WU | Individual | Dentist | 1901 W 8TH ST SUITE E LOS ANGELES, CA 90057 (213) 483-8180 | Non-Participating Provider | NO |
| 1174030522 | JUNG HOON HOON CHOI | Individual | Dentist (General Practice) | 1075 N WESTERN AVE STE 102 LOS ANGELES, CA 90029 (323) 466-4567 | Non-Participating Provider | NO |
| 1033329115 | SOPHIA SARGISSIAN | Individual | Dentist (General Practice) | 5534 YORK BLVD LOS ANGELES, CA 90042 (323) 344-0444 | Non-Participating Provider | NO |
| 1316135734 | ATSUKO CHINEN | Individual | Dentist | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 746-1037 | Non-Participating Provider | NO |
| 1356447072 | GLORIA LUZ AYALA | Individual | Dentist | 10300 COMPTON AVE LOS ANGELES, CA 90002 (323) 357-6600 | Non-Participating Provider | NO |
| 1265582894 | SARA GHAEMMAGHAMI | Individual | Dentist (Pediatric Dentistry) | 3175 S HOOVER ST # 385 LOS ANGELES, CA 90007 (818) 883-1383 | Non-Participating Provider | NO |
| 1699221598 | JENNIFER THAO NGUYEN | Individual | Dentist | 888 S FIGUEROA ST STE 750 LOS ANGELES, CA 90017 (530) 436-5717 | Non-Participating Provider | NO |
| 1982248944 | NOZOMI AOYAGI | Individual | Dentist (General Practice) | 11681 GORHAM AVE APT 8 LOS ANGELES, CA 90049 (766) 229-9952 | Non-Participating Provider | NO |
| 1386782076 | SEONHO HA | Individual | Dentist (Prosthodontics) | 3240 WILSHIRE BLVD STE 510 LOS ANGELES, CA 90010 (213) 365-1008 | Non-Participating Provider | NO |
| 1104972397 | MANOJKUMAR M AMIN | Individual | Dentist (General Practice) | 2613 W SUNSET BLVD LOS ANGELES, CA 90026 (213) 484-1845 | Non-Participating Provider | NO |
| 1699016576 | KEVIN K LIN | Individual | Dentist | 886 HILGARD AVE APT 202 LOS ANGELES, CA 90024 (310) 909-9668 | Non-Participating Provider | YES |
| 1295102317 | KEVIN PARK | Individual | Dentist | 104 W 7TH ST LOS ANGELES, CA 90014 (626) 215-5810 | Non-Participating Provider | YES |
| 1184075111 | KELLY ALEXANDRA SHIMADA | Individual | Dentist (Prosthodontics) | 11301 WILSHIRE BLVD BLDG 500 DENTAL LOS ANGELES, CA 90073 (626) 399-5248 | Opted out of Medicare | YES |
| 1699889139 | FOROUZ BADRI | Individual | Dentist (General Practice) | 11819 WILSHIRE BLVD SUITE 208 LOS ANGELES, CA 90025 (310) 914-9246 | Non-Participating Provider | NO |
| 1598084832 | CHRISTINE SHAHGALDIAN | Individual | Dentist | 2323 E. 4TH STREET LOS ANGELES, CA 90033 (323) 980-9090 | Non-Participating Provider | NO |
| 1326262544 | MARY-JO ANN VELLOZE | Individual | Dentist (General Practice) | 5109 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 265-2222 | Non-Participating Provider | YES |
| 1568550036 | FAKHRY AZER JACOUB | Individual | Dentist (General Practice) | 12012 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 390-7981 | Non-Participating Provider | NO |
| 1972237725 | JOSHUA AMINPOUR | Individual | Dentist (General Practice) | 4000 BEVERLY BLVD LOS ANGELES, CA 90004 (310) 500-9320 | Non-Participating Provider | NO |
| 1659709962 | SAMAN NAZARIAN | Individual | Dentist | 858 S SHENANDOAH ST APT 5 LOS ANGELES, CA 90035 (310) 228-8220 | Non-Participating Provider | NO |
| 1851568356 | HARVEEN KAUR SINGH | Individual | Dentist | 1910 MANNING AVE UNIT 2 LOS ANGELES, CA 90025 (323) 605-8066 | Non-Participating Provider | YES |
| 1265706469 | JINHO PHARK | Individual | Dentist | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-5860 | Non-Participating Provider | NO |
| 1942611074 | MORVARID ALETOMEH | Individual | Dentist (Pediatric Dentistry) | 8525 W PICO BLVD LOS ANGELES, CA 90035 (424) 274-3260 | Non-Participating Provider | YES |
| 1356466957 | JOSEPHINE D CADAOAS | Individual | Dentist (General Practice) | 4448 EAGLE ROCK BLVD SUITE D LOS ANGELES, CA 90041 (323) 916-0033 | Non-Participating Provider | NO |
| 1851832703 | ANA PAOLA MENESES ZAMBRANO | Individual | Dentist (Endodontics) | 11905 S CENTRAL AVE STE 203 LOS ANGELES, CA 90059 (323) 564-7504 | Non-Participating Provider | NO |
| 1174652135 | FERNANDO DE LA PENA | Individual | Dentist (General Practice) | 2701 BEVERLY BLVD LOS ANGELES, CA 90057 (213) 389-6211 | Opted out of Medicare | YES |
| 1417045931 | MOHAMMAD KHALIFEH | Individual | Dentist | 5757 WILSHIRE BLVD., SUITE # 5 LOS ANGELES, CA 90036 (323) 933-3855 | Non-Participating Provider | NO |
| 1386787976 | ARTURO IBARRA | Individual | Dentist (General Practice) | 2407 N BROADWAY AVE. LOS ANGELES, CA 90031 (323) 221-3165 | Non-Participating Provider | NO |
| 1790300267 | QUANG MINH NGO | Individual | Dentist (General Practice) | 5300 SANTA MONICA BLVD STE 401 LOS ANGELES, CA 90029 (323) 957-9227 | Non-Participating Provider | NO |
| 1760699599 | DEVANG M GANDHI | Individual | Dentist (General Practice) | 2500 W FLORENCE AVE LOS ANGELES, CA 90043 (323) 750-2082 | Non-Participating Provider | YES |
| 1285731968 | RALPH CYRIL WINGE | Individual | Dentist (General Practice) | 10300 COMPTON AVE LOS ANGELES, CA 90002 (323) 357-6600 | Non-Participating Provider | NO |
| 1245367234 | STANLEY MITSUO MIYAWAKI | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 11980 SAN VICENTE BLVD. SUITE 602 LOS ANGELES, CA 90049 (310) 826-6694 | Non-Participating Provider | NO |
| 1366625816 | TAERA KIM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 680 WILSHIRE PL SUITE 411 LOS ANGELES, CA 90005 (213) 738-7077 | Opted out of Medicare | NO |
| 1467548180 | GILBERT L KING | Individual | Dentist (General Practice) | 646 N.LARCHMONT BLVD LOS ANGELES, CA 90004 (323) 464-8677 | Non-Participating Provider | NO |
| 1760868111 | RAISA AVEZOVA | Individual | Dentist (General Practice) | 767 N HILL ST LOS ANGELES, CA 90012 (213) 808-1700 | Non-Participating Provider | YES |
| 1710242847 | STACY L YU | Individual | Dentist (Prosthodontics) | 1435 S BUNDY DR APT 5 LOS ANGELES, CA 90025 (714) 496-5364 | Non-Participating Provider | NO |
| 1629359989 | HAEWON CHOI | Individual | Dentist (General Practice) | 5850 WILSHIRE BLVD LOS ANGELES, CA 90036 (323) 932-7020 | Non-Participating Provider | NO |
| 1295409027 | BASHAR MALIK RADEEF ALUBAIDI | Individual | Dentist | 3767 MENTONE AVE APT 412 LOS ANGELES, CA 90034 (919) 225-1052 | Non-Participating Provider | NO |
| 1649503012 | IMANOEL GOLSHIRAZIAN | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 10582 W PICO BLVD LOS ANGELES, CA 90064 (310) 666-6707 | Non-Participating Provider | NO |
| 1700909710 | HOPE MARVIN BARROS | Individual | Dentist (General Practice) | 1860 GLENDALE BLVD LOS ANGELES, CA 90026 (323) 953-8762 | Non-Participating Provider | YES |
| 1902086895 | NUSHIN SHIR | Individual | Dentist | 12021 WILSHIRE BLVD # 456 LOS ANGELES, CA 90025 (310) 866-0430 | Non-Participating Provider | NO |
| 1891024550 | ROBERT T. KIMURA | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD STE 500 LOS ANGELES, CA 90049 (310) 207-6111 | Non-Participating Provider | NO |
| 1871684977 | ELIZABETH Y PAK | Individual | Dentist | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 746-1037 | Non-Participating Provider | NO |
| 1295899623 | KELLY LY HO | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 625 W COLLEGE ST STE 104 LOS ANGELES, CA 90012 (213) 617-0096 | Non-Participating Provider | YES |
| 1043426976 | REVADEE TAN VERANUNT | Individual | Dentist | 5065 HOLLYWOOD BLVD #205 LOS ANGELES, CA 90027 (323) 666-9881 | Non-Participating Provider | NO |
| 1619038361 | DANA HOWARD RUSSELL | Individual | Dentist (General Practice) | 6333 WILSHIRE BL #503 LOS ANGELES, CA 90048 (323) 651-2171 | Non-Participating Provider | YES |
| 1669461802 | HATEM ALASSY | Individual | Dentist (Periodontics) | 1310 BARRY AVE APT 101 LOS ANGELES, CA 90025 (714) 580-4353 | Non-Participating Provider | NO |
| 1336357995 | JAMES R GIBBONS | Individual | Dentist (Pediatric Dentistry) | 411 N LARCHMONT BLVD LOS ANGELES, CA 90004 (323) 466-3279 | Non-Participating Provider | NO |
| 1760540041 | VICKEN VAROUJAN KARGODORIAN | Individual | Dentist | 7080 HOLLYWOOD BLVD #806 LOS ANGELES, CA 90028 (323) 962-1998 | Non-Participating Provider | NO |
| 1851940126 | ARTUR BARAKAZYAN | Individual | Dentist (General Practice) | 1565 S WESTERN AVE LOS ANGELES, CA 90006 (323) 529-9053 | Non-Participating Provider | NO |
| 1316676174 | ALYSSA RIFILATO | Individual | Dentist | 714 TIVERTON AVE LOS ANGELES, CA 90095 (310) 825-9789 | Non-Participating Provider | NO |
| 1407244791 | KAREN ARMOUR | Individual | Dentist | 6820 LATIJERA BLVD SUITE # 205 LOS ANGELES, CA 90045 (310) 256-4326 | Non-Participating Provider | NO |
| 1003241548 | EDWARD A MCLAREN | Individual | Dentist | 701 THAYER AVE LOS ANGELES, CA 90024 (310) 882-8272 | Non-Participating Provider | NO |
| 1710922976 | ELISA DONNA CHARNEY | Individual | Dentist | VA MEDICAL CENTER 11901 WILSHIRE BLVD LOS ANGELES, CA 90073 (310) 478-3711 | Non-Participating Provider | NO |
| 1538361910 | HAYK ARAKELYAN | Individual | Dentist (General Practice) | 6333 WILSHIRE BLVD # 504 LOS ANGELES, CA 90048 (323) 648-0001 | Non-Participating Provider | NO |
| 1124247879 | JUAN ANTONIO URIBE | Individual | Dentist | 2201 S SAN PEDRO ST #E LOS ANGELES, CA 90011 (213) 747-8502 | Non-Participating Provider | NO |
| 1730230194 | WILLY SILVERIO | Individual | Dentist (General Practice) | 3932 WILSHIRE BLVD STE 100 LOS ANGELES, CA 90010 (213) 386-3336 | Non-Participating Provider | NO |
| 1487840351 | JONGSOON YOON | Individual | Dentist (General Practice) | 520 S. VIRGIL AVE SUITE 101 LOS ANGELES, CA 90020 (213) 383-0010 | Non-Participating Provider | NO |
| 1831217280 | PHILLIP GORIN | Individual | Dentist (General Practice) | 11633 SAN VICENTE BLVD SUITE 210 LOS ANGELES, CA 90049 (310) 826-3416 | Non-Participating Provider | NO |
| 1396354486 | ELYSHA POMERANTZ | Individual | Dentist | 10505 W PICO BLVD LOS ANGELES, CA 90064 (310) 475-0617 | Non-Participating Provider | NO |
| 1326601667 | SANDRA OGECHI NNODIM | Individual | Dentist | 1000 W CARSON ST LOS ANGELES, CA 90810 (310) 222-2345 | Non-Participating Provider | NO |
| 1659446870 | RAMESH MULCHANDANI | Individual | Dentist | 12060 S CENTRAL AVE LOS ANGELES, CA 90059 (323) 564-4417 | Non-Participating Provider | YES |
| 1487868006 | WARREN THOMAS ALLEN | Individual | Dentist (General Practice) | 3756 SANTA ROSALIA DR. 224 LOS ANGELES, CA 90008 (323) 294-6187 | Non-Participating Provider | NO |
| 1154410256 | KEIVAN SARRAF | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 5703 S VERMONT AVE LOS ANGELES, CA 90037 (323) 751-5600 | Non-Participating Provider | NO |
| 1770503427 | THOMAS WALTER EDWARDS | Individual | Dentist (General Practice) | 10921 WILSHIRE BLVD STE 1010 LOS ANGELES, CA 90024 (310) 208-8661 | Non-Participating Provider | YES |
| 1780001511 | MARY YONGSUN LEE | Individual | Dentist (General Practice) | 1423 E GAGE AVE STE A LOS ANGELES, CA 90001 (267) 467-6404 | Non-Participating Provider | NO |
| 1164988846 | ANDREW DANIEL MCKEE | Individual | Dentist | 522 S SAN PEDRO ST LOS ANGELES, CA 90013 (562) 867-7999 | Non-Participating Provider | NO |
| 1457461816 | EKATERINA N GALINA | Individual | Dentist | 7109 1/2 SUNSET BLVD CITY DENTAL LOS ANGELES, CA 90046 (323) 850-7007 | Non-Participating Provider | NO |
| 1447392311 | LYNNETTE JACKSON | Individual | Dentist (Oral and Maxillofacial Surgery) | 12012 S WILMINGTON AVENUE LOS ANGELES, CA 90059 (310) 668-4515 | Non-Participating Provider | NO |
| 1528633708 | JOON WOO PARK | Individual | Dentist (Prosthodontics) | 3700 WILSHIRE BLVD STE 780 LOS ANGELES, CA 90010 (213) 380-7900 | Non-Participating Provider | NO |
| 1316141732 | MARSHA E MOUTON | Individual | Dentist (General Practice) | 6820 LA TIJERA BLVD STE 205 LOS ANGELES, CA 90045 (310) 256-4326 | Non-Participating Provider | NO |
| 1720053325 | HAITHAM H ELGENDI | Individual | Dentist (General Practice) | 824 S ALVARADO ST LOS ANGELES, CA 90057 (213) 252-1700 | Non-Participating Provider | NO |
| 1326269846 | NICOLE TUCKER JOYNER | Individual | Dentist | 2711 S CENTRAL AVE LOS ANGELES, CA 90011 (323) 231-2108 | Non-Participating Provider | NO |
| 1457850059 | RHONDA KALASHO, DDS, INC RK DENTAL INC | Organization | Dentist | 7080 HOLLYWOOD BLVD LOS ANGELES, CA 90028 (619) 729-8068 | Non-Participating Provider | NO |
| 1982770491 | IVY OI-WAN LI | Individual | Dentist (General Practice) | 420 ORD ST SUITE #102 LOS ANGELES, CA 90012 (213) 617-0136 | Opted out of Medicare | YES |
| 1649241092 | BRETT M NAGATANI | Individual | Dentist (Endodontics) | 925 W 34TH ST STE 124C LOS ANGELES, CA 90089 (213) 740-1080 | Non-Participating Provider | YES |
| 1467588384 | CHRISTIE RACHELLE BURNETT | Individual | Dentist (Pediatric Dentistry) | 8540 S SEPULVEDA BLVD STE 710 LOS ANGELES, CA 90045 (310) 270-8143 | Non-Participating Provider | NO |
| 1740715051 | RICHARD STAFFORD | Individual | Dentist (Dentist Anesthesiologist) | 321 N LARCHMONT BLVD SUITE 721 LOS ANGELES, CA 90004 (323) 856-9502 | Non-Participating Provider | NO |
| 1003975566 | KARLA MARIA TURNER | Individual | Dentist | 4816 E 3RD ST LOS ANGELES, CA 90022 (323) 780-4510 | Non-Participating Provider | YES |
| 1194931618 | DIANA BROUMANDI | Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD. #745 LOS ANGELES, CA 90025 (310) 696-0100 | Non-Participating Provider | NO |
| 1053885020 | EDUARD AVETISYAN | Individual | Dentist | 6333 WILSHIRE BLVD STE 504 LOS ANGELES, CA 90048 (323) 648-0001 | Non-Participating Provider | NO |
| 1275730764 | JAMES CHO | Individual | Dentist (General Practice) | 600 610 S. HARVARD BLVD STE 104 LOS ANGELES, CA 90005 (213) 380-3016 | Non-Participating Provider | NO |
| 1508861873 | M. CAMILLE NEAGU | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 194 S ALVARADO ST LOS ANGELES, CA 90057 (213) 201-4608 | Non-Participating Provider | NO |
| 1811106131 | MINDO LEE | Individual | Dentist | 3460 WILSHIRE BLVD STE 210 LOS ANGELES, CA 90010 (213) 386-3348 | Non-Participating Provider | YES |
| 1912285909 | TABITHA N CHEN | Individual | Dentist | 10520 NATIONAL BLVD APT 107 LOS ANGELES, CA 90034 (925) 457-7801 | Non-Participating Provider | YES |
| 1487964367 | RICARDO RODRIGUEZ | Individual | Dentist (General Practice) | 4521 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 261-4838 | Non-Participating Provider | NO |
| 1841531167 | BEATRIZ DEBRITO BEZERRA | Individual | Dentist | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 206-3416 | Non-Participating Provider | NO |
| 1336282201 | CESAR J SEGOVIA | Individual | Dentist (General Practice) | 9201 W SUNSET BLVD SUITE 208 LOS ANGELES, CA 90069 (310) 859-0969 | Non-Participating Provider | NO |
| 1174613210 | DANIEL OMID COHAIM | Individual | Dentist (General Practice) | 9911 W PICO BLVD SUITE 1450 LOS ANGELES, CA 90035 (310) 288-2121 | Non-Participating Provider | NO |
| 1093857286 | KARINEH E ASSATOURIAN | Individual | Dentist | 1115 W COLORADO BLVD LOS ANGELES, CA 90041 (323) 255-4600 | Non-Participating Provider | YES |
| 1457545758 | IRINA RAYFELD | Individual | Dentist (General Practice) | 5542 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 722-8700 | Non-Participating Provider | NO |
| 1972050201 | ASHLEY BOKHOOR | Individual | Dentist (General Practice) | 12258 CASTLEGATE DR LOS ANGELES, CA 90049 (310) 903-8309 | Non-Participating Provider | NO |
| 1730135641 | MICHAEL DAVID PARK | Individual | Dentist (General Practice) | 1200 N VERMONT AVE SUITE B LOS ANGELES, CA 90029 (323) 665-5749 | Non-Participating Provider | YES |
| 1629532916 | BEN ROSENBAUM | Individual | Dentist (Dental Public Health) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-6510 | Non-Participating Provider | NO |
| 1487802856 | BOK NAM PARK | Individual | Dentist | 3130 W OLYMPIC BLVD #330 LOS ANGELES, CA 90006 (323) 737-8300 | Non-Participating Provider | NO |
| 1497074033 | LUIS JAVIER VIGLIAROLO | Individual | Dentist (General Practice) | 711 W COLLEGE ST SUITE 570 LOS ANGELES, CA 90012 (626) 755-3922 | Non-Participating Provider | NO |
| 1285942441 | THU THAO PHAN | Individual | Dentist | 767 N HILL ST STE 200 LOS ANGELES, CA 90012 (714) 200-5325 | Non-Participating Provider | NO |
| 1831228410 | VADEAN SALO | Individual | Dentist (General Practice) | 6222 WILSHIRE BLVD STE 103 LOS ANGELES, CA 90048 (323) 933-4444 | Non-Participating Provider | YES |
| 1053604637 | NORBERTO BRAVO LUPISAN | Individual | Dentist | 1131 N VERMONT AVE STE. 103 LOS ANGELES, CA 90029 (323) 913-1352 | Non-Participating Provider | NO |
| 1639776073 | STEPHANIE JEANNE BAUMAN | Individual | Dentist | 3060 W OLYMPIC BLVD APT 438 LOS ANGELES, CA 90006 (619) 972-3002 | Non-Participating Provider | NO |
| 1184778292 | FARZIN R FARHAN | Individual | Dentist | 2822 S WESTERN AVENUE LOS ANGELES, CA 90018 (323) 734-9600 | Non-Participating Provider | NO |
| 1982058632 | JENNIFER HAE SU SHIN | Individual | Dentist | 1000 VENICE BLVD LOS ANGELES, CA 90015 (213) 747-8899 | Non-Participating Provider | NO |
| 1003827551 | DIANA MARCELA MEDINA | Individual | Dentist (Oral and Maxillofacial Surgery) | 11980 SAN VICENTE BLVD SUITE 505 LOS ANGELES, CA 90049 (310) 820-6691 | Non-Participating Provider | YES |
| 1841417375 | SIMA SHOUMER | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD STE 802 LOS ANGELES, CA 90049 (310) 820-3520 | Non-Participating Provider | NO |
| 1952561300 | YAEJIN KIM | Individual | Dentist | 351 E TEMPLE ST LOS ANGELES, CA 90012 (213) 253-5160 | Non-Participating Provider | NO |
| 1083005508 | KWANG DEUK LEE | Individual | Dentist | 5205 MELROSE AVE LOS ANGELES, CA 90038 (323) 653-1990 | Non-Participating Provider | YES |
| 1265031553 | JAMES SUNG | Individual | Dentist (General Practice) | 8914 S VERMONT AVE LOS ANGELES, CA 90044 (323) 750-3370 | Non-Participating Provider | NO |
| 1205496155 | REZA GHASEMI | Individual | Dentist | 1026 S BROADWAY LOS ANGELES, CA 90015 (213) 316-8313 | Non-Participating Provider | NO |
| 1952434516 | JOSE H GUTIERREZ | Individual | Dentist | 4055 E OLYMPIC BLVD STE 211 LOS ANGELES, CA 90023 (323) 264-0205 | Non-Participating Provider | NO |
| 1124351358 | GORDON LEE PATTISON | Individual | Dentist (Periodontics) | 11859 WILSHIRE BLVD STE. 550 LOS ANGELES, CA 90025 (310) 473-3800 | Opted out of Medicare | YES |
| 1497775639 | STEVEN MITCHELL KLEINMAN | Individual | Dentist (General Practice) | 10921 WILSHIRE BLVD 1001 LOS ANGELES, CA 90024 (310) 208-3384 | Non-Participating Provider | NO |
| 1366492753 | BABAK ELIA DARDASHTI | Individual | Dentist (General Practice) | 6221 WILSHIRE BLVD SUITE # 507 LOS ANGELES, CA 90048 (323) 939-7899 | Non-Participating Provider | NO |
| 1831415520 | SEONG HO CHOI | Individual | Dentist (General Practice) | 1001 S VERMONT AVE #109 LOS ANGELES, CA 90006 (213) 381-0011 | Non-Participating Provider | NO |
| 1790827467 | MARYAM BORJIAN | Individual | Dentist (General Practice) | 609 S ATLANTIC BLVD LOS ANGELES, CA 90022 (323) 980-9768 | Non-Participating Provider | YES |
| 1205033164 | BERNARD GAR LEVIN | Individual | Dentist (Oral and Maxillofacial Surgery) | 11645 WILSHIRE BLVD SUITE 900 LOS ANGELES, CA 90025 (310) 442-9188 | Non-Participating Provider | NO |
| 1689128043 | AVANI SHAH | Individual | Dentist (General Practice) | 8611 S SEPULVEDA BLVD LOS ANGELES, CA 90045 (310) 846-0172 | Non-Participating Provider | NO |
| 1033474770 | KIHO LEE | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 10833 LE CONTE AVE CHS 20-140 LOS ANGELES, CA 90095 (310) 825-4705 | Non-Participating Provider | NO |
| 1326237116 | DEEPA PANDIAN | Individual | Dentist (General Practice) | 5205 MELROSE AVE LOS ANGELES, CA 90038 (323) 337-1789 | Non-Participating Provider | NO |
| 1972644524 | WILLIAM A RAMIREZ | Individual | Dentist (General Practice) | 811 S ALVARADO ST LOS ANGELES, CA 90057 (213) 383-3314 | Non-Participating Provider | NO |
| 1932214236 | TOD HITOSHI WAKAMATSU | Individual | Dentist | 420 EAST THIRD STREET SUITE 702 LOS ANGELES, CA 90013 (213) 626-0561 | Non-Participating Provider | YES |
| 1063592061 | HENRY CHARLES CHUNG | Individual | Dentist (General Practice) | 1144 S WESTERN AVE #210 LOS ANGELES, CA 90006 (323) 373-0073 | Non-Participating Provider | NO |
| 1073825980 | RACHAL MONIQUE LIVERMAN | Individual | Dentist (General Practice) | 1500 S OLIVE ST LOS ANGELES, CA 90015 (213) 747-5542 | Non-Participating Provider | NO |
| 1093857674 | ARMAN TORBATI | Individual | Dentist (Prosthodontics) | 9911 W PICO BLVD SUITE # 950 LOS ANGELES, CA 90035 (310) 553-3428 | Non-Participating Provider | YES |
| 1982777918 | HYUNG-JU JOHN KIM | Individual | Dentist | 2805 S SAN PEDRO ST LOS ANGELES, CA 90011 (323) 846-8443 | Non-Participating Provider | NO |
| 1093321358 | GARRETT J KAPLAN | Individual | Dentist (General Practice) | 3932 WILSHIRE BLVD STE 100 LOS ANGELES, CA 90010 (213) 386-3336 | Non-Participating Provider | NO |
| 1215146220 | WOONGCHUL HA | Individual | Dentist | 1096 N WESTERN AVE STE 201 LOS ANGELES, CA 90029 (323) 466-0995 | Non-Participating Provider | YES |
| 1639386766 | ROBERT JOSEPH VIRATA | Individual | Dentist (Pediatric Dentistry) | 1327 S WESTGATE AVE APT 303 LOS ANGELES, CA 90025 (562) 286-1623 | Non-Participating Provider | NO |
| 1265532519 | DAE H SONG | Individual | Dentist | 3129 SAN FERNANDO RD LOS ANGELES, CA 90065 (323) 257-7744 | Non-Participating Provider | YES |
| 1689208936 | RACHEL THAI | Individual | Dentist (General Practice) | 767 N HILL ST STE 213 LOS ANGELES, CA 90012 (213) 808-1790 | Non-Participating Provider | NO |
| 1285873075 | MAYA JOHAR | Individual | Dentist | 9201 W SUNSET BLVD STE 609 LOS ANGELES, CA 90069 (310) 422-1509 | Non-Participating Provider | NO |
| 1326370412 | MICHAEL PADILLA | Individual | Dentist (General Practice) | 925 W 34TH ST ROOM #151 LOS ANGELES, CA 90089 (213) 740-7405 | Non-Participating Provider | NO |
| 1700031119 | KIRBY BRYAN LEE | Individual | Dentist (General Practice) | 3875 WILSHIRE BLVD STE 404 LOS ANGELES, CA 90010 (213) 388-7161 | Non-Participating Provider | NO |
| 1619074390 | FRAZIER NORMAN MOORE | Individual | Dentist (Oral and Maxillofacial Surgery) | 10300 COMPTON AVE LOS ANGELES, CA 90002 (323) 357-6603 | Non-Participating Provider | NO |
| 1598908469 | ANDRE MYONGSON LEE | Individual | Dentist | 2707 W OLYMPIC BLVD STE 202 LOS ANGELES, CA 90006 (213) 382-4336 | Accepts Medicare | YES |
| 1659591782 | KEITH TAKASHI WATANABE | Individual | Dentist | 420 EAST THIRD STREET SUITE 807 LOS ANGELES, CA 90013 (213) 620-9906 | Non-Participating Provider | YES |
| 1790084416 | MICHAEL NAZARIAN | Individual | Dentist (General Practice) | 10551 W PICO BLVD 2ND FLOOR LOS ANGELES, CA 90064 (310) 475-7336 | Non-Participating Provider | NO |
| 1447398920 | LEE C TRAN | Individual | Dentist (General Practice) | 633 N SPRING ST STE 1 LOS ANGELES, CA 90012 (213) 680-8770 | Non-Participating Provider | NO |
| 1053516518 | ANNA HARMANDARIAN | Individual | Dentist (General Practice) | 1609 COLORADO BLVD LOS ANGELES, CA 90041 (323) 474-6212 | Non-Participating Provider | YES |
| 1710546023 | GUILHERME CASTELLANO ARGENTA | Individual | Dentist (General Practice) | 9201 W SUNSET BLVD STE 901 LOS ANGELES, CA 90069 (310) 859-1575 | Non-Participating Provider | NO |
| 1629476064 | JAMES NAJME MOBASER | Individual | Dentist | 2390 GLENDALE BLVD LOS ANGELES, CA 90039 (323) 913-9900 | Non-Participating Provider | NO |
| 1821141110 | TAINO PARK | Individual | Dentist | 5017 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 265-1505 | Non-Participating Provider | NO |
| 1790995330 | MICHAEL YOONBUM BAE | Individual | Dentist (Oral and Maxillofacial Surgery) | 866 S WESTMORELAND AVE SUITE 102 LOS ANGELES, CA 90005 (213) 352-1366 | Non-Participating Provider | YES |
| 1881090892 | DEREK WALLIN | Individual | Dentist (General Practice) | 2080 CENTURY PARK E STE 1601 LOS ANGELES, CA 90067 (310) 277-5678 | Non-Participating Provider | NO |
| 1467696278 | JAY KENNETH HUFFAKER | Individual | Dentist (Prosthodontics) | 402 N LARCHMONT BLVD LOS ANGELES, CA 90004 (323) 467-1472 | Non-Participating Provider | NO |
| 1639655129 | JEFFREY BRUMBAUGH | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 12121 WILSHIRE BLVD STE 1111 LOS ANGELES, CA 90025 (310) 820-0588 | Non-Participating Provider | NO |
| 1306279054 | NEENA KIRAN PATEL | Individual | Dentist | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 | Non-Participating Provider | NO |
| 1902032428 | JANET LENT | Individual | Dentist | 925 W 34TH STREET SPECIAL PATIENTS CLINIC LOS ANGELES, CA 90089 (213) 740-5094 | Non-Participating Provider | YES |
| 1083022164 | JONATHAN ADAM KAHN | Individual | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE 1504 LOS ANGELES, CA 90017 (213) 201-1388 | Non-Participating Provider | NO |
| 1528316205 | TAMAR BABAYAN | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 5828 SANTA MONICA BLVD LOS ANGELES, CA 90038 (323) 871-9191 | Non-Participating Provider | YES |
| 1063035947 | MICHELLE ELIZABETH BODEN | Individual | Dentist (General Practice) | 1663 SELBY AVE UNIT 2 LOS ANGELES, CA 90024 (408) 603-5087 | Non-Participating Provider | NO |
| 1720650575 | MAHSA IGHANI | Individual | Dentist | 1420 S FIGUEROA ST APT 717 LOS ANGELES, CA 90015 (214) 475-0846 | Non-Participating Provider | NO |
| 1376764001 | ALI GHAVIBONIHE | Individual | Dentist | 1835 S LA CIENEGA BLVD LOS ANGELES, CA 90035 (310) 836-0300 | Non-Participating Provider | NO |
| 1982010427 | TIFFANY WU | Individual | Dentist (Pediatric Dentistry) | 5262 E BEVERLY BLVD LOS ANGELES, CA 90022 (323) 887-0088 | Non-Participating Provider | YES |
| 1902096720 | M. CAMILLE FULLER | Individual | Dentist (General Practice) | 808 W 58TH ST LOS ANGELES, CA 90037 (323) 541-1600 | Non-Participating Provider | YES |
| 1265583728 | MARK K SAKAKURA | Individual | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE 1200 LOS ANGELES, CA 90017 (213) 481-7500 | Non-Participating Provider | NO |
| 1023264652 | MONA NUR AHMEDIN | Individual | Dentist (General Practice) | 3671 JASMINE AVE APPT 5 LOS ANGELES, CA 90034 (617) 990-2085 | Non-Participating Provider | NO |
| 1558934885 | NICOLETTE MAHBOUBIAN | Individual | Dentist (General Practice) | 2387 STRATFORD CIR LOS ANGELES, CA 90077 (310) 525-7155 | Non-Participating Provider | NO |
| 1154665388 | NATALIA LEE | Individual | Dentist | 1122 W 6TH ST # 107 LOS ANGELES, CA 90017 (213) 274-0650 | Non-Participating Provider | YES |
| 1063436343 | EDMUND LLOYD WONG | Individual | Dentist (General Practice) | 3731 WILSHIRE BLVD #625 LOS ANGELES, CA 90010 (213) 382-6746 | Non-Participating Provider | NO |
| 1326663584 | DAVID LIU | Individual | Dentist (General Practice) | 714 TIVERTON AVE LOS ANGELES, CA 90095 (310) 825-9789 | Non-Participating Provider | NO |
| 1740582089 | HAO LI | Individual | Dentist | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1790189645 | GERALD TAKEOKA | Individual | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE 1101 LOS ANGELES, CA 90017 (213) 481-3911 | Non-Participating Provider | NO |
| 1861918831 | EMIL ABNER | Individual | Dentist | 11955 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 237-5747 | Non-Participating Provider | NO |
| 1669140703 | ARVIN PAL | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 10982 ROEBLING AVE APT 514 LOS ANGELES, CA 90024 (925) 899-6517 | Non-Participating Provider | NO |
| 1184763427 | ADIB SETAREH | Individual | Dentist | 1565 S WESTERN AVE LOS ANGELES, CA 90006 (323) 734-9514 | Non-Participating Provider | NO |
| 1154541738 | OJAN GHALCHI | Individual | Dentist (General Practice) | 281 COLUMBIA AVE LOS ANGELES, CA 90026 (213) 483-3020 | Non-Participating Provider | YES |
| 1861612020 | LEONARD WAYNE NAFTALIN | Individual | Dentist (Dentist Anesthesiologist) | 9911 W PICO BLVD STE 1450 LOS ANGELES, CA 90035 (310) 795-5027 | Non-Participating Provider | NO |
| 1831302462 | YOUNG IL SUH | Individual | Dentist | 3700 WILSHIRE BLVD #780 LOS ANGELES, CA 90010 (213) 380-7900 | Non-Participating Provider | NO |
| 1326237496 | DANIEL SNIPES | Individual | Dentist | 1357 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 835-0444 | Non-Participating Provider | NO |
| 1386814788 | DAVID SHOUHED | Individual | Dentist | 1700 WESTWOOD BLVD 2ND FLOOR LOS ANGELES, CA 90024 (310) 466-2636 | Non-Participating Provider | NO |
| 1730540956 | NEHIKHARE OGBEVOEN | Individual | Dentist | 3015 CRENSHAW BLVD SUITE B LOS ANGELES, CA 90016 (323) 733-0969 | Non-Participating Provider | NO |
| 1720091978 | JOCELYN CAPISTRANO | Individual | Dentist | 628 N VERMONT AVE STE 5 LOS ANGELES, CA 90004 (323) 644-3650 | Non-Participating Provider | NO |
| 1407468457 | SOMAYE GERANNAZAR | Individual | Dentist | 722 S BIXEL ST APT A927 LOS ANGELES, CA 90017 (949) 892-8886 | Non-Participating Provider | NO |
| 1699920835 | JUN ROYCE M. FLORES | Individual | Dentist | 10833 LE CONTE AVE CHS B0-130 LOS ANGELES, CA 90095 (323) 459-0499 | Non-Participating Provider | NO |
| 1316169667 | ROBERT ALAN LINDEMANN | Individual | Dentist (General Practice) | UCLA 100 MEDICAL PLZ SUITE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1013209063 | NORMA EVELYN CORTEZ PACHECO | Individual | Dentist | 1330 S VERMONT AVE LOS ANGELES, CA 90006 (818) 802-2729 | Non-Participating Provider | NO |
| 1609401132 | BRYAN MINH DO | Individual | Dentist | 3743 S LA BREA AVE LOS ANGELES, CA 90016 (323) 329-9900 | Non-Participating Provider | NO |
| 1417167388 | GIDEON G EVANGELISTA | Individual | Dentist (General Practice) | 5029 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (323) 256-4306 | Non-Participating Provider | NO |
| 1598815789 | DAVID FEE FONG | Individual | Dentist (General Practice) | 8540 S SEPULVEDA BLVD SUITE 702 LOS ANGELES, CA 90045 (310) 641-4455 | Non-Participating Provider | YES |
| 1538152350 | FRANCISCO GARCIA-GUZMAN | Individual | Dentist | 6000 N FIGUEROA ST LOS ANGELES, CA 90042 (323) 254-5291 | Non-Participating Provider | YES |
| 1689685448 | JAMES LLOYD STEVENS | Individual | Dentist | 2505 BARRINGTON AVE LOS ANGELES, CA 90066 (310) 473-1585 | Non-Participating Provider | NO |
| 1255581856 | JENNIFER GEE HINO | Individual | Dentist (General Practice) | 11859 WILSHIRE BLVD STE 555 LOS ANGELES, CA 90025 (310) 477-8235 | Non-Participating Provider | NO |
| 1922125863 | KILPYUNG AUH | Individual | Dentist (General Practice) | 3400 S LA BREA AVE LOS ANGELES, CA 90016 (323) 734-2284 | Non-Participating Provider | NO |
| 1669774907 | JEFFREY KARP | Individual | Dentist | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1649441437 | EDWARD PHILLIP BRYAN | Individual | Dentist | 3019 WEST SLAUSON AVENUE LOS ANGELES, CA 90043 (323) 292-6267 | Non-Participating Provider | NO |
| 1528139623 | WON BO PARK | Individual | Dentist (General Practice) | 3663 W 6TH ST STE 110 LOS ANGELES, CA 90020 (213) 380-1767 | Non-Participating Provider | NO |
| 1700112471 | SYLVIA SANG II LEE | Individual | Dentist (General Practice) | 3663 W 6TH ST STE 204 LOS ANGELES, CA 90020 (213) 277-5585 | Non-Participating Provider | YES |
| 1023216876 | SHERWIN N. DAVIDSON | Individual | Dentist (General Practice) | 1125 S BEVERLY DR SUITE 750 LOS ANGELES, CA 90035 (310) 553-3456 | Non-Participating Provider | NO |
| 1871634493 | PEDRO A ROMERO | Individual | Dentist (General Practice) | 811 S ALVARADO ST LOS ANGELES, CA 90057 (213) 383-3114 | Non-Participating Provider | YES |
| 1619549573 | ARYAN SADIGHIM | Individual | Dentist | 5703 S VERMONT AVE LOS ANGELES, CA 90037 (323) 751-5600 | Non-Participating Provider | NO |
| 1437562576 | YOUN SAGONG | Individual | Dentist (Oral and Maxillofacial Surgery) | 6240 W MANCHESTER AVE LOS ANGELES, CA 90045 (714) 220-7981 | Non-Participating Provider | YES |
| 1760906465 | JASON NAVID MONEMPOUR | Individual | Dentist | 12121 WILSHIRE BLVD LOS ANGELES, CA 90025 (310) 409-4268 | Non-Participating Provider | NO |
| 1578834511 | SHIVA GANJIAN | Individual | Dentist (General Practice) | 3019 W SLAUSON AVE LOS ANGELES, CA 90043 (310) 228-7971 | Non-Participating Provider | NO |
| 1194949313 | EDWARD K HOM | Individual | Dentist (General Practice) | 1814 HILLHURST AVE LOS ANGELES, CA 90027 (323) 666-7737 | Non-Participating Provider | NO |
| 1215476338 | AZADEH NASIRY | Individual | Dentist | 3377 WILSHIRE BLVD SUITE 202 LOS ANGELES, CA 90010 (213) 385-9710 | Non-Participating Provider | NO |
| 1578922118 | ELITE MEKEL | Individual | Dentist (Pediatric Dentistry) | 3701 WILSHIRE BLVD STE 600 LOS ANGELES, CA 90010 (323) 361-3550 | Non-Participating Provider | YES |
| 1477611762 | KEVIN THUC TRUONG | Individual | Dentist (General Practice) | 2320 S ROBERTSON BLVD 102 LOS ANGELES, CA 90034 (310) 839-8831 | Non-Participating Provider | NO |
| 1992969943 | JANE YUI CHERN | Individual | Dentist | 1127 WILSHIRE BLVD LOS ANGELES, CA 90017 (213) 201-1388 | Non-Participating Provider | NO |
| 1285807529 | TIBOR DOBRANSZKY | Individual | Dentist | 6221 WILSHIRE BL SUITE 412 LOS ANGELES, CA 90048 (323) 935-1002 | Non-Participating Provider | YES |
| 1568559011 | ROBERT BEN TAMAKI | Individual | Dentist (General Practice) | 8540 S SEPULVEDA BLVD STE 810 LOS ANGELES, CA 90045 (310) 641-3414 | Non-Participating Provider | NO |
| 1801046883 | JULIE ANASTASIA JENKS | Individual | Dentist (Pediatric Dentistry) | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-0412 | Non-Participating Provider | NO |
| 1396757134 | DAVID DAVOODPOUR | Individual | Dentist (General Practice) | 11859 WILSHIRE BLVD SUITE 660 LOS ANGELES, CA 90025 (310) 477-4214 | Non-Participating Provider | YES |
| 1457491078 | YATIN SHAH | Individual | Dentist (General Practice) | 5707 SANTA MONICA BLVD #B LOS ANGELES, CA 90038 (323) 469-6258 | Non-Participating Provider | NO |
| 1740290543 | MAXIMA J ERNACIO | Individual | Dentist (General Practice) | 2105 BEVERLY BLVD SUITE 123 LOS ANGELES, CA 90057 (213) 483-8756 | Non-Participating Provider | NO |
| 1447579370 | SANTOSH KUMAR SUNDARESAN | Individual | Dentist | 522 S SAN PEDRO ST LOS ANGELES, CA 90013 (213) 486-4050 | Non-Participating Provider | YES |
| 1184827156 | EVELYN FRYE | Individual | Dentist | 1964 WESTWOOD BLVD SUITE 250 LOS ANGELES, CA 90025 (310) 475-1667 | Non-Participating Provider | NO |
| 1962614057 | MOREL FIDLER | Individual | Dentist (General Practice) | 6222 WILSHIRE BLVD STE 304 LOS ANGELES, CA 90048 (323) 935-1882 | Non-Participating Provider | YES |
| 1740745827 | HUNG H DANG | Individual | Dentist | 2566 OVERLAND AVE STE 630 LOS ANGELES, CA 90064 (310) 558-3616 | Non-Participating Provider | NO |
| 1003925769 | ROBIN CHIKAKO WAKABAYASHI | Individual | Dentist (Periodontics) | 420 E 3RD STREET STE 702 LOS ANGELES, CA 90013 (213) 626-0561 | Non-Participating Provider | YES |
| 1316132673 | CRISTINE ZAPANTA | Individual | Dentist (General Practice) | 2105 BEVERLY BLVD STE 103 LOS ANGELES, CA 90057 (213) 483-4600 | Non-Participating Provider | YES |
| 1689779423 | ADILEH ASKARNIA | Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD SUITE 980 LOS ANGELES, CA 90025 (310) 820-0022 | Non-Participating Provider | NO |
| 1942579552 | MICHAEL DARE TONG | Individual | Dentist | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 206-3904 | Non-Participating Provider | NO |
| 1386863074 | JULIANA PANCHURA | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 746-1037 | Non-Participating Provider | YES |
| 1609186915 | MICHEL VAZQUEZ | Individual | Dentist | 1125 S BEVERLY DR SUITE 750 B LOS ANGELES, CA 90035 (310) 277-7645 | Non-Participating Provider | YES |
| 1326319534 | SUSAN HAZANY | Individual | Dentist | 11870 SANTA MONICA BLVD STE 212 LOS ANGELES, CA 90025 (310) 207-4900 | Non-Participating Provider | NO |
| 1770885006 | EUGENE WINDOM | Individual | Dentist | 1212 MCCLELLAN DR LOS ANGELES, CA 90025 (310) 838-9863 | Non-Participating Provider | NO |
| 1659493633 | NORMA E ORDONEZ | Individual | Dentist (General Practice) | 2525 E 1ST ST LOS ANGELES, CA 90033 (323) 265-3933 | Non-Participating Provider | NO |
| 1568519551 | MITCHELL WILLIAM WITKOSKY | Individual | Dentist | 5828 SANTA MONICA BLVD LOS ANGELES, CA 90038 (818) 635-5284 | Non-Participating Provider | NO |
| 1851046643 | JULIET EBRAHIMIAN DDS INC | Organization | Dentist | 2556 GLENDALE BLVD LOS ANGELES, CA 90039 (818) 307-0416 | Non-Participating Provider | NO |
| 1578832630 | ROCHELLE R SKINNER | Individual | Dentist | 1520 S SHERBOURNE DR APT 303 LOS ANGELES, CA 90035 (310) 885-9885 | Non-Participating Provider | YES |
| 1689335879 | PARDIS BARATI MAHVAR | Individual | Dentist | 325 W ADAMS BLVD LOS ANGELES, CA 90007 (213) 884-8983 | Non-Participating Provider | NO |
| 1700946753 | PAUL B PALMER | Individual | Dentist | 12202 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 915-9797 | Non-Participating Provider | YES |
| 1437513801 | SERENA APFEL | Individual | Dentist (General Practice) | 313 S MCCADDEN PL LOS ANGELES, CA 90020 (323) 936-4928 | Non-Participating Provider | NO |
| 1487172391 | AZADEH TAVARI | Individual | Dentist (Periodontics) | 11633 SAN VICENTE BLVD LOS ANGELES, CA 90049 (818) 324-6121 | Non-Participating Provider | NO |
| 1871108647 | DAVID SAGHIAN | Individual | Dentist | 3000 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 269-5437 | Non-Participating Provider | NO |
| 1912122870 | TOMAS ANDERKVIST | Individual | Dentist (Prosthodontics) | 10921 WILSHIRE BLVD STE 1112 LOS ANGELES, CA 90024 (310) 208-4084 | Non-Participating Provider | NO |
| 1235227992 | RONNA TAMAYO TORRES | Individual | Dentist (General Practice) | 4816 E 3RD ST LOS ANGELES, CA 90022 (323) 780-4510 | Non-Participating Provider | NO |
| 1063432946 | CHETHAN CHETTY | Individual | Dentist (General Practice) | 2525 COLORADO BLVD SUITE A LOS ANGELES, CA 90041 (323) 258-2885 | Non-Participating Provider | NO |
| 1053570036 | HUONGLAN TRAN | Individual | Dentist (General Practice) | 1625 E 4TH ST LOS ANGELES, CA 90033 (323) 268-8391 | Non-Participating Provider | YES |
| 1487792933 | STELLA GOSIS | Individual | Dentist (General Practice) | 6464 W SUNSET BLVD SUITE # 780 LOS ANGELES, CA 90028 (323) 469-7701 | Non-Participating Provider | NO |
| 1184903890 | BILJANA VUKOTIC | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD SUITE 715 LOS ANGELES, CA 90049 (310) 826-7788 | Non-Participating Provider | NO |
| 1043976582 | NICOLE MAHDAVI | Individual | Dentist | 1821 W 42ND PL LOS ANGELES, CA 90062 (909) 477-0320 | Non-Participating Provider | NO |
| 1407860414 | SUNG BONG WHANG | Individual | Dentist (General Practice) | 3450 WILSHIRE BLVD STE 410 LOS ANGELES, CA 90010 (213) 381-0035 | Non-Participating Provider | NO |
| 1497969448 | FARNAZ TOFIGH | Individual | Dentist (General Practice) | 1561 W PICO BLVD LOS ANGELES, CA 90015 (213) 251-9994 | Non-Participating Provider | NO |
| 1154471266 | KIMBERLY ANN CALDWELL | Individual | Dentist | 918 S ROBERTSON BLVD LOS ANGELES, CA 90035 (424) 280-9662 | Non-Participating Provider | NO |
| 1154562338 | PARHAM SAGE | Individual | Dentist | 3000 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 269-5437 | Non-Participating Provider | YES |
| 1225432875 | SEAN K KUTLAY | Individual | Dentist (General Practice) | 11628 SANTA MONICA BLVD LOS ANGELES, CA 90025 (310) 207-1060 | Non-Participating Provider | YES |
| 1740708973 | ELISSA BETH GREEN | Individual | Dentist | 10833 LE CONTE AVE # CHSB0130 LOS ANGELES, CA 90095 (310) 825-3795 | Non-Participating Provider | YES |
| 1609081454 | FARAH SHAAZ KHAN | Individual | Dentist (General Practice) | 1127 WILSHIRE BLVD STE 1504 LOS ANGELES, CA 90017 (213) 201-1388 | Non-Participating Provider | NO |
| 1790929958 | KEYVAN ARGHAVANIFARD | Individual | Dentist (General Practice) | 435 ARNAZ DR APT 103 LOS ANGELES, CA 90048 (310) 801-0282 | Non-Participating Provider | YES |
| 1952312696 | RICHARD N. STANMAN | Individual | Dentist | 11600 WILSHIRE BLVD SUITE 308 LOS ANGELES, CA 90025 (310) 473-8770 | Non-Participating Provider | NO |
| 1013365881 | JESSICA YOON KYUNG PACK | Individual | Dentist (Pediatric Dentistry) | 1234 WILSHIRE BLVD APT 212 LOS ANGELES, CA 90017 (818) 427-7543 | Non-Participating Provider | YES |
| 1104967553 | HOVANES JOHN BEKEREDJIAN | Individual | Dentist | 3171 LOS FELIZ BLVD STE 300 LOS ANGELES, CA 90039 (323) 663-3662 | Non-Participating Provider | NO |
| 1093167801 | GI WON SEO | Individual | Dentist | 2418 HILLCREST DR LOS ANGELES, CA 90016 (213) 359-4032 | Non-Participating Provider | NO |
| 1881028058 | PARASTOO SALEHI | Individual | Dentist | 12010 OCEAN PARK BLVD APT 5 LOS ANGELES, CA 90064 (310) 402-4623 | Non-Participating Provider | NO |
| 1548473291 | TAKASHI KUMAMOTO | Individual | Dentist (General Practice) | 420 E THIRD ST SUITE 1002 LOS ANGELES, CA 90013 (213) 680-9174 | Non-Participating Provider | NO |
| 1578986543 | ROY ANTHONY KENNETH KOH | Individual | Dentist | 311 WINSTON ST LOS ANGELES, CA 90013 (213) 893-1960 | Non-Participating Provider | YES |
| 1871615385 | SCOTT HIROTO KANAI | Individual | Dentist (General Practice) | 316 E 2ND ST SUITE 301 LOS ANGELES, CA 90012 (213) 680-9935 | Non-Participating Provider | NO |
| 1194235929 | LINDSEY YIP | Individual | Dentist | 1100 WILSHIRE BLVD APT 2002 LOS ANGELES, CA 90017 (323) 380-8433 | Non-Participating Provider | NO |
| 1871834481 | ROWIDA ABDALLA | Individual | Dentist | 700 TIVERTON AVE BLDG 8-240 LOS ANGELES, CA 90095 (310) 794-6253 | Non-Participating Provider | NO |
| 1881805844 | RAMBOD ROBBY ALIREZAEI | Individual | Dentist (Endodontics) | 11633 SAN VICENTE BLVD SUITE #308 LOS ANGELES, CA 90049 (310) 207-3707 | Non-Participating Provider | NO |
| 1376050419 | AIMEE TRUJILLO D.D.S. INC. THE SNOOZE DOC | Organization | Dentist (General Practice) | 740 S OLIVE ST STE 105 LOS ANGELES, CA 90014 (213) 534-6856 | Non-Participating Provider | NO |
| 1083961700 | SANAZ YOUSEFI | Individual | Dentist (General Practice) | 12412 TEXAS AVE APT 204 LOS ANGELES, CA 90025 (310) 728-9702 | Non-Participating Provider | NO |
| 1568559961 | ROBERT RALPH SMITH | Individual | Dentist (Pediatric Dentistry) | 9201 W SUNSET BLVD SUITE 200 LOS ANGELES, CA 90069 (310) 273-5775 | Non-Participating Provider | NO |
| 1275165714 | YU JIANG | Individual | Dentist | 1100 N STATE ST LOS ANGELES, CA 90033 (323) 409-6225 | Non-Participating Provider | NO |
| 1699047522 | MARC IRA YURE | Individual | Dentist (General Practice) | 12029 DEWEY ST LOS ANGELES, CA 90066 (310) 710-9166 | Non-Participating Provider | NO |
| 1790838449 | TOM NGUYEN | Individual | Dentist (General Practice) | 4301 S FIGUEROA ST SUITE A LOS ANGELES, CA 90037 (323) 231-6663 | Non-Participating Provider | NO |
| 1821248246 | PEDRAM SOOFERI | Individual | Dentist | 771 E 9TH ST LOS ANGELES, CA 90021 (310) 247-9346 | Non-Participating Provider | NO |
| 1255784336 | LAIS DALMAGRO PERUCHI | Individual | Dentist | 3945 EAGLE ROCK BLVD UNIT 49 LOS ANGELES, CA 90065 (424) 750-2617 | Non-Participating Provider | NO |
| 1841359981 | MONEM HAMOUD | Individual | Dentist | 12420 VENICE LOS ANGELES, CA 90066 (310) 482-0014 | Non-Participating Provider | NO |
| 1497911416 | JOIAKIM S BAKHOUM | Individual | Dentist (General Practice) | 5540 N FIGUEROA ST LOS ANGELES, CA 90042 (323) 478-1101 | Non-Participating Provider | NO |
| 1255588638 | ROSETTE M. EL RAHEB | Individual | Dentist | 178 S COMMONWEALTH AVE APT 101 LOS ANGELES, CA 90004 (323) 509-6557 | Non-Participating Provider | NO |
| 1619154267 | CYROUS ARDALAN | Individual | Dentist | 8723 ALDEN DRIVE LOS ANGELES, CA 90048 (310) 423-6361 | Non-Participating Provider | YES |
| 1134431471 | ALAN ZABOLIAN | Individual | Dentist (General Practice) | 416 S SHERBOURNE DR APT 207 LOS ANGELES, CA 90048 (310) 666-9362 | Non-Participating Provider | NO |
| 1265672547 | SONIA Q. ESTABILLO | Individual | Dentist (General Practice) | 569 S OGDEN DR LOS ANGELES, CA 90036 (415) 373-8045 | Non-Participating Provider | NO |
| 1174680243 | FARIDEH TAGHILOU KNAPP | Individual | Dentist | 6260 SANTA MONICA BLVD LOS ANGELES, CA 90038 (323) 465-9055 | Non-Participating Provider | YES |
| 1093922759 | HORMOZ GOLIAN | Individual | Dentist (Pediatric Dentistry) | 7567 HERMES DR LOS ANGELES, CA 90046 (323) 459-8760 | Non-Participating Provider | NO |
| 1447449608 | CLAUDIA GALVEZ | Individual | Dentist | 504 S ALVARADO ST STE 208 LOS ANGELES, CA 90057 (213) 335-3590 | Non-Participating Provider | NO |
| 1164582193 | CLARA SHAPIRO | Individual | Dentist (General Practice) | 2700 W 3RD ST SUIT# 110 LOS ANGELES, CA 90057 (213) 389-6969 | Non-Participating Provider | NO |
| 1447627849 | JOAN PI ANFRUNS | Individual | Dentist | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 206-6620 | Non-Participating Provider | YES |
| 1295780922 | JOHN PEDERSEN | Individual | Dentist | 12504 W WASHINGTON BLVD LOS ANGELES LOS ANGELES, CA 90066 (310) 390-6272 | Non-Participating Provider | NO |
| 1003589979 | REBECA MARIN | Individual | Dentist (General Practice) | 2098 S CENTRAL AVE LOS ANGELES, CA 90011 (323) 233-3100 | Non-Participating Provider | YES |
| 1679696967 | JIRAIR GASPARIAN | Individual | Dentist (General Practice) | 3535 CAHUENGA BLVD W SUITE 115 LOS ANGELES, CA 90068 (323) 874-5855 | Non-Participating Provider | NO |
| 1073011565 | SIMON SEIHOON CHEONG | Individual | Dentist | 2105 BEVERLY BLVD STE 101 LOS ANGELES, CA 90057 (213) 484-1288 | Non-Participating Provider | NO |
| 1700051968 | CONNIE MILLARE PASCO | Individual | Dentist (General Practice) | 150 N RENO ST LOS ANGELES, CA 90026 (213) 380-7298 | Non-Participating Provider | YES |
| 1154858082 | JENNY GARCIA | Individual | Dentist (Pediatric Dentistry) | 1042 1/2 N ARDMORE AVE LOS ANGELES, CA 90029 (323) 944-9083 | Non-Participating Provider | YES |
| 1447458039 | ROBERT G MEMSIC | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 3407 W 6TH ST SUITE 514 LOS ANGELES, CA 90020 (310) 546-3683 | Non-Participating Provider | NO |
| 1992840201 | ROB WALTER VEIS | Individual | Dentist (General Practice) | 3932 WILSHIRE BLVD STE 100 LOS ANGELES, CA 90010 (213) 386-3336 | Non-Participating Provider | NO |
| 1124294673 | LLOYD HERMAN | Individual | Dentist (Periodontics) | 1127 WILSHIRE BLVD LOS ANGELES, CA 90017 (213) 484-2625 | Non-Participating Provider | NO |
| 1598991457 | EDMOND YAGHOUBI | Individual | Dentist | 1616 S HOLT AVE LOS ANGELES, CA 90035 (310) 487-3409 | Non-Participating Provider | NO |
| 1477768158 | FARNAZ NOURYANI | Individual | Dentist (Pediatric Dentistry) | 11633 SAN VICENTE BLVD 308 LOS ANGELES, CA 90049 (310) 826-6373 | Non-Participating Provider | NO |
| 1215112362 | BRYAN HYUNG CHUNG | Individual | Dentist (General Practice) | 266 S. HARVARD BLVD STE 110 LOS ANGELES, CA 90004 (213) 380-2727 | Non-Participating Provider | NO |
| 1669527826 | ALGIS V. LASAS | Individual | Dentist | 6226 AND ONE HALF W MANCHESTER AVE LOS ANGELES, CA 90045 (310) 215-9156 | Non-Participating Provider | NO |
| 1073705026 | CRISTINA DACANAY LOPEZ | Individual | Dentist (General Practice) | 10833 LE CONTE AVENUE UCLA SCHOOL OF DENTISTRY ROOM A0-121 LOS ANGELES, CA 90095 (310) 206-2933 | Non-Participating Provider | NO |
| 1811025604 | KIHO KIM | Individual | Dentist (General Practice) | 414 S WESTERN AVE # A LOS ANGELES, CA 90020 (213) 384-2288 | Non-Participating Provider | NO |
| 1568505303 | FARHAD MANAVI | Individual | Dentist (General Practice) | 12121 WILSHIRE BLVD SUITE 1111 LOS ANGELES, CA 90025 (310) 820-9933 | Non-Participating Provider | NO |
| 1346374840 | YVONNE L KAPILA | Individual | Dentist | 10833 LE CONTE AVE RM 53-039 LOS ANGELES, CA 90095 (310) 825-5543 | Non-Participating Provider | NO |
| 1447495502 | JOSEPH R CHAMBERLAIN | Individual | Dentist | 1441 VETERAN AVE #216 LOS ANGELES, CA 90024 (310) 619-5229 | Non-Participating Provider | NO |
| 1679678882 | ALVINA LUSINYAN | Individual | Dentist (General Practice) | 5005 HOLLYWOOD BLVD LOS ANGELES, CA 90027 (323) 662-9308 | Non-Participating Provider | NO |
| 1972608123 | PARNAZ BARNAJIAN | Individual | Dentist (Pediatric Dentistry) | 3932 WILSHIRE BLVD STE. 200 LOS ANGELES, CA 90010 (213) 381-5437 | Non-Participating Provider | NO |
| 1780633735 | EDWARD MATEVOSIAN | Individual | Dentist (General Practice) | 1690 W ADAMS BLVD LOS ANGELES, CA 90007 (323) 730-0924 | Non-Participating Provider | YES |
| 1053778712 | TAI HA | Individual | Dentist | 111 W 7TH ST R5 LOS ANGELES, CA 90014 (213) 629-9222 | Non-Participating Provider | YES |
| 1922166354 | BRADLEY SCOTT MATTHEW | Individual | Dentist (General Practice) | 8540 S SEPULVEDA BLVD #808 LOS ANGELES, CA 90045 (310) 670-0659 | Non-Participating Provider | NO |
| 1689266876 | LIZETH YAMILETH CORREA | Individual | Dentist | 825 S HILL ST APT 3204 LOS ANGELES, CA 90014 (818) 281-5012 | Non-Participating Provider | NO |
| 1740324854 | MIKE GRIGOR ASATRYAN | Individual | Dentist (General Practice) | 5153 SUNSET BLVD LOS ANGELES, CA 90027 (323) 665-0559 | Non-Participating Provider | NO |
| 1003011172 | SONIA KHULLAR | Individual | Dentist | 132 S VERMONT AVENUE SUITE #210 LOS ANGELES, CA 90004 (213) 389-2625 | Non-Participating Provider | NO |
| 1740296151 | ALAN NEWMAN | Individual | Dentist (Orofacial Pain) | 444 S SAN VICENTE BLVD #1101 LOS ANGELES, CA 90048 (310) 423-9600 | Accepts Medicare | YES |
| 1619646007 | YOURAM FARZAM | Individual | Dentist | 10394 ROCHESTER AVE LOS ANGELES, CA 90024 (310) 800-3408 | Non-Participating Provider | NO |
| 1124514112 | SEAN SUNYOTO | Individual | Dentist | 936 CRENSHAW BLVD STE 101 LOS ANGELES, CA 90019 (323) 934-2804 | Non-Participating Provider | YES |
| 1346306396 | JAE YON CHUNG | Individual | Dentist (General Practice) | 1570 S WESTERN AVE #201 LOS ANGELES, CA 90006 (323) 733-4567 | Non-Participating Provider | NO |
| 1033346317 | DAVID TAI WAI WONG | Individual | Dentist (Oral and Maxillofacial Pathology) | 10833 LE CONTE AVE 73-017 CHS LOS ANGELES, CA 90095 (310) 206-3048 | Non-Participating Provider | NO |
| 1255341905 | DUANE CLIFFORD MCKAY | Individual | Dentist (General Practice) | 9201 W SUNSET BLVD SUITE 912 LOS ANGELES, CA 90069 (310) 274-6221 | Non-Participating Provider | NO |
| 1396752416 | CARMELLA N. MASHIAN | Individual | Dentist (General Practice) | 6200 WILSHIRE BLVD SUITE 1706 LOS ANGELES, CA 90048 (323) 937-5666 | Non-Participating Provider | NO |
| 1891870796 | HASMIK AMBARTSUMYAN | Individual | Dentist (General Practice) | 5222 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 666-2222 | Non-Participating Provider | NO |
| 1699220608 | BEHNAM BERNARD BASERI | Individual | Dentist | 6221 WILSHIRE BLVD 517 LOS ANGELES, CA 90048 (323) 413-2903 | Non-Participating Provider | NO |
| 1003219064 | TOMOKO WADA | Individual | Dentist | 925 W 34TH ST STE 127 OSTROW SCHOOL OF DENTISTRY OF USC LOS ANGELES, CA 90089 (213) 740-3410 | Non-Participating Provider | NO |
| 1861508764 | JULIUS ROBERT JONES | Individual | Dentist (General Practice) | 5563 W PICO BLVD LOS ANGELES, CA 90019 (323) 938-4136 | Non-Participating Provider | YES |
| 1407040165 | KAMYAR SADIGHIM | Individual | Dentist | 2926 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033 (323) 266-6789 | Non-Participating Provider | NO |
| 1528075967 | STEVEN K LIU | Individual | Dentist (General Practice) | 455 N MEDNIK AVE LOS ANGELES, CA 90022 (323) 267-1343 | Non-Participating Provider | NO |
| 1932393246 | DAVID SHANG KAO | Individual | Dentist (Periodontics) | 1127 WILSHIRE BLVD STE 812 LOS ANGELES, CA 90017 (213) 481-2699 | Non-Participating Provider | YES |
| 1649295320 | JORGE A VILLASENOR | Individual | Dentist (General Practice) | 445 S NEW HAMPSHIRE AVE 310 LOS ANGELES, CA 90020 (213) 382-8425 | Non-Participating Provider | NO |
| 1225232705 | MAITHAO T DO | Individual | Dentist | 2319 S ATLANTIC BLVD LOS ANGELES, CA 90040 (323) 266-2120 | Non-Participating Provider | NO |
| 1912278417 | CHLOE LEA COHEN | Individual | Dentist (Periodontics) | 655 S HOPE ST SUITE #1402 LOS ANGELES, CA 90017 (310) 435-3052 | Non-Participating Provider | NO |
| 1639219090 | RICHARD D. UDIN | Individual | Dentist (Pediatric Dentistry) | USC SCHOOL OF DENTISTRY 925 W 34TH ST RM 4308 LOS ANGELES, CA 90089 (213) 740-2679 | Non-Participating Provider | NO |
| 1235434911 | MOHAMMAD KHAKNEGAR | Individual | Dentist | 2455 COLORADO BLVD. #16 LOS ANGELES, CA 90041 (323) 255-9663 | Non-Participating Provider | NO |
| 1972631059 | JEFFRIE MANEEPETASUT | Individual | Dentist | 4606 HOLLYWOOD BLVD SUITE B LOS ANGELES, CA 90027 (617) 312-5663 | Non-Participating Provider | NO |
| 1396961900 | DARAPORN TANPATTANA | Individual | Dentist (Periodontics) | 11340 W OLYMPIC BLVD #360 LOS ANGELES, CA 90064 (310) 473-2727 | Non-Participating Provider | YES |
| 1083736524 | MARGARET YUVIENCO BARROS | Individual | Dentist (General Practice) | 1860 GLENDALE BLVD LOS ANGELES, CA 90026 (323) 953-8762 | Non-Participating Provider | YES |
| 1104075175 | HENRY FUNG | Individual | Dentist (General Practice) | 5424 E BEVERLY BLVD LOS ANGELES, CA 90022 (323) 721-3312 | Non-Participating Provider | NO |
| 1689769515 | LILIA ESTHELA MARTINEZ | Individual | Dentist (General Practice) | 169 S ALVARADO ST SUITE 103 LOS ANGELES, CA 90057 (213) 484-1500 | Non-Participating Provider | NO |
| 1003868068 | PRAFULLA JOSHI | Individual | Dentist (General Practice) | 3860 CRENSHAW BLVD #229 LOS ANGELES, CA 90008 (323) 296-2019 | Non-Participating Provider | NO |
| 1710371505 | GIZELLE PERA FARENBAUGH | Individual | Dentist (General Practice) | 2525 COLORADO BLVD STE A LOS ANGELES, CA 90041 (323) 258-2885 | Non-Participating Provider | NO |
| 1790339067 | JULIA FREIDENBERG | Individual | Dentist | 4165 BEVERLY BLVD LOS ANGELES, CA 90004 (323) 331-9242 | Non-Participating Provider | NO |
| 1497041826 | DANIEL KLEIN | Individual | Dentist (Pediatric Dentistry) | 10289 W PICO BLVD LOS ANGELES, CA 90064 (323) 875-7640 | Non-Participating Provider | YES |
| 1528319332 | WILLIS SOO KANG | Individual | Dentist | 431 SOUTH WESTERN AVENUE LOS ANGELES, CA 90020 (213) 383-2022 | Non-Participating Provider | NO |
| 1558921502 | PARIS PATEL | Individual | Dentist | 536 E MANCHESTER AVE LOS ANGELES, CA 90003 (999) 999-9999 | Non-Participating Provider | NO |
| 1790899664 | JOSEPH R MICHERI | Individual | Dentist (General Practice) | 2815 SUNSET BLVD SUITE 106 LOS ANGELES, CA 90026 (213) 380-2008 | Non-Participating Provider | NO |
| 1265644561 | YOLLANDA INGHEL ZIFF | Individual | Dentist (General Practice) | 2566 OVERLAND AVE SUITE 630 LOS ANGELES, CA 90064 (310) 558-3616 | Non-Participating Provider | NO |
| 1861531618 | FLORIDALMA LINARES | Individual | Dentist | 5465 SANTA MONICA BLVD SUITE # 102 LOS ANGELES, CA 90029 (323) 467-8668 | Non-Participating Provider | YES |
| 1013240381 | FRANDSEN DORSEY MAXWELL | Individual | Dentist (General Practice) | 6828 LA TIJERA BLVD LOS ANGELES, CA 90045 (310) 216-0971 | Non-Participating Provider | YES |
| 1255903282 | WENDY ROCHA | Individual | Dentist (General Practice) | 4415 S CENTRAL AVE LOS ANGELES, CA 90011 (323) 908-4200 | Non-Participating Provider | NO |
| 1457087579 | MACY POUR | Individual | Dentist | 11767 W SUNSET BLVD APT 104 LOS ANGELES, CA 90049 (310) 906-8972 | Non-Participating Provider | NO |
| 1376703660 | DOIL KIM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 3663 W 6TH ST STE 207 LOS ANGELES, CA 90020 (213) 383-2080 | Non-Participating Provider | NO |
| 1548588486 | FARAZ FRED LAALY | Individual | Dentist | 4301 N FIGUEROA ST LOS ANGELES, CA 90065 (323) 223-1517 | Non-Participating Provider | NO |
| 1700044781 | AMANDA JO OKUNDAYE | Individual | Dentist (Dentist Anesthesiologist) | 11970 MONTANA AVE APT 208 LOS ANGELES, CA 90049 (310) 486-6656 | Non-Participating Provider | NO |
| 1710529367 | HANSEL MONTILLA | Individual | Dentist (General Practice) | 6333 WILSHIRE BLVD LOS ANGELES, CA 90048 (323) 653-7500 | Non-Participating Provider | NO |
| 1013037266 | MAHROU - HAZEGHI | Individual | Dentist | 505 S FLOWER ST LOS ANGELES, CA 90071 (213) 626-6161 | Non-Participating Provider | NO |
| 1447408950 | ALVINA G PADUA | Individual | Dentist (General Practice) | 2105 BEVERLY BLVD STE 101 LOS ANGELES, CA 90057 (626) 975-9942 | Non-Participating Provider | NO |
| 1750638078 | STEVE C. LEE | Individual | Dentist (General Practice) | 1075 N WESTERN AVE STE 102 LOS ANGELES, CA 90029 (323) 466-4567 | Non-Participating Provider | NO |
| 1972525855 | NELLY BEZIMYANSKY | Individual | Dentist | 6360 WILSHIRE BLVD STE 510 LOS ANGELES, CA 90048 (323) 655-0855 | Non-Participating Provider | YES |
| 1447305586 | KANG TING | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 10833 LECONTE AVE CHS # 20-140 LOS ANGELES, CA 90095 (310) 825-5161 | Non-Participating Provider | NO |
| 1881946523 | WILLIAM RICHARD CHUNG | Individual | Dentist | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 747-5542 | Non-Participating Provider | NO |
| 1255699955 | ASSAL HAKHAMJANI | Individual | Dentist (Pediatric Dentistry) | 8525 W PICO BLVD LOS ANGELES, CA 90035 (424) 232-0958 | Non-Participating Provider | NO |
| 1821183716 | DAVID NAO UYEHARA | Individual | Dentist (General Practice) | 351 E. TEMPLE STREET LOS ANGELES, CA 90012 (213) 253-5160 | Non-Participating Provider | NO |
| 1902121213 | JONATHAN LEE | Individual | Dentist (General Practice) | 2880 W OLYMPIC BLVD STE 200 LOS ANGELES, CA 90006 (213) 487-2355 | Non-Participating Provider | NO |
| 1831356526 | NAGHMEH NAVIZADEH | Individual | Dentist (General Practice) | 10884 SANTA MONICA BLVD SUITE #401 LOS ANGELES, CA 90025 (310) 446-4410 | Non-Participating Provider | NO |
| 1477754778 | YANG CHAI | Individual | Dentist (General Practice) | 3151 S HOOVER ST LOS ANGELES, CA 90089 (213) 740-2012 | Non-Participating Provider | NO |
| 1639324346 | GREGORY J KOLBER | Individual | Dentist (Endodontics) | 10833 LE CONTE AVE ENDODONTICS 30-125 CHS LOS ANGELES, CA 90095 (408) 603-9392 | Non-Participating Provider | YES |
| 1306982723 | POOJA ASWANI | Individual | Dentist (General Practice) | 2605 BASIL LN LOS ANGELES, CA 90077 (310) 869-5527 | Non-Participating Provider | NO |
| 1023054152 | MARGARET DIANNE MCLAIN | Individual | Dentist (General Practice) | 11301 WILSHIRE BLVD VA GREATER LOS ANGELES HEALTHCARE SYSTEM LOS ANGELES, CA 90073 (310) 268-3776 | Non-Participating Provider | NO |
| 1174662241 | LLOYD ERCELL STOLL | Individual | Dentist | 1828 E CESAR E CHAVEZ AVE STE B10 LOS ANGELES, CA 90033 (323) 268-1805 | Non-Participating Provider | YES |
| 1447344957 | JOHN N GROPER | Individual | Dentist (Pediatric Dentistry) | 4650 SUNSET BLVD LOS ANGELES, CA 90027 (323) 669-2130 | Non-Participating Provider | YES |
| 1861600546 | JAIME IRAM HERNANDEZ | Individual | Dentist (General Practice) | 6221 WILSHIRE BLVD SUITE 310 LOS ANGELES, CA 90048 (323) 525-0510 | Non-Participating Provider | NO |
| 1093965139 | HARRIS S LEVEY | Individual | Dentist | 3205 LOS FELIZ BLVD APT 13-309 LOS ANGELES, CA 90039 (310) 752-6050 | Non-Participating Provider | NO |
| 1104070267 | AKEMI A HAYASHIBARA | Individual | Dentist (General Practice) | 11315 VENICE BLVD STE A LOS ANGELES, CA 90066 (310) 391-6331 | Non-Participating Provider | NO |
| 1659660397 | RAMON G ROGES | Individual | Dentist (Endodontics) | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-9011 | Non-Participating Provider | YES |
| 1275517518 | LOURDES BUENO CAPULONG | Individual | Dentist (General Practice) | 4409 EAGLE ROCK BLVD LOS ANGELES, CA 90041 (323) 257-7582 | Non-Participating Provider | NO |
| 1326177817 | PAYMAN PIRNAZAR | Individual | Dentist (Pediatric Dentistry) | 11620 WILSHIRE BLVD SUITE 720 LOS ANGELES, CA 90025 (310) 443-9596 | Non-Participating Provider | NO |
| 1689933178 | ANNIE LEDOUX | Individual | Dentist | 4816 E 3RD ST LOS ANGELES, CA 90022 (323) 780-4510 | Non-Participating Provider | YES |
| 1619114253 | JOYCE MANLAI TRUONG | Individual | Dentist | 1964 WESTWOOD BLVD STE 215 LOS ANGELES, CA 90025 (310) 470-7200 | Non-Participating Provider | NO |
| 1538323837 | SOHEIL YASHARI | Individual | Dentist | 1246 S CORNING ST APT 7 LOS ANGELES, CA 90035 (310) 770-8074 | Non-Participating Provider | NO |
| 1023262516 | SANAZ PARSI | Individual | Dentist | 11734 WILSHIRE BLVD APT C411 LOS ANGELES, CA 90025 (310) 926-6480 | Non-Participating Provider | YES |
| 1235240888 | ROBERT ADAMS | Individual | Dentist (General Practice) | 5220 W WASHINGTON BLVD SUITE 103 LOS ANGELES, CA 90016 (323) 933-5641 | Non-Participating Provider | NO |
| 1801374251 | FARAZ FARAHNIK | Individual | Dentist | 9707 HORNER ST LOS ANGELES, CA 90035 (310) 500-6278 | Non-Participating Provider | NO |
| 1073705455 | FERNANDO RODRIGUEZ | Individual | Dentist | 123 S ALVARADO ST LOS ANGELES, CA 90057 (323) 987-1413 | Non-Participating Provider | NO |
| 1508083056 | VAL VERDE GONZALEZ | Individual | Dentist (General Practice) | 426 S SAN VICENTE BLVD LOS ANGELES, CA 90048 (310) 360-0767 | Non-Participating Provider | NO |
| 1043690696 | KELLY LIEN | Individual | Dentist (General Practice) | 767 N HILL ST STE 200 LOS ANGELES, CA 90012 (213) 808-1792 | Non-Participating Provider | YES |
| 1750646261 | REUBEN JOHNSON | Individual | Dentist (Endodontics) | 5127 PARKGLEN AVE LOS ANGELES, CA 90043 (650) 270-0556 | Non-Participating Provider | NO |
| 1780781450 | DONALD L. HARRIS | Individual | Dentist (Oral and Maxillofacial Surgery) | 10300 COMPTON AVE LOS ANGELES, CA 90002 (323) 564-4331 | Non-Participating Provider | NO |
| 1740784982 | IRINE SIMS-KOMATSU | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD STE 906 LOS ANGELES, CA 90049 (310) 207-5900 | Non-Participating Provider | NO |
| 1962159848 | EILEEN SEUNG MEE HAN | Individual | Dentist (General Practice) | 1054 VINE ST LOS ANGELES, CA 90038 (323) 603-0285 | Non-Participating Provider | NO |
| 1780621144 | FEREYDOUN MICHAEL YEBRI | Individual | Dentist | 2527 W PICO BLVD LOS ANGELES, CA 90006 (213) 380-2426 | Non-Participating Provider | NO |
| 1962966069 | THI VIET DAO | Individual | Dentist | 6000 N FIGUEROA ST LOS ANGELES, CA 90042 (714) 640-7058 | Non-Participating Provider | YES |
| 1649835000 | DANIEL ADELPOUR | Individual | Dentist (General Practice) | 318 S DETROIT ST APT 407 LOS ANGELES, CA 90036 (805) 807-1103 | Non-Participating Provider | NO |
| 1831356294 | REZA TABESH | Individual | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE 918 LOS ANGELES, CA 90017 (213) 481-2917 | Non-Participating Provider | NO |
| 1801920921 | JANG WOOK KIM | Individual | Dentist | 5455 WILSHIRE BLVD SUITE #850 LOS ANGELES, CA 90036 (323) 930-4600 | Non-Participating Provider | NO |
| 1972679603 | MARILOU MERCADO ULIT | Individual | Dentist | 2105 BEVERLY BLVD SUITE #125 LOS ANGELES, CA 90057 (213) 413-8766 | Non-Participating Provider | NO |
| 1457767147 | ANNIE HUANG | Individual | Dentist (Pediatric Dentistry) | 4650 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 361-7801 | Non-Participating Provider | NO |
| 1982161188 | RIE HAYASHI | Individual | Dentist | 925 W 34TH ST # 311 LOS ANGELES, CA 90089 (213) 710-1188 | Non-Participating Provider | NO |
| 1265568794 | ROBERT LOUIS BATTAN | Individual | Dentist (General Practice) | 7080 HOLLYWOOD BLVD SUITE 303 LOS ANGELES, CA 90028 (323) 469-1935 | Non-Participating Provider | NO |
| 1477755759 | HAN YOUNG AZAR-MEHR | Individual | Dentist | 10921 WILSHIRE BLVD STE 501 LOS ANGELES, CA 90024 (310) 443-3030 | Non-Participating Provider | NO |
| 1962608034 | TAKUMI J KAGAWA | Individual | Dentist (Prosthodontics) | 420 E THIRD ST SUITE #1008 LOS ANGELES, CA 90013 (213) 625-7141 | Non-Participating Provider | NO |
| 1801061114 | ANISHA M RANCHHOD | Individual | Dentist (General Practice) | 2080 CENTURY PARK E SUITE 909 LOS ANGELES, CA 90067 (310) 554-2424 | Non-Participating Provider | NO |
| 1790853570 | DOUGLAS SOLOW | Individual | Dentist | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-1093 | Non-Participating Provider | NO |
| 1154447258 | IVANNA NYKOLAYCHUCK | Individual | Dentist (General Practice) | 514 E WASHINGTON BLVD LOS ANGELES, CA 90015 (323) 851-2423 | Non-Participating Provider | NO |
| 1811067093 | EUDEL OLPINDO LORENZO | Individual | Dentist | 2950 LOS FELIZ BLVD SUITE 108 LOS ANGELES, CA 90039 (323) 356-6844 | Non-Participating Provider | NO |
| 1104917293 | STEWART R LEE | Individual | Dentist | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 746-1037 | Non-Participating Provider | YES |
| 1871979013 | ANNA KREYMER | Individual | Dentist (General Practice) | 11600 WILSHIRE BLVD SUITE 10 LOS ANGELES, CA 90025 (310) 312-5070 | Non-Participating Provider | NO |
| 1528795945 | SUZANNE KAN | Individual | Dentist | 3140 SAWTELLE BLVD APT 206 LOS ANGELES, CA 90066 (808) 600-1908 | Non-Participating Provider | NO |
| 1447226881 | EUPHRA CLARK HUBBS | Individual | Dentist | 601 W 5TH ST SUITE 755 LOS ANGELES, CA 90071 (213) 622-3339 | Non-Participating Provider | NO |
| 1578802807 | HILA ROBBINS | Individual | Dentist (Pediatric Dentistry) | 10231 SANTA MONICA BLVD STE B LOS ANGELES, CA 90067 (310) 552-4864 | Non-Participating Provider | NO |
| 1942336607 | MARIE ELLEN MAZZONE | Individual | Dentist (General Practice) | 1050 S ALFRED ST LOS ANGELES, CA 90035 (213) 448-2796 | Non-Participating Provider | NO |
| 1790792455 | ROBERT M BERCUTT | Individual | Dentist | 3756 SANTA ROSALIA DR SUITE #310 LOS ANGELES, CA 90008 (323) 292-0369 | Non-Participating Provider | YES |
| 1114121753 | EDBERT R BRUAN | Individual | Dentist (General Practice) | 2906 COLORADO BLVD LOS ANGELES, CA 90041 (818) 247-9044 | Non-Participating Provider | NO |
| 1598897779 | OSCAR E ALONZO | Individual | Dentist (Oral and Maxillofacial Surgery) | 12021 WILMINGTON AVE LOS ANGELES, CA 90059 (310) 668-4515 | Opted out of Medicare | NO |
| 1821250796 | LA TOYA CHANTE MORRIS | Individual | Dentist (General Practice) | 3701 STOCKER ST SUITE #409 LOS ANGELES, CA 90008 (323) 295-3397 | Non-Participating Provider | NO |
| 1396875027 | WILLIAM LEWCZUK | Individual | Dentist | 5906 MONTEREY RD LOS ANGELES, CA 90042 (323) 256-2680 | Non-Participating Provider | NO |
| 1164727905 | LUKE SUL | Individual | Dentist | 928 S WESTERN AVE STE 231 LOS ANGELES, CA 90006 (213) 214-2875 | Non-Participating Provider | YES |
| 1861612954 | MD ABUL HASHEM | Individual | Dentist | 1133 S VERMONT AVE STE 14 LOS ANGELES, CA 90006 (213) 487-6300 | Non-Participating Provider | NO |
| 1801939715 | SOLEYMAN COHEN | Individual | Dentist (General Practice) | 12121 WILSHIRE BLVD SUITE 1111 LOS ANGELES, CA 90025 (310) 820-9933 | Non-Participating Provider | NO |
| 1841774734 | RICHARD DENNIS GREEN | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD STE 600 LOS ANGELES, CA 90049 (310) 600-5052 | Non-Participating Provider | NO |
| 1891713566 | LEVON SOLAK | Individual | Dentist (General Practice) | 525 S OLIVE ST LOS ANGELES, CA 90013 (213) 624-3333 | Non-Participating Provider | NO |
| 1184644171 | LISA A RYAN | Individual | Dentist (General Practice) | 9201 SUNSET BLVD LOS ANGELES, CA 90069 (310) 247-8750 | Non-Participating Provider | NO |
| 1164157285 | ALLISON KATHARINE DIETZE | Individual | Dentist | 8405 BEVERLY BLVD LOS ANGELES, CA 90048 (323) 653-1990 | Non-Participating Provider | NO |
| 1447405030 | SHERIE SOHYUN PARK | Individual | Dentist | 753 S VERMONT AVE LOS ANGELES, CA 90005 (213) 703-8131 | Non-Participating Provider | NO |
| 1235268178 | MICHEL H ELYSON | Individual | Dentist | 4975 WHITTIER BLVD. LOS ANGELES, CA 90022 (323) 263-2125 | Non-Participating Provider | YES |
| 1619022936 | AREZOO NASIRY | Individual | Dentist (General Practice) | 3377 WILSHIRE BLVD STE 202 LOS ANGELES, CA 90010 (213) 385-9710 | Non-Participating Provider | YES |
| 1033254792 | ANCA RODICA NICA | Individual | Dentist (General Practice) | 2300 S FLOWER ST STE 300 LOS ANGELES, CA 90007 (213) 747-0757 | Non-Participating Provider | YES |
| 1932224706 | MARIA PILAR BENARDO | Individual | Dentist (General Practice) | 4331 W SUNSET BLVD LOS ANGELES, CA 90029 (323) 660-2011 | Non-Participating Provider | NO |
| 1902039019 | SURJIT SINGH KALRA | Individual | Dentist | 1435 S VERMONT AVE LOS ANGELES, CA 90006 (213) 739-3096 | Non-Participating Provider | NO |
| 1750403002 | ALEXANDER HAKIM | Individual | Dentist (Endodontics) | 11645 WILSHIRE BLVD SUITE 1035 LOS ANGELES, CA 90025 (310) 826-4676 | Non-Participating Provider | NO |
| 1710326236 | JIMMY DUONG | Individual | Dentist (General Practice) | 11301 WILSHIRE BLVD BUILDING 500, DENTAL CLINIC LOS ANGELES, CA 90073 (310) 268-3776 | Non-Participating Provider | NO |
| 1134339963 | STEVEN JAMES VITERO | Individual | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE1504 LOS ANGELES, CA 90017 (213) 201-1389 | Non-Participating Provider | NO |
| 1215021381 | CLAIRE LEORA HO | Individual | Dentist (General Practice) | 8540 S SEPULVEDA BLVD SUITE 704 LOS ANGELES, CA 90045 (310) 577-5888 | Non-Participating Provider | NO |
| 1386652337 | KEVIN EDWARD LEW | Individual | Dentist (Oral and Maxillofacial Surgery) | 321 NORTH LARCHMONT BLVD. SUITE 617 LOS ANGELES, CA 90004 (323) 465-6451 | Non-Participating Provider | NO |
| 1083933956 | MANIJEH AFSHAR-EBRAHIMI | Individual | Dentist | 133 S SWALL DR #3 LOS ANGELES, CA 90048 (818) 425-7147 | Non-Participating Provider | YES |
| 1235252867 | MARISSA LAGUSAY TEMPLO | Individual | Dentist | 3940 1-2 BEVERLY BLVD. LOS ANGELES, CA 90004 (213) 384-5902 | Non-Participating Provider | NO |
| 1881984821 | ELVIRA UMEROVA | Individual | Dentist (General Practice) | 1561 W PICO BLVD LOS ANGELES, CA 90015 (213) 251-9994 | Non-Participating Provider | NO |
| 1306910575 | KATHERINE TOUBIAN | Individual | Dentist (General Practice) | 2180 WESTWOOD BLVD STE 2C LOS ANGELES, CA 90025 (310) 441-8888 | Non-Participating Provider | NO |
| 1972628576 | EDWARD LOPEZ | Individual | Dentist (General Practice) | 2716 N BROADWAY STE 214 LOS ANGELES, CA 90031 (323) 221-5931 | Non-Participating Provider | YES |
| 1477610251 | SID SOLOMON | Individual | Dentist (General Practice) | 1620 WESTWOOD BLVD LOS ANGELES, CA 90024 (310) 475-5598 | Non-Participating Provider | YES |
| 1356630685 | SHERRY FAUST | Individual | Dentist | UNIV OF S CALIF SCHOOL OF DENTISTRY 925 W.34TH ST. RM. # 4208 LOS ANGELES, CA 90089 (213) 821-6814 | Non-Participating Provider | NO |
| 1558690032 | RAJESH V DAMANI | Individual | Dentist | 279 S ATLANTIC BLVD # B LOS ANGELES, CA 90022 (323) 266-0899 | Non-Participating Provider | NO |
| 1073138269 | AUSTIN WILLIAMS | Individual | Dentist | 714 TIVERTON AVE LOS ANGELES, CA 90095 (310) 825-9789 | Non-Participating Provider | NO |
| 1639575855 | DOUG JOHNSON | Individual | Dentist | 2080 CENTURY PARK E SUITE 1601 LOS ANGELES, CA 90067 (310) 277-5678 | Non-Participating Provider | YES |
| 1144430299 | JOHN E GONZALEZ | Individual | Dentist | 2080 CENTURY PARK E SUITE 1601 LOS ANGELES, CA 90067 (310) 556-4130 | Non-Participating Provider | NO |
| 1992844716 | LEE JAY HARRIS | Individual | Dentist (General Practice) | 3700 WILSHIRE BLVD #780 LOS ANGELES, CA 90010 (213) 380-7900 | Non-Participating Provider | NO |
| 1952590143 | INNA KURTICH | Individual | Dentist | 824 S ALVARADO ST LOS ANGELES, CA 90057 (323) 240-4960 | Non-Participating Provider | YES |
| 1285759076 | RONALD JAMES WONG | Individual | Dentist (Pediatric Dentistry) | 1616 HILLHURST AV LOS ANGELES, CA 90027 (323) 664-1151 | Non-Participating Provider | NO |
| 1548650567 | FARZAD REZA MOGHADDAM | Individual | Dentist (General Practice) | 11651 GORHAM AVE APARTMENT 9 LOS ANGELES, CA 90049 (404) 457-4501 | Non-Participating Provider | NO |
| 1801927728 | CAROL Y CHEN | Individual | Dentist (General Practice) | 3171 GLENDALE BLVD LOS ANGELES, CA 90039 (323) 663-3122 | Non-Participating Provider | NO |
| 1902204621 | RICHARD BARRY FEINSTEIN | Individual | Dentist (Endodontics) | 8540 S SEPULVEDA BLVD SUITE 1210 LOS ANGELES, CA 90045 (310) 670-0225 | Non-Participating Provider | NO |
| 1285791574 | TANIA SHANAZARI | Individual | Dentist | 2028 W PICO BLVD LOS ANGELES, CA 90006 (213) 380-5506 | Non-Participating Provider | NO |
| 1649768615 | NICOLE SARAH TASOOJI | Individual | Dentist | 10921 WILSHIRE BLVD STE 812 LOS ANGELES, CA 90024 (310) 208-7727 | Non-Participating Provider | NO |
| 1255964680 | HONG IL KIM | Individual | Dentist | 610 SOUTH HAVARD BLVD 101 LOS ANGELES, CA 90005 (323) 428-6633 | Non-Participating Provider | NO |
| 1053459065 | HENGAMEH ABTAHI | Individual | Dentist (General Practice) | 1508 S BEVERLY GLEN BLVD APT 202 LOS ANGELES, CA 90024 (310) 922-2180 | Non-Participating Provider | NO |
| 1508878455 | VICTORIA WEXLEY | Individual | Dentist (Orofacial Pain) | 739 N FAIRFAX AVE LOS ANGELES, CA 90046 (323) 655-3933 | Maybe Accepts Medicare | YES |
| 1699121087 | RAMBOD ETESSAMI-AZAM | Individual | Dentist | 9201 W SUNSET BLVD SUITE 908 LOS ANGELES, CA 90069 (310) 550-0506 | Non-Participating Provider | NO |
| 1427261478 | SHARON FREUDENBERGER | Individual | Dentist | 100 UCLA MEDICAL PLZ SUITE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1770814717 | MYLA R RODRIGUEZ | Individual | Dentist | 3130 W 6TH ST SUITE 1 LOS ANGELES, CA 90020 (213) 382-5650 | Non-Participating Provider | NO |
| 1063629434 | ALEX PARSI | Individual | Dentist (Endodontics) | 1127 WILSHIRE BLVD SUITE 1111 LOS ANGELES, CA 90017 (213) 291-7358 | Non-Participating Provider | YES |
| 1861784324 | RYAN BRENDAN ABELOWITZ | Individual | Dentist | 1823 MALCOLM AVE APT 4 LOS ANGELES, CA 90025 (310) 779-6060 | Non-Participating Provider | NO |
| 1003199415 | FLORENCE ASADURIAN | Individual | Dentist (General Practice) | 2566 OVERLAND AVE SUITE 630 LOS ANGELES, CA 90064 (310) 558-3616 | Non-Participating Provider | NO |
| 1326175951 | WARREN J GEROSA | Individual | Dentist (General Practice) | 8540 S SEPULVEDA BLVD SUITE 1212 LOS ANGELES, CA 90045 (310) 645-2886 | Non-Participating Provider | YES |
| 1346550258 | MARY Y MAKAR | Individual | Dentist | 12563 VENICE BLVD LOS ANGELES, CA 90066 (310) 390-2423 | Non-Participating Provider | NO |
| 1659586717 | DAVID KEUNJOO RYUMAN | Individual | Dentist | 2520 W 8TH ST STE 207 LOS ANGELES, CA 90057 (213) 386-3366 | Non-Participating Provider | NO |
| 1619191582 | HOUSHANG FAROKHI ANDERSON | Individual | Dentist (General Practice) | 11633 SAN VICENTE BLVD #308 LOS ANGELES, CA 90049 (310) 207-7725 | Non-Participating Provider | NO |
| 1477897494 | TALIA LEBOVITZ | Individual | Dentist (Periodontics) | 3932 WILSHIRE BLVD STE 306 LOS ANGELES, CA 90010 (347) 387-7181 | Non-Participating Provider | YES |
| 1023222569 | IGNACIO RUIZ | Individual | Dentist (General Practice) | 312 N SOTO ST LOS ANGELES, CA 90033 (323) 263-3918 | Non-Participating Provider | NO |
| 1942573753 | IRAMAIA YASSIM | Individual | Dentist | 3344 CASTLE HEIGHTS AVE APT 204 LOS ANGELES, CA 90034 (310) 991-6045 | Non-Participating Provider | NO |
| 1689853301 | DAVID ALAN ALTMAN | Individual | Dentist (General Practice) | 100 UCLA MEDICAL PLAZA #350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1609104918 | CHARLES HUANG | Individual | Dentist | 404 S FIGUEROA ST STE 207 LOS ANGELES, CA 90071 (213) 486-0006 | Non-Participating Provider | NO |
| 1619053840 | JOSE TOLENTINO SAUZ | Individual | Dentist (General Practice) | 2116 W BEVERLY BLVD LOS ANGELES, CA 90057 (213) 483-8754 | Non-Participating Provider | NO |
| 1952663080 | WILLIAM H NOH | Individual | Dentist (Oral and Maxillofacial Surgery) | 3640 WILSHIRE BLVD APT 236 LOS ANGELES, CA 90010 (714) 356-3522 | Non-Participating Provider | NO |
| 1538475454 | NADER YERMIAN | Individual | Dentist (General Practice) | 1950 SAWTELLE BLVD STE 100 LOS ANGELES, CA 90025 (310) 312-0882 | Non-Participating Provider | NO |
| 1720431489 | KETERINA MEYER | Individual | Dentist | 1846 S DUNSMUIR AVE LOS ANGELES, CA 90019 (713) 459-0514 | Non-Participating Provider | NO |
| 1225176506 | GIHAN G ANTHONY | Individual | Dentist (General Practice) | 2515 W PICO BLVD LOS ANGELES, CA 90006 (213) 384-4555 | Non-Participating Provider | YES |
| 1508075730 | EVELYN CHUNG | Individual | Dentist | 10833 LE CONTE AVENUE B3-069 CHS LOS ANGELES, CA 90095 (310) 825-6510 | Non-Participating Provider | NO |
| 1013109867 | UTIBE RUTH EFFIOM | Individual | Dentist | 611 E IMPERIAL HWY SUITE 107 LOS ANGELES, CA 90059 (310) 397-1064 | Non-Participating Provider | NO |
| 1093281156 | CZARINA AL BALOY | Individual | Dentist (General Practice) | 1039 W FLORENCE AVE LOS ANGELES, CA 90044 (323) 776-1500 | Non-Participating Provider | NO |
| 1417060385 | FARIBA S. YOUNAI | Individual | Dentist | 10833 LE CONTE AVE # AO125CHS LOS ANGELES, CA 90095 (310) 825-8879 | Accepts Medicare | YES |
| 1285218123 | JAMES HANNA | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 4221 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90063 (877) 360-4464 | Non-Participating Provider | NO |
| 1689673733 | DANIEL HIDEO TAMURA | Individual | Dentist (General Practice) | 6200 WILSHIRE BLVD SUITE 1209 LOS ANGELES, CA 90048 (323) 937-0197 | Non-Participating Provider | YES |
| 1811418676 | HASTI HORRI | Individual | Dentist | 1710 MALCOLM AVE APT 304 LOS ANGELES, CA 90024 (310) 483-4696 | Non-Participating Provider | NO |
| 1063756039 | KATRINA YVONNE EAGILEN | Individual | Dentist | 5930 N FIGUEROA ST UNIT 421039 LOS ANGELES, CA 90042 (213) 718-2453 | Non-Participating Provider | NO |
| 1215171343 | ELLIOTT NADER ABRAMS | Individual | Dentist (General Practice) | 169 S ALVARADO ST SUITE # 103 LOS ANGELES, CA 90057 (213) 353-4723 | Non-Participating Provider | NO |
| 1962790592 | ELIAS DEMISSIE | Individual | Dentist | 10300 COMPTON AVE LOS ANGELES, CA 90002 (323) 357-6600 | Non-Participating Provider | YES |
| 1376634089 | E. BARRIE KENNEY | Individual | Dentist (Periodontics) | 100 MEDICAL PLZ SUITE 320 LOS ANGELES, CA 90095 (310) 206-6252 | Non-Participating Provider | NO |
| 1780709204 | JOHN K KIM | Individual | Dentist (General Practice) | 927 CRENSHAW BLVD LOS ANGELES, CA 90019 (323) 930-2828 | Non-Participating Provider | YES |
| 1487887758 | KIMBERLY ANNE KLEIN | Individual | Dentist (General Practice) | 9911 W PICO BLVD SUITE 900 LOS ANGELES, CA 90035 (310) 276-2088 | Non-Participating Provider | NO |
| 1023054384 | STEPHEN JAY ANCOWITZ | Individual | Dentist (Prosthodontics) | VA GREATER LOS ANGELES HEALTHCARE SYSTEM - DENT SERVICE 11301 WISHIRE BLVD. LOS ANGELES, CA 90073 (310) 478-3711 | Non-Participating Provider | NO |
| 1811365042 | VICTORIA NAIMAN | Individual | Dentist | 321 N LARCHMONT BLVD STE 1010 LOS ANGELES, CA 90004 (323) 682-0674 | Non-Participating Provider | NO |
| 1710186556 | ALBA VASQUEZ | Individual | Dentist | 6360 WILSHIRE BLVD SUITE 512 LOS ANGELES, CA 90048 (323) 651-0933 | Non-Participating Provider | YES |
| 1427262278 | VIRGINIA SUSAN VANOSDEL | Individual | Dentist | 9201 W SUNSET BLVD SUITE 601 LOS ANGELES, CA 90069 (310) 273-9322 | Non-Participating Provider | NO |
| 1861928426 | EVALINA JOSEFSSON | Individual | Dentist (Pediatric Dentistry) | 4650 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 660-2450 | Non-Participating Provider | YES |
| 1659492171 | NICK A AGPALO | Individual | Dentist (General Practice) | 4210 EAGLE ROCK BLVD LOS ANGELES, CA 90065 (323) 550-8341 | Non-Participating Provider | NO |
| 1619509460 | NICHOLAS T NIKCHEVICH | Individual | Dentist (Oral and Maxillofacial Surgery) | 1100 N STATE ST RM A3C LOS ANGELES, CA 90033 (805) 728-5583 | Non-Participating Provider | YES |
| 1649309543 | SHIRIN MASHHOON | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD SUITE 505 LOS ANGELES, CA 90049 (310) 820-6691 | Non-Participating Provider | YES |
| 1205897311 | PHILIP J SAPP | Individual | Dentist (Oral and Maxillofacial Pathology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-6848 | Non-Participating Provider | NO |
| 1952513053 | VLADIMIR W SPOLSKY | Individual | Dentist (General Practice) | 100 UCLA MEDICAL PLZ STE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1558852350 | SHOU CHIA HUANG | Individual | Dentist | 888 S FIGUEROA ST STE 750 LOS ANGELES, CA 90017 (213) 340-3355 | Non-Participating Provider | YES |
| 1952451106 | MARY PEREZ SATUITO | Individual | Dentist (Dentist Anesthesiologist) | 4226 S FIGUEROA ST #206 LOS ANGELES, CA 90037 (310) 409-7163 | Non-Participating Provider | NO |
| 1053465955 | NGUYEN NHU TRAN | Individual | Dentist (Pediatric Dentistry) | 151 S MEDNIK AVE LOS ANGELES, CA 90022 (310) 384-0832 | Non-Participating Provider | NO |
| 1306079488 | RITU KALRA | Individual | Dentist | 1435 S VERMONT AVE LOS ANGELES, CA 90006 (213) 739-3096 | Non-Participating Provider | YES |
| 1376774265 | PARASTOO FARHOODI | Individual | Dentist (General Practice) | 3169 BARBARA CT LOS ANGELES, CA 90068 (323) 876-6440 | Non-Participating Provider | NO |
| 1366603425 | EBI DONAVAN NIKJOO | Individual | Dentist (General Practice) | 833 S BEDFORD ST APT 102 LOS ANGELES, CA 90035 (310) 666-5807 | Non-Participating Provider | YES |
| 1801935994 | SANG DON CHOI | Individual | Dentist (General Practice) | 711 S VERMONT AVE #111 LOS ANGELES, CA 90005 (213) 387-2325 | Non-Participating Provider | YES |
| 1790358935 | KEVIN ERICK WU | Individual | Dentist (General Practice) | 520 E MANCHESTER AVE LOS ANGELES, CA 90003 (213) 322-0864 | Non-Participating Provider | NO |
| 1558537605 | BRIAN KIYOSHI HIRAYAMA | Individual | Dentist (General Practice) | 8727 1/2 LA TIJERA BLVD LOS ANGELES, CA 90045 (310) 348-8000 | Non-Participating Provider | YES |
| 1619136207 | PERRY T WONG | Individual | Dentist (General Practice) | 1990 WESTWOOD BLVD #238 LOS ANGELES, CA 90025 (310) 474-6802 | Non-Participating Provider | NO |
| 1467662023 | ERNA RENEE TEMPEL | Individual | Dentist | 12202 WASHINGTON BL LOS ANGELES, CA 90066 (310) 915-9797 | Non-Participating Provider | NO |
| 1427233089 | CHAU BAO HOANG | Individual | Dentist | 625 W COLLEGE ST #104 LOS ANGELES, CA 90012 (213) 617-0096 | Non-Participating Provider | NO |
| 1124392766 | THOMAS ALAN LEVY | Individual | Dentist | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-1080 | Non-Participating Provider | NO |
| 1255503561 | SANDRA SHAKIBKHOO | Individual | Dentist (General Practice) | 1762 WESTWOOD BLVD 460 LOS ANGELES, CA 90024 (310) 474-3765 | Non-Participating Provider | NO |
| 1003131491 | DOREECE ELIHU | Individual | Dentist | 1125 S BEVERLY DR SUITE 400 LOS ANGELES, CA 90035 (310) 927-6084 | Opted out of Medicare | YES |
| 1164692836 | JENNIFFER ROJAS | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 4295 VIA ARBOLADA UNIT 208 LOS ANGELES, CA 90042 (323) 787-7224 | Non-Participating Provider | NO |
| 1588703839 | ANA HELENA RANKOVIC | Individual | Dentist (General Practice) | 5417 VENICE BLVD LOS ANGELES, CA 90019 (323) 634-9950 | Non-Participating Provider | YES |
| 1164657425 | CHING LAN LIM | Individual | Dentist | 10833 LE CONTE AVE CHS A0-156 LOS ANGELES, CA 90095 (310) 825-6510 | Non-Participating Provider | NO |
| 1043646698 | ROZBEH HOSSIENI | Individual | Dentist (Oral and Maxillofacial Surgery) | 1200 N STATE ST LOS ANGELES, CA 90033 (323) 409-5013 | Non-Participating Provider | NO |
| 1669001442 | SABREEN CHAHAL | Individual | Dentist (Pediatric Dentistry) | 4650 W SUNSET BLVD # 116 LOS ANGELES, CA 90027 (323) 361-8508 | Non-Participating Provider | NO |
| 1205181179 | MICHAEL E IGNACIO | Individual | Dentist (General Practice) | 1916 W. COLORADO LOS ANGELES, CA 90041 (323) 340-8014 | Non-Participating Provider | NO |
| 1568867596 | JEONG CHUL GO | Individual | Dentist | 1010 WILSHIRE BLVD APT 612 LOS ANGELES, CA 90017 (857) 294-8551 | Non-Participating Provider | YES |
| 1144454869 | WOO SUNG PARK | Individual | Dentist (General Practice) | 3130 W OLYMPIC BLVD STE 320 LOS ANGELES, CA 90006 (323) 766-2888 | Non-Participating Provider | YES |
| 1710466248 | SUE VIN KIM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1308 ORCHARD AVE LOS ANGELES, CA 90006 (844) 757-9799 | Non-Participating Provider | NO |
| 1952769465 | LAURA VY VAN | Individual | Dentist (Pediatric Dentistry) | 3932 WILSHIRE BLVD STE 200 LOS ANGELES, CA 90010 (213) 386-3336 | Non-Participating Provider | NO |
| 1861614026 | HANS ROY JOO | Individual | Dentist | 1633 S BENTLEY AVE #201 LOS ANGELES, CA 90025 (310) 871-1355 | Non-Participating Provider | NO |
| 1740481548 | JASON J YOO | Individual | Dentist (General Practice) | 3660 WILSHIRE BLVD STE 102 LOS ANGELES, CA 90010 (213) 386-8866 | Non-Participating Provider | YES |
| 1407162381 | GIL B IVRY | Individual | Dentist (Oral and Maxillofacial Surgery) | 10833 LECONTE AVE A0-156 CHS LOS ANGELES, CA 90095 (310) 825-0834 | Opted out of Medicare | YES |
| 1679962567 | MARINE SARKISIAN | Individual | Dentist (Oral and Maxillofacial Surgery) | 1983 MARENGO ST LOS ANGELES, CA 90033 (415) 244-6870 | Opted out of Medicare | YES |
| 1134275936 | GOLNAR JAVAHERFOROUSH | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD. #901 LOS ANGELES, CA 90049 (310) 994-9702 | Non-Participating Provider | NO |
| 1134411523 | MICHELLE IKOMA | Individual | Dentist (Prosthodontics) | 925 W 34TH ST STE 255 LOS ANGELES, CA 90089 (213) 821-1827 | Non-Participating Provider | NO |
| 1003063652 | ARJANG VAHIDNIA | Individual | Dentist (Endodontics) | 7162 BEVERLY BLVD #543 LOS ANGELES, CA 90036 (310) 443-3030 | Non-Participating Provider | NO |
| 1609946482 | P MARK PORTNOY | Individual | Dentist (General Practice) | 8240 BEVERLY BLVD #9 LOS ANGELES, CA 90048 (323) 658-6970 | Non-Participating Provider | NO |
| 1902019912 | JACOB JOSEPH SLUTSKY | Individual | Dentist (General Practice) | 1964 WESTWOOD BLVD STE 145 LOS ANGELES, CA 90025 (310) 474-5575 | Non-Participating Provider | NO |
| 1285930479 | MARIA TERESA INDUCTIVO HIZON | Individual | Dentist | 244 S OXFORD AVE SUITE 12 LOS ANGELES, CA 90004 (213) 388-5533 | Non-Participating Provider | YES |
| 1508015041 | SALINA MAHGEREFTEH | Individual | Dentist (General Practice) | 10578 LE CONTE AVE LOS ANGELES, CA 90024 (310) 467-7200 | Non-Participating Provider | YES |
| 1881758894 | KYO SUNG KIM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 3700 WILSHIRE BLVD STE 780 LOS ANGELES, CA 90010 (213) 380-7900 | Non-Participating Provider | NO |
| 1316904832 | ANDREW A RASTEGAR | Individual | Dentist (Oral and Maxillofacial Surgery) | 130 S ALVARADO ST LOS ANGELES, CA 90057 (323) 683-1662 | Non-Participating Provider | YES |
| 1063501195 | GERALD L NAFTALIN | Individual | Dentist (General Practice) | 9911 W PICO BLVD SUITE 1450 LOS ANGELES, CA 90035 (310) 553-3260 | Non-Participating Provider | NO |
| 1891191912 | YASUHIRO MATSUMURA | Individual | Dentist | 11340 W OLYMPIC BLVD STE 240 LOS ANGELES, CA 90064 (310) 575-8828 | Non-Participating Provider | NO |
| 1891082780 | NANNETTE AVENIDO | Individual | Dentist | 4210 EAGLE ROCK BLVD LOS ANGELES, CA 90065 (323) 550-8341 | Non-Participating Provider | NO |
| 1174726889 | EGLE T. LESNIAUSKAS | Individual | Dentist (Pediatric Dentistry) | 11500 W OLYMPIC BLVD SUITE #370 LOS ANGELES, CA 90064 (310) 268-1292 | Non-Participating Provider | NO |
| 1932453198 | MARWA B ABULHASAN | Individual | Dentist (Periodontics) | 925 W 34TH ST # 108 LOS ANGELES, CA 90089 (412) 608-2381 | Non-Participating Provider | NO |
| 1922174382 | STEPHEN L PRINCE | Individual | Dentist (General Practice) | 10921 WILSHIRE BLVD STE 1013 LOS ANGELES, CA 90024 (310) 208-3125 | Non-Participating Provider | NO |
| 1750053302 | MICHELLE J RAPPEPORT | Individual | Dentist (General Practice) | 714 TIVERTON AVE LOS ANGELES, CA 90095 (310) 825-2388 | Non-Participating Provider | NO |
| 1861603573 | KWANG BACK LEE | Individual | Dentist | 4015 WILSHIRE BLVD LOS ANGELES, CA 90010 (213) 385-1325 | Non-Participating Provider | NO |
| 1538158043 | SANJAY M MALLYA | Individual | Dentist (Oral and Maxillofacial Radiology) | 10833 LE CONTE AVE CHS 10-165 LOS ANGELES, CA 90095 (310) 825-5634 | Non-Participating Provider | NO |
| 1659785228 | ROBERT QUAN | Individual | Dentist (General Practice) | 1546 AMHERST AVE APT 204 LOS ANGELES, CA 90025 (559) 907-3397 | Non-Participating Provider | NO |
| 1942331673 | ROBYN EUNSUN CHONG | Individual | Dentist | 130 S ALVARADO ST LOS ANGELES, CA 90057 (213) 484-9660 | Non-Participating Provider | YES |
| 1174853212 | ANTIGONE SKOULAS | Individual | Dentist | 3980 GLENFELIZ BLVD LOS ANGELES, CA 90039 (323) 663-2050 | Non-Participating Provider | NO |
| 1679548275 | RENATO LIMEN CALUGCUGAN | Individual | Dentist (General Practice) | 3820 FOUNTAIN AVE LOS ANGELES, CA 90029 (323) 664-0777 | Non-Participating Provider | NO |
| 1639240294 | JEAN LEE-MIRZAYAN | Individual | Dentist (General Practice) | 1080 WILSHIRE BLVD LOS ANGELES, CA 90017 (213) 553-4535 | Non-Participating Provider | YES |
| 1689895666 | VLADIMIR Y. KORBATOV | Individual | Dentist | 1019 N. FAIRFAX AVENUE, 2ND FLOOR LOS ANGELES, CA 90046 (323) 654-2607 | Non-Participating Provider | NO |
| 1457554123 | HYUNG TACK KIM | Individual | Dentist | 2681 W OLYMPIC BLVD STE 220 LOS ANGELES, CA 90006 (213) 251-8999 | Accepts Medicare | YES |
| 1225119423 | SOLEYMAN MAKABI | Individual | Dentist (General Practice) | 1800 W 6TH ST SUIT NUMBER 2 LOS ANGELES, CA 90057 (213) 413-0120 | Non-Participating Provider | YES |
| 1245787712 | MAHSA HARATI | Individual | Dentist | 3670 GLENDON AVE, APT # 204 LOS ANGELES, CA 90034 (310) 994-5157 | Non-Participating Provider | YES |
| 1215360920 | LA SNORE DOCTOR LLC | Organization | Dentist | 11980 SAN VICENTE BLVD SUITE 802 LOS ANGELES, CA 90049 (310) 820-6831 | Non-Participating Provider | NO |
| 1205427275 | LUCAS JAMES NICHOLAOU | Individual | Dentist (Pediatric Dentistry) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-5619 | Non-Participating Provider | NO |
| 1093912941 | PARVANEH POURAMI | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 11645 WILSHIRE BLVD SUITE 900 LOS ANGELES, CA 90025 (310) 442-9188 | Non-Participating Provider | NO |
| 1144411463 | CHESTER LEE YOKOYAMA | Individual | Dentist (General Practice) | 1127 WILSHIRE BLVD SUITE 908 LOS ANGELES, CA 90017 (213) 484-2625 | Non-Participating Provider | NO |
| 1851823082 | BO YU | Individual | Dentist | 100 UCLA MEDICAL PLZ STE 350 LOS ANGELES, CA 90024 (310) 794-5750 | Non-Participating Provider | NO |
| 1033227236 | BARRY JASON SKAGGS | Individual | Dentist (Oral and Maxillofacial Surgery) | 9201 SUNSET BLVD SUITE 502 LOS ANGELES, CA 90069 (310) 275-3635 | Non-Participating Provider | NO |
| 1285702126 | CYNTHIA CHEUNG | Individual | Dentist (General Practice) | 1964 WESTWOOD BLVD STE 215 LOS ANGELES, CA 90025 (310) 470-7200 | Non-Participating Provider | NO |
| 1922126226 | GAIL RITA STRAHS | Individual | Dentist (Oral and Maxillofacial Surgery) | 10586 WEST PICO BLVD UNIT 316 LOS ANGELES, CA 90064 (310) 208-7224 | Non-Participating Provider | YES |
| 1063576957 | ROBERT SAYAN | Individual | Dentist (General Practice) | 5301 W SUNSET BLVD STE 4 LOS ANGELES, CA 90027 (323) 463-8900 | Non-Participating Provider | NO |
| 1407126279 | JOONG GUN KWON | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 3700 WILSHIRE BLVD STE 400 LOS ANGELES, CA 90010 (213) 739-8676 | Non-Participating Provider | NO |
| 1114147360 | JASON C KANG | Individual | Dentist (General Practice) | 3055 WILSHIRE BLVD #110 LOS ANGELES, CA 90010 (213) 385-5097 | Non-Participating Provider | NO |
| 1003965112 | IRINA SUMENKO | Individual | Dentist (General Practice) | 6200 WILSHIRE BLVD SUITE # 1104 LOS ANGELES, CA 90048 (323) 525-1819 | Non-Participating Provider | YES |
| 1134313281 | ARTHUR LUSINYAN | Individual | Dentist | 5005 HOLLYWOOD BLVD LOS ANGELES, CA 90027 (323) 662-9308 | Non-Participating Provider | NO |
| 1912679358 | OMAR HARBEY ELOUSTAZ | Individual | Dentist | 4855 SANTA MONICA BLVD LOS ANGELES, CA 90029 (323) 665-8806 | Non-Participating Provider | NO |
| 1912243601 | JOSEPH MINA YOUSSEF ATALLA | Individual | Dentist | 8545 SATURN ST APT 201 LOS ANGELES, CA 90035 (714) 423-0288 | Accepts Medicare | YES |
| 1265886519 | YANGPEI CAO | Individual | Dentist (Endodontics) | 100 UCLA MEDICAL PLZ SUITE 350 LOS ANGELES, CA 90024 (310) 794-5750 | Non-Participating Provider | NO |
| 1134355969 | MA DEL CONSUELO D'ALESSANDRO | Individual | Dentist (General Practice) | 3945 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 265-1998 | Non-Participating Provider | YES |
| 1508880402 | MONICA BRUCE | Individual | Dentist (General Practice) | 3756 SANTA ROSALIA DR STE 204 LOS ANGELES, CA 90008 (323) 293-7225 | Non-Participating Provider | NO |
| 1215285762 | TANYA BEJARANO | Individual | Dentist | W THIRTYFOURTH ST 925 LOS ANGELES, CA 90089 (213) 740-2805 | Non-Participating Provider | NO |
| 1043226053 | STEVEN KALLMAN | Individual | Dentist (Endodontics) | 2080 CENTURY PARK E 1710 LOS ANGELES, CA 90067 (310) 553-3232 | Non-Participating Provider | YES |
| 1982889952 | DANA LAUREN HARDY | Individual | Dentist | 4589 VIA MARISOL #361 LOS ANGELES, CA 90042 (626) 399-3131 | Non-Participating Provider | NO |
| 1316167794 | PHILLIP SEOKKEE MIN | Individual | Dentist (Endodontics) | 3660 WILSHIRE BLVD SUITE 748 LOS ANGELES, CA 90010 (213) 383-6363 | Non-Participating Provider | YES |
| 1134632565 | PRISCILLA KAREN ELIZONDO | Individual | Dentist | 6000 N FIGUEROA ST LOS ANGELES, CA 90042 (323) 254-5291 | Non-Participating Provider | YES |
| 1003096181 | HYUNHEE JUNG | Individual | Dentist | 3700 WILSHIRE BLVD STE 780 LOS ANGELES, CA 90010 (310) 228-0079 | Non-Participating Provider | NO |
| 1801092648 | JAMES TILLMAN BLACK | Individual | Dentist (General Practice) | 3015 CRENSHAW BLVD LOS ANGELES, CA 90016 (323) 731-0801 | Non-Participating Provider | YES |
| 1194944769 | FARIBA SALEHANI | Individual | Dentist | 998 S ROBERTSON BLVD LOS ANGELES, CA 90035 (310) 358-1200 | Non-Participating Provider | NO |
| 1588140537 | SEAN SOOFERIAN | Individual | Dentist (General Practice) | 427 S GRETNA GREEN WAY LOS ANGELES, CA 90049 (310) 400-6514 | Non-Participating Provider | YES |
| 1013123074 | CARLOTA JAVIER CRUZ | Individual | Dentist | 321 N LARCHMONT BLVD SUITE 611 LOS ANGELES, CA 90004 (323) 860-0886 | Non-Participating Provider | NO |
| 1063641561 | SAMERA OWHADIAN | Individual | Dentist | 1414 S GRAND AVE SUITE 485 LOS ANGELES, CA 90015 (213) 744-1752 | Non-Participating Provider | YES |
| 1083896393 | LILIA H RIVAS | Individual | Dentist | 1839 W IMPERIAL HWY LOS ANGELES, CA 90047 (323) 757-1974 | Non-Participating Provider | NO |
| 1104035963 | BEN WU | Individual | Dentist (Prosthodontics) | 100 MEDICAL PLAZE STE 350 UNIVERSITY OF CALIFORNIA, LOS ANGELES LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1235122243 | BEOM MO LEE | Individual | Dentist | 966 S WESTERN AVE #207 LOS ANGELES, CA 90006 (323) 734-3710 | Non-Participating Provider | NO |
| 1821135138 | SHERWIN ARMAN | Individual | Dentist (Orofacial Pain) | 10833 LE CONTE AVE # CHS10157 LOS ANGELES, CA 90095 (310) 794-1929 | Accepts Medicare | YES |
| 1710259908 | MICHAEL JAMES BUNDY | Individual | Dentist | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-3241 | Accepts Medicare | YES |
| 1578905253 | JEANETTE ESCARENO | Individual | Dentist (General Practice) | 3945 WHITTIER BLVD LOS ANGELES, CA 90023 (323) 725-8751 | Non-Participating Provider | YES |
| 1023287539 | HARJIND SINGH SIDHU | Individual | Dentist | 3261 S SEPULVEDA BLVD APT 207 LOS ANGELES, CA 90034 (415) 573-7765 | Non-Participating Provider | NO |
| 1821079922 | ILYA BRUCE | Individual | Dentist | 1330 S VERMONT AVE LOS ANGELES, CA 90006 (213) 383-7315 | Non-Participating Provider | NO |
| 1356542666 | RICHARD FURUICHI | Individual | Dentist (Prosthodontics) | 3151 S HOOVER ST LOS ANGELES, CA 90089 (213) 740-2012 | Non-Participating Provider | NO |
| 1235860446 | MAXWELL CHU MURPHY | Individual | Dentist | 4165 BEVERLY BLVD LOS ANGELES, CA 90004 (310) 922-6887 | Non-Participating Provider | NO |
| 1578610143 | JON CHEN OU | Individual | Dentist (General Practice) | 1925 DALY ST LOS ANGELES, CA 90031 (323) 226-8727 | Non-Participating Provider | NO |
| 1093998544 | ELINA AGHAMYAN | Individual | Dentist | 3727 W SUNSET BLVD LOS ANGELES, CA 90026 (323) 665-9693 | Non-Participating Provider | YES |
| 1679699771 | IGAL ELYASSI | Individual | Dentist (General Practice) | 6200 WILSHIRE BLVD STE 1609 LOS ANGELES, CA 90048 (323) 937-5773 | Non-Participating Provider | NO |
| 1841576444 | CHRISTINE JI-HAE COUGHLIN | Individual | Dentist | 914 S. VERMONT AVE. 104 LOS ANGELES, CA 90006 (213) 427-6070 | Non-Participating Provider | NO |
| 1760488167 | PARISH PAYMON SEDGHIZADEH | Individual | Dentist (Oral and Maxillofacial Pathology) | 925 W 34TH ST DEN 4276 LOS ANGELES, CA 90089 (213) 740-2704 | Maybe Accepts Medicare | YES |
| 1215063011 | ANDREW WOOSUNG KWON | Individual | Dentist (General Practice) | 4220 W 3RD ST SUITE 101 LOS ANGELES, CA 90020 (213) 387-5570 | Non-Participating Provider | YES |
| 1275195661 | MARITESS CASTRO ARISTORENAS | Individual | Dentist | 522 S SAN PEDRO ST LOS ANGELES, CA 90013 (562) 867-7999 | Non-Participating Provider | NO |
| 1669127015 | YOUNGSHIN LEE | Individual | Dentist (General Practice) | 1395 KELTON AVE APT 312 LOS ANGELES, CA 90024 (213) 215-6758 | Non-Participating Provider | NO |
| 1447664578 | JACK YEUNG | Individual | Dentist (Pediatric Dentistry) | 1222 MCCLELLAN DR APT 2 LOS ANGELES, CA 90025 (415) 730-2818 | Non-Participating Provider | YES |
| 1043411812 | LEIGH SEKIMOTO | Individual | Dentist (General Practice) | 3459 CAHUENGA BLVD W LOS ANGELES, CA 90068 (323) 876-2255 | Non-Participating Provider | YES |
| 1679505077 | DIPTI DIPAK ACHHNANI | Individual | Dentist | 2135 CYPRESS AVE LOS ANGELES, CA 90065 (323) 223-0731 | Non-Participating Provider | NO |
| 1144381138 | GARY VILSHANSKY | Individual | Dentist (General Practice) | 5280 HOLLYWOOD BLVD LOS ANGELES, CA 90027 (323) 469-9169 | Non-Participating Provider | NO |
| 1083080097 | SOMA ESMAILIAN LARI | Individual | Dentist | 10833 LE CONTE AVE B0-130 CHS LOS ANGELES, CA 90025 (818) 913-3175 | Opted out of Medicare | NO |
| 1477843746 | NADIA CHUGAL | Individual | Dentist (Endodontics) | 100 UCLA MEDICAL PLZ SUITE 350 LOS ANGELES, CA 90024 (310) 794-5750 | Non-Participating Provider | NO |
| 1144315029 | AITRANG TRAN | Individual | Dentist | 709 N HILL ST #9 LOS ANGELES, CA 90012 (213) 626-1515 | Non-Participating Provider | NO |
| 1073108023 | SHAHED AL KHALIFAH | Individual | Dentist (General Practice) | 100 MEDICAL PLAZA SUITE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1326140757 | DAVID JOHN BROWN | Individual | Dentist (General Practice) | 7119 WEST MANCHESTER AVENUE LOS ANGELES, CA 90045 (310) 670-4121 | Non-Participating Provider | NO |
| 1417012642 | MARC CHEMLA | Individual | Dentist | 9201 W SUNSET BLVD STE 609 LOS ANGELES, CA 90069 (310) 205-5551 | Non-Participating Provider | NO |
| 1487061677 | ANDREW FINLEY | Individual | Dentist | 8540 S SEPULVEDA BLVD STE 800 LOS ANGELES, CA 90045 (310) 670-1200 | Non-Participating Provider | YES |
| 1568673473 | MARK ANTHONY HELM | Individual | Dentist | 9201 W SUNSET BLVD STE 914 LOS ANGELES, CA 90069 (310) 278-0440 | Non-Participating Provider | NO |
| 1215140405 | DEBRA STEIN | Individual | Dentist (Endodontics) | 10231 SANTA MONICA BLVD SUITE A LOS ANGELES, CA 90067 (310) 975-4451 | Non-Participating Provider | NO |
| 1912650037 | EDWARD VLADIMIR ALLAN | Individual | Dentist | 11812 GATEWAY BLVD APT 2 LOS ANGELES, CA 90064 (310) 447-8836 | Non-Participating Provider | NO |
| 1013435023 | ALICE MIYAE AHN | Individual | Dentist (General Practice) | 687 S VERMONT AVE LOS ANGELES, CA 90005 (213) 381-7770 | Non-Participating Provider | NO |
| 1912048562 | SUREN CHTCHYAN | Individual | Dentist (General Practice) | 3727 W SUNSET BLVD LOS ANGELES, CA 90026 (323) 665-9693 | Non-Participating Provider | YES |
| 1093296972 | JOSE ZEPEDA MEJIA | Individual | Dentist | 10300 COMPTON AVE LOS ANGELES, CA 90002 (323) 564-4331 | Non-Participating Provider | NO |
| 1376611509 | BASSEM ASSAD | Individual | Dentist (General Practice) | 3635 E 1ST ST LOS ANGELES, CA 90063 (323) 269-7367 | Non-Participating Provider | YES |
| 1275797631 | ERIC L FUGIER | Individual | Dentist | 9201 W SUNSET BLVD. SUITE 901 LOS ANGELES, CA 90069 (310) 859-1575 | Non-Participating Provider | NO |
| 1134734353 | MARK PARK | Individual | Dentist | 404 SHATTO PL APT 443 LOS ANGELES, CA 90020 (323) 717-2375 | Non-Participating Provider | NO |
| 1528130986 | PIERRE D. JOVEN | Individual | Dentist (General Practice) | 2251 COLORADO BLVD LOS ANGELES, CA 90041 (323) 259-3118 | Non-Participating Provider | YES |
| 1063625580 | PILAR FEIR | Individual | Dentist (General Practice) | 12740 CULVER BLVD SUITE D LOS ANGELES, CA 90066 (310) 291-1446 | Non-Participating Provider | NO |
| 1316542798 | NAVID ESFANDI | Individual | Dentist (General Practice) | 1944 GLENDON AVE APT 104 LOS ANGELES, CA 90025 (310) 770-1724 | Non-Participating Provider | NO |
| 1881365492 | TIANTIAN HE | Individual | Dentist | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-0834 | Non-Participating Provider | NO |
| 1841376290 | PATRICK HARRY DILLON | Individual | Dentist | 10505 W PICO BLVD LOS ANGELES, CA 90064 (310) 475-0617 | Non-Participating Provider | NO |
| 1124295241 | MAMTA POORAN DALWANI | Individual | Dentist (General Practice) | 12381 WILSHIRE BLVD STE 103 LOS ANGELES, CA 90025 (310) 207-4617 | Non-Participating Provider | NO |
| 1558428433 | CATHERINE VON POWER | Individual | Dentist (General Practice) | 1005 E WASHINGTON BLVD STE B LOS ANGELES, CA 90021 (213) 749-0041 | Non-Participating Provider | NO |
| 1225496763 | WING CHAN | Individual | Dentist | 767 N HILL ST STE 213 LOS ANGELES, CA 90012 (347) 705-9990 | Non-Participating Provider | NO |
| 1386651149 | IRVING LEBOVICS | Individual | Dentist (Prosthodontics) | 8631 W 3RD ST SUITE # 1010E LOS ANGELES, CA 90048 (310) 659-8152 | Non-Participating Provider | YES |
| 1003038142 | CLARICE LAW EYRE | Individual | Dentist (Pediatric Dentistry) | 100 UCLA MEDICAL PLZ STE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1285786392 | ABRAHAM NOBEL | Individual | Dentist (General Practice) | 3851 W 6TH ST LOS ANGELES, CA 90020 (213) 386-7173 | Non-Participating Provider | YES |
| 1093834384 | GREGORY M. FLICK | Individual | Dentist (General Practice) | 6226 W MANCHESTER AVE LOS ANGELES, CA 90045 (310) 670-1208 | Non-Participating Provider | NO |
| 1316114234 | ANNIE CHING | Individual | Dentist (General Practice) | 5207 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 269-0266 | Non-Participating Provider | NO |
| 1609088541 | ANA M GAMA DDS INC | Organization | Dentist (General Practice) | 6201 WHITTIER BLVD STE D LOS ANGELES, CA 90022 (323) 728-2008 | Non-Participating Provider | NO |
| 1639335383 | CARINA D JOVEN | Individual | Dentist | 2251 COLORADO BLVD LOS ANGELES, CA 90041 (323) 259-3118 | Non-Participating Provider | NO |
| 1003828187 | SHERMAN ZIEVE | Individual | Dentist (General Practice) | 8631 W 3RD ST 1010E LOS ANGELES, CA 90048 (310) 652-1446 | Non-Participating Provider | NO |
| 1861953036 | DAVIS FAMILI | Individual | Dentist | 11500 W OLYMPIC BLVD STE 508 LOS ANGELES, CA 90064 (310) 477-7744 | Non-Participating Provider | NO |
| 1619536919 | HAMED KOUSHYAR | Individual | Dentist | 1210 W ADAMS BLVD APT 304 LOS ANGELES, CA 90007 (408) 444-3089 | Non-Participating Provider | NO |
| 1487941340 | MARISSA FAELDAN-SUAREZ | Individual | Dentist | 1827 GREENFIELD AVE APT 105 LOS ANGELES, CA 90025 (626) 379-1110 | Non-Participating Provider | YES |
| 1144697038 | LINDSAY GRAVES | Individual | Dentist | 606 LEVERING AVE APT 103 LOS ANGELES, CA 90024 (310) 806-2685 | Non-Participating Provider | NO |
| 1255517009 | YAWEN PENG | Individual | Dentist | 4606 HOLLYWOOD BLVD STE B LOS ANGELES, CA 90027 (323) 663-3850 | Non-Participating Provider | YES |
| 1700906385 | ARMAINE DE VELA | Individual | Dentist | 5300 SANTA MONICA BLVD STE 404 LOS ANGELES, CA 90029 (323) 462-3305 | Non-Participating Provider | NO |
| 1184836702 | JOHN E. BEUMER | Individual | Dentist (Prosthodontics) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-6510 | Non-Participating Provider | YES |
| 1689235871 | MOJTABA GHALAMBOR | Individual | Dentist (General Practice) | 255 S GRAND AVE STE 204 LOS ANGELES, CA 90012 (213) 620-5777 | Non-Participating Provider | NO |
| 1134391378 | ERWYN JAY IGNACIO | Individual | Dentist (General Practice) | 1739 COLORADO BLVD LOS ANGELES, CA 90041 (323) 344-0682 | Non-Participating Provider | NO |
| 1760528525 | MARY VIVIANNE SHANNON | Individual | Dentist (Pediatric Dentistry) | 11980 SAN VICENTE BLVD STE 906 LOS ANGELES, CA 90049 (310) 998-8999 | Non-Participating Provider | NO |
| 1467905463 | JOSHUA LEBOVICS | Individual | Dentist | 8631 W 3RD ST STE 1010E LOS ANGELES, CA 90048 (310) 659-8152 | Non-Participating Provider | NO |
| 1093298671 | SEPIDEH A BASTI | Individual | Dentist | 11642 KIOWA AVE APT 1 LOS ANGELES, CA 90049 (310) 775-3033 | Non-Participating Provider | NO |
| 1215305610 | RICHARD LIN | Individual | Dentist (Prosthodontics) | 1031 W 34TH ST SUITE 401 LOS ANGELES, CA 90089 (213) 740-2012 | Non-Participating Provider | NO |
| 1225170186 | FAIRD PAKRAVAN | Individual | Dentist (General Practice) | 12121 WILSHIRE BLVD SUITE 1111 LOS ANGELES, CA 90025 (310) 820-9933 | Non-Participating Provider | NO |
| 1982945853 | OSMAN NASR SOLIMAN | Individual | Dentist (Endodontics) | 925 W 34TH ST DEN124C LOS ANGELES, CA 90089 (213) 740-0655 | Non-Participating Provider | NO |
| 1538765086 | KEVIN MICHAEL HADIDJAJA | Individual | Dentist (General Practice) | 905 E 2ND ST APT 336 LOS ANGELES, CA 90012 (310) 347-8432 | Non-Participating Provider | NO |
| 1255478178 | HENRY HUNG CHEE LO | Individual | Dentist (Oral and Maxillofacial Surgery) | 6360 WILSHIRE BLVD STE. 403 LOS ANGELES, CA 90048 (323) 653-9440 | Non-Participating Provider | YES |
| 1679641146 | SELVANA SOROUR | Individual | Dentist | 12420 VENICE BLVD LOS ANGELES, CA 90066 (310) 482-0025 | Non-Participating Provider | NO |
| 1649472176 | PONEH GHASRI | Individual | Dentist | 6200 WILSHIRE BLVD STE 1508 LOS ANGELES, CA 90048 (323) 938-6137 | Non-Participating Provider | NO |
| 1043640428 | JULIE J HSIEH | Individual | Dentist | 687 S VERMONT AVE LOS ANGELES, CA 90005 (747) 444-3567 | Non-Participating Provider | NO |
| 1770811044 | DAVID KEATING | Individual | Dentist | 10833 LE CONTE AVENUE UCLA DENTISTRY CHS ROOM A3-078, ATTN DAVID KEATING LOS ANGELES, CA 90095 (916) 798-6476 | Non-Participating Provider | YES |
| 1063633907 | RAMIN RAVAEI | Individual | Dentist | 1835 S LA CIENEGA BLVD SUITE 200 LOS ANGELES, CA 90035 (310) 836-0300 | Non-Participating Provider | NO |
| 1902225279 | YISACHAR DOV PRERO | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 9400 DUXBURY RD LOS ANGELES, CA 90034 (310) 499-8592 | Non-Participating Provider | NO |
| 1639280969 | SUZANNE LYNN WENZLAFF | Individual | Dentist | 925 W. 34TH ST UNIVERSITY OF SOUTHERN CA SCHOOL OF DENTISTRY LOS ANGELES, CA 90089 (323) 445-0146 | Non-Participating Provider | NO |
| 1841726056 | WILSHIRE SLEEP TREATMENT CENTER, LLC | Organization | Dentist (General Practice) | 3932 WILSHIRE BLVD LOS ANGELES, CA 90010 (213) 386-3336 | Non-Participating Provider | NO |
| 1598318305 | ARKADI V RAZOUMOVITCH | Individual | Dentist | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-9295 | Non-Participating Provider | NO |
| 1730393687 | ANDY YING WONG | Individual | Dentist (General Practice) | 100 UCLA MEDICAL PLZ SUITE 350 LOS ANGELES, CA 90095 (310) 794-5750 | Non-Participating Provider | NO |
| 1164947875 | AMBER PARKER | Individual | Dentist (General Practice) | 3756 SANTA ROSALIA DR STE 204 LOS ANGELES, CA 90008 (323) 293-7225 | Non-Participating Provider | YES |
| 1285766295 | ERIN LEIGH COHEN | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 2080 CENTURY PARK E SUITE 505 LOS ANGELES, CA 90067 (310) 785-0770 | Non-Participating Provider | NO |
| 1134300866 | PEDRAM BINA | Individual | Dentist (General Practice) | 559 S BEVERLY GLEN BLVD LOS ANGELES, CA 90024 (310) 433-2722 | Non-Participating Provider | YES |
| 1437433786 | HU ZHAO | Individual | Dentist | 2250 ALCAZAR ST CCMB CSA 103 LOS ANGELES, CA 90089 (310) 500-7727 | Non-Participating Provider | NO |
| 1225245897 | PATRICIA NIZIOLEK ROSS | Individual | Dentist | 11980 SAN VICENTE BLVD #819 LOS ANGELES, CA 90049 (310) 207-4200 | Non-Participating Provider | NO |
| 1205423803 | MARISOL DARLENE CEBALLOS | Individual | Dentist (General Practice) | 3043 E 6TH ST LOS ANGELES, CA 90023 (323) 314-3718 | Non-Participating Provider | YES |
| 1134552268 | TZIPORAH MANDEL | Individual | Dentist | 1815 EDGECLIFFE DR LOS ANGELES, CA 90026 (310) 977-3505 | Opted out of Medicare | NO |
| 1861567836 | FRED NAYSSAN | Individual | Dentist (General Practice) | 10350 SANTA MONICA BLVD #190 LOS ANGELES, CA 90025 (310) 557-1704 | Non-Participating Provider | NO |
| 1740457928 | PETER H LU | Individual | Dentist | 11600 WILSHIRE BLVD #316 LOS ANGELES, CA 90025 (310) 444-4977 | Non-Participating Provider | NO |
| 1003935974 | ROBERT STEVEN WYLIE | Individual | Dentist (Periodontics) | 8540 S SEPULVEDA BLVD SUITE 1211 LOS ANGELES, CA 90045 (310) 670-5827 | Non-Participating Provider | NO |
| 1316296999 | CHRISTIAN DAVID SCHMIDT | Individual | Dentist | 5367 SAN VICENTE BLVD APT 249 LOS ANGELES, CA 90019 (925) 319-7236 | Non-Participating Provider | YES |
| 1851412001 | RAMIN TOUR | Individual | Dentist (General Practice) | 907 N VIRGIL AVE LOS ANGELES, CA 90029 (323) 661-8384 | Non-Participating Provider | NO |
| 1316167711 | ELLIS CHARLES WONG | Individual | Dentist (General Practice) | 607 N LARCHMONT BLVD LOS ANGELES, CA 90004 (323) 464-5555 | Non-Participating Provider | YES |
| 1043438575 | KAMYAR HEKMAT | Individual | Dentist (General Practice) | 10921 WILSHIRE BLVD STE 1204 LOS ANGELES, CA 90024 (310) 208-0878 | Non-Participating Provider | NO |
| 1093741183 | TRACY G GOLDEN | Individual | Dentist (Periodontics) | 10921 WILSHIRE BLVD 1009 LOS ANGELES, CA 90024 (310) 209-7572 | Non-Participating Provider | YES |
| 1558587154 | TODD HIROSHI YAMADA | Individual | Dentist (Periodontics) | 11340 W OLYMPIC BLVD #360 LOS ANGELES, CA 90064 (310) 473-2727 | Non-Participating Provider | YES |
| 1518218437 | ALEXIS LOUISE PELEKANOS | Individual | Dentist (General Practice) | 11701 WILSHIRE BLVD SUITE 13-A LOS ANGELES, CA 90025 (310) 826-1181 | Non-Participating Provider | NO |
| 1497918478 | HELEN HAE SUN DO | Individual | Dentist (Pediatric Dentistry) | 3663 W 6TH ST STE 303 LOS ANGELES, CA 90020 (213) 384-2121 | Non-Participating Provider | NO |
| 1720071640 | BINH THANH PHAN | Individual | Dentist | 6000 N FIGUEROA ST LOS ANGELES, CA 90042 (323) 254-5291 | Non-Participating Provider | YES |
| 1225292261 | VALERIE KANTER | Individual | Dentist (Endodontics) | 10850 WILSHIRE BLVD STE 330 LOS ANGELES, CA 90024 (424) 341-3028 | Non-Participating Provider | YES |
| 1669569463 | DAVID M KANG | Individual | Dentist (Pediatric Dentistry) | 4650 SUNSET BLVD LOS ANGELES, CA 90027 (323) 669-2130 | Non-Participating Provider | YES |
| 1801960067 | JONG HOON CHUNG | Individual | Dentist (General Practice) | 2110 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033 (323) 268-8308 | Non-Participating Provider | YES |
| 1710078829 | EUNOCK KIM | Individual | Dentist | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 746-1037 | Non-Participating Provider | YES |
| 1356532014 | JAMES YONG JU KIM | Individual | Dentist | 1022 S OXFORD AVE LOS ANGELES, CA 90006 (951) 768-7319 | Non-Participating Provider | YES |
| 1205987559 | HAN K TAK | Individual | Dentist (General Practice) | 607 W 6TH ST LOS ANGELES, CA 90017 (213) 624-6482 | Non-Participating Provider | YES |
| 1881734481 | DAVID SHABANZADEH | Individual | Dentist (General Practice) | 326 N VERMONT AVE SUITE B LOS ANGELES, CA 90004 (323) 661-2626 | Non-Participating Provider | NO |
| 1497938401 | ELSA W HERNANDEZ | Individual | Dentist | 11724 WILMINGTON AVE LOS ANGELES, CA 90059 (323) 484-9260 | Non-Participating Provider | YES |
| 1588288138 | DANIEL KRUK-LEAHY | Individual | Dentist | 714 TIVERTON AVE LOS ANGELES, CA 90095 (909) 549-5417 | Non-Participating Provider | NO |
| 1457735565 | POOYAN NASIBI | Individual | Dentist (Pediatric Dentistry) | 1835 S BENTLEY AVE APT 6 LOS ANGELES, CA 90025 (424) 208-4055 | Non-Participating Provider | NO |
| 1629458377 | DONG-HYUN KIM | Individual | Dentist | 12121 WILSHIRE BLVD SUITE 1111 LOS ANGELES, CA 90025 (310) 820-9933 | Non-Participating Provider | NO |
| 1326160250 | LILIAN LABIB LOTFY | Individual | Dentist (General Practice) | 4777 FISHER ST LOS ANGELES, CA 90022 (323) 268-3395 | Non-Participating Provider | YES |
| 1841576790 | BRIAN JESSE OLVERA | Individual | Dentist | 6444 YORK BLVD LOS ANGELES, CA 90042 (323) 351-4922 | Non-Participating Provider | NO |
| 1538468806 | WILLIAM CARTER FELTS | Individual | Dentist | 10921 WILSHIRE BLVD. # 1201 LOS ANGELES, CA 90024 (310) 208-3032 | Non-Participating Provider | YES |
| 1720386311 | ANTHONY T PARK | Individual | Dentist | 3540 WILSHIRE BLVD STE 210 LOS ANGELES, CA 90010 (231) 384-3389 | Non-Participating Provider | NO |
| 1548387905 | GEUN SUP LEE | Individual | Dentist | 4489 W PICO BLVD LOS ANGELES, CA 90019 (323) 933-8140 | Non-Participating Provider | NO |
| 1649377300 | ROBERT HENRY BRANCH | Individual | Dentist | 10300 COMPTON AVE LOS ANGELES, CA 90002 (323) 357-6602 | Non-Participating Provider | NO |
| 1598800757 | ALVIN B. ROSENBLUM | Individual | Dentist (General Practice) | 1950 SAWTELLE BLVD #100 LOS ANGELES, CA 90025 (310) 312-0882 | Non-Participating Provider | NO |
| 1831550037 | HILARY REITER | Individual | Dentist | 5850 S MAIN ST LOS ANGELES, CA 90003 (323) 897-6000 | Non-Participating Provider | NO |
| 1326300591 | RAYMOND M KLEIN | Individual | Dentist (Pediatric Dentistry) | 2345 S BENTLEY AVE 402 LOS ANGELES, CA 90064 (310) 844-6310 | Non-Participating Provider | YES |
| 1043344096 | YVETTE GULESSERIAN | Individual | Dentist | 3129 N SAN FERNANDO RD LOS ANGELES, CA 90065 (323) 257-7744 | Non-Participating Provider | YES |
| 1699808386 | NADER NIKNAM | Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD STE. 790 LOS ANGELES, CA 90025 (310) 312-0505 | Non-Participating Provider | NO |
| 1881880169 | CRAIG YOSHIO NAKAMATSU | Individual | Dentist | 375 E 2ND ST #621 LOS ANGELES, CA 90012 (213) 985-0581 | Non-Participating Provider | NO |
| 1306962824 | DORIT RAFIZADEH | Individual | Dentist | 10913 VENICE BLVD LOS ANGELES, CA 90034 (310) 558-8123 | Non-Participating Provider | YES |
| 1558492512 | BENJAMIN ROSENBERG | Individual | Dentist | 8540 S SEPULVEDA BLVD STE 1000 LOS ANGELES, CA 90045 (310) 649-2430 | Non-Participating Provider | NO |
| 1104912377 | JOSE CARLOS DAUDT POLIDO | Individual | Dentist (Pediatric Dentistry) | 4650 W SUNSET BLVD MS# 116 LOS ANGELES, CA 90027 (323) 361-2130 | Non-Participating Provider | YES |
| 1437290897 | BASHAR KOMOC | Individual | Dentist (General Practice) | 7151 W 91ST ST LOS ANGELES, CA 90045 (310) 670-2983 | Non-Participating Provider | YES |
| 1710410667 | IVY FUA | Individual | Dentist (Pediatric Dentistry) | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-0412 | Non-Participating Provider | YES |
| 1376695825 | HAMID REZA IMANKHAN | Individual | Dentist (General Practice) | 13100 PONTOON PL LOS ANGELES, CA 90049 (310) 395-6084 | Non-Participating Provider | NO |
| 1376929588 | VETHANYA THANGARAJ | Individual | Dentist (General Practice) | 3614 FARIS DR APT #8 LOS ANGELES, CA 90034 (720) 438-8826 | Non-Participating Provider | NO |
| 1467662999 | ALYSON MIDORI TOGUCHI | Individual | Dentist | 3851 W 6TH ST LOS ANGELES, CA 90020 (213) 386-7173 | Non-Participating Provider | NO |
| 1366540825 | NAGWA GHALI METIAS | Individual | Dentist (General Practice) | 12563 VENICE BLVD LOS ANGELES, CA 90066 (310) 390-2483 | Non-Participating Provider | NO |
| 1710384334 | ESTHER FELDMAN | Individual | Dentist | 11600 WILSHIRE BLVD STE 226 LOS ANGELES, CA 90025 (424) 299-4270 | Non-Participating Provider | NO |
| 1235455775 | JAMES THOMAS OLSEN | Individual | Dentist (Oral and Maxillofacial Surgery) | 2080 CENTURY PARK E SUITE 610 LOS ANGELES, CA 90067 (310) 842-4811 | Non-Participating Provider | NO |
| 1639738016 | ALEX CRISTOPHER LEE | Individual | Dentist | 2065 W 6TH ST LOS ANGELES, CA 90057 (213) 484-2100 | Non-Participating Provider | YES |
| 1003253576 | MARGARITA METRIKINA | Individual | Dentist (General Practice) | 7315 W SUNSET BLVD STE B LOS ANGELES, CA 90046 (323) 876-9222 | Non-Participating Provider | YES |
| 1851481402 | ROBERT LEO JELICICH | Individual | Dentist (General Practice) | 5670 WILSHIRE BLVD SUITE 1710 LOS ANGELES, CA 90036 (323) 930-2386 | Non-Participating Provider | NO |
| 1114392669 | HABIBA ISMAIL | Individual | Dentist | 320 S HOBART BLVD APT 9 LOS ANGELES, CA 90020 (323) 504-2908 | Non-Participating Provider | YES |
| 1912209255 | SETAREH AMIRKALALI | Individual | Dentist | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1376968784 | NEDA BORNA | Individual | Dentist | 808 W 58TH ST LOS ANGELES, CA 90037 (323) 541-1600 | Non-Participating Provider | YES |
| 1356542062 | FARANAK DARAVI NOSRATIAN | Individual | Dentist | 1234 BEL AIR ROAD LOS ANGELES, CA 90077 (310) 471-3303 | Non-Participating Provider | NO |
| 1053599456 | ANDREW MIN SHON | Individual | Dentist | 4460 WILSHIRE BLVD APT 703 LOS ANGELES, CA 90010 (323) 939-0902 | Non-Participating Provider | NO |
| 1972695864 | GARY NORIAKI KITAZAWA | Individual | Dentist (Periodontics) | 1127 WILSHIRE BLVD SUITE 404 LOS ANGELES, CA 90017 (213) 481-1127 | Non-Participating Provider | YES |
| 1053526129 | GEORGE D. LIM | Individual | Dentist (General Practice) | 11725 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 391-7173 | Non-Participating Provider | NO |
| 1225635030 | CHANTAL HAKIM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 9201 W SUNSET BLVD STE 905 LOS ANGELES, CA 90069 (310) 702-5989 | Non-Participating Provider | NO |
| 1982690368 | ANTHONY J. MILANEZ | Individual | Dentist | 5757 WILSHIRE BLVD 350 LOS ANGELES, CA 90036 (323) 931-9019 | Non-Participating Provider | NO |
| 1285711556 | SHAUNA R. LEE | Individual | Dentist | 4146 E OLYMPIC BLVD SUITE F LOS ANGELES, CA 90023 (323) 269-8007 | Non-Participating Provider | NO |
| 1619053501 | FREDIA ISIS CADAVID | Individual | Dentist | 875 N WESTERN AVE LOS ANGELES, CA 90029 (562) 572-8261 | Non-Participating Provider | NO |
| 1447484647 | HAN SUNG KIM | Individual | Dentist (General Practice) | 2727 W OLYMPIC BLVD 311 LOS ANGELES, CA 90006 (213) 268-5051 | Non-Participating Provider | NO |
| 1376870816 | JINHYUK LEE | Individual | Dentist (Endodontics) | 3460 WILSHIRE BLVD SUITE 1007 LOS ANGELES, CA 90010 (213) 365-0200 | Non-Participating Provider | YES |
| 1801809603 | SHEPARD KOKIN | Individual | Dentist | 3129 GRANVILLE AVE LOS ANGELES, CA 90066 (310) 390-9611 | Non-Participating Provider | NO |
| 1164514758 | AMIR HEMMATI | Individual | Dentist (General Practice) | 5815 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 721-1212 | Non-Participating Provider | NO |
| 1013936384 | SHAN-O LEE | Individual | Dentist (General Practice) | 936 S ALVARADO ST LOS ANGELES, CA 90006 (213) 380-1996 | Non-Participating Provider | NO |
| 1639833544 | JAEMIN KO | Individual | Dentist | 2155 LYRIC AVE LOS ANGELES, CA 90027 (650) 476-7300 | Non-Participating Provider | NO |
| 1750449997 | BAHRAM HANNANI | Individual | Dentist (General Practice) | 1155 N VERMONT AVE LOS ANGELES, CA 90029 (323) 660-8111 | Non-Participating Provider | NO |
| 1538141098 | MARVIN B CARNOW | Individual | Dentist (General Practice) | 5453 E BEVERLY BLVD LOS ANGELES, CA 90022 (323) 723-8249 | Non-Participating Provider | NO |
| 1972199883 | STEVEN LE | Individual | Dentist (General Practice) | 2805 S SAN PEDRO ST LOS ANGELES, CA 90011 (323) 846-8443 | Non-Participating Provider | NO |
| 1811015019 | STEVE HIROMI KIGAWA | Individual | Dentist | 12802 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 305-8404 | Non-Participating Provider | YES |
| 1992925820 | JEFFREY T MILLER | Individual | Dentist (Periodontics) | 8704 W PICO BLVD LOS ANGELES, CA 90035 (310) 839-8303 | Non-Participating Provider | NO |
| 1528378023 | DANI BENYAMINY | Individual | Dentist | 11860 WILSHIRE BLVD SUITE 301 LOS ANGELES, CA 90025 (310) 910-9950 | Non-Participating Provider | NO |
| 1942328968 | CARY CHARLIN | Individual | Dentist (General Practice) | 11860 WILSHIRE BLVD #302 LOS ANGELES, CA 90025 (310) 478-3511 | Non-Participating Provider | NO |
| 1053595926 | KIM AUSTIN | Individual | Dentist (Periodontics) | 3756 SANTA ROSALIA DR SUITE #500 LOS ANGELES, CA 90008 (323) 294-1170 | Non-Participating Provider | NO |
| 1932504503 | SHAHAB PARSA | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 12420 VENICE BLVD LOS ANGELES, CA 90066 (310) 482-3910 | Non-Participating Provider | NO |
| 1144237322 | LEWIS A. ENSTEDT | Individual | Dentist (General Practice) | 5757 WILSHIRE BLVD SUITE 559 LOS ANGELES, CA 90036 (323) 934-9588 | Non-Participating Provider | NO |
| 1942571682 | PETER REFELA | Individual | Dentist | 10833 LE CONTE AVE CHS 63-048 LOS ANGELES, CA 90095 (310) 825-3795 | Non-Participating Provider | NO |
| 1841411063 | YANG LI | Individual | Dentist (General Practice) | 11901 SANTA MONICA BLVD 203 LOS ANGELES, CA 90025 (310) 575-1577 | Non-Participating Provider | NO |
| 1033522578 | JOANNA CORY ACETO | Individual | Dentist (Pediatric Dentistry) | 925 W 34TH STREET DEN 4315 LOS ANGELES, CA 90089 (973) 865-1574 | Non-Participating Provider | YES |
| 1851784268 | ALEXANDER WOORAM SCOTT SHIN LEE | Individual | Dentist (Pediatric Dentistry) | 2010 ZONAL AVE. BLDG. B, #5P77 LOS ANGELES, CA 90033 (215) 834-2709 | Non-Participating Provider | YES |
| 1689725046 | TARANEH FIROUZ NOORVASH | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 11645 WILSHIRE BLVD SUITE 1060 LOS ANGELES, CA 90025 (310) 442-9661 | Non-Participating Provider | NO |
| 1811303274 | MUHANNAD SHEBLI AL SALAYTA | Individual | Dentist | 3701 OVERLAND AVE APT. #220 LOS ANGELES, CA 90034 (512) 769-1776 | Non-Participating Provider | NO |
| 1700899184 | MICHAEL STEWART ZOLA | Individual | Dentist (General Practice) | 1033 GAYLEY AVE SUITE 115 LOS ANGELES, CA 90024 (310) 208-4036 | Non-Participating Provider | NO |
| 1396809240 | WONJUNG JEONG | Individual | Dentist | 936 S ALVARADO ST LOS ANGELES, CA 90006 (213) 380-1996 | Accepts Medicare | YES |
| 1043277551 | DANIELA RODRIGUES PEREIRA DA SILVA | Individual | Dentist (Pediatric Dentistry) | 10833 LECONTE AVE CHS 23-020A LOS ANGELES, CA 90095 (310) 206-5118 | Non-Participating Provider | NO |
| 1386994440 | DAVID A GORDON | Individual | Dentist | 255 S GRAND AVE APT 2108 LOS ANGELES, CA 90012 (720) 495-7650 | Non-Participating Provider | NO |
| 1720549306 | PHILIP YOONG | Individual | Dentist (Pediatric Dentistry) | 925 W 34TH ST LOS ANGELES, CA 90089 (949) 861-1890 | Non-Participating Provider | NO |
| 1962651182 | DONG WON CHOI | Individual | Dentist (General Practice) | 3053 W OLYMPIC BLVD STE 306 LOS ANGELES, CA 90006 (213) 386-6934 | Non-Participating Provider | NO |
| 1942455902 | MANSOUR ZAKHOR | Individual | Dentist (General Practice) | 1700 WESTWOOD BLVD SUITE 2A LOS ANGELES, CA 90024 (310) 666-2386 | Non-Participating Provider | NO |
| 1447367552 | CONSUELO MESINA NOGOY | Individual | Dentist | 1420 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 277-8110 | Non-Participating Provider | NO |
| 1063550242 | SUNG JOON YUN | Individual | Dentist (General Practice) | 1423 E GAGE AVE STE A LOS ANGELES, CA 90001 (323) 983-4000 | Non-Participating Provider | YES |
| 1316544570 | AZZAH WIDATALLA | Individual | Dentist | 5455 WILSHIRE BLVD STE 850 LOS ANGELES, CA 90036 (323) 930-4600 | Non-Participating Provider | NO |
| 1881793503 | SHARON SABET | Individual | Dentist (Endodontics) | 2990 S SEPULVEDA BLVD 304 LOS ANGELES, CA 90064 (310) 575-4143 | Non-Participating Provider | NO |
| 1013471234 | SARA SANADIKI MERHI | Individual | Dentist (Pediatric Dentistry) | 4650 W SUNSET BLVD LOS ANGELES, CA 90027 (323) 660-2450 | Non-Participating Provider | YES |
| 1336216837 | GEORGETTE SPIRO ZOUEIN | Individual | Dentist (General Practice) | 4400 S BROADWAY SUITE 103 LOS ANGELES, CA 90037 (323) 233-9400 | Non-Participating Provider | NO |
| 1710184213 | ANGELA ALEXANDRA AYZIN | Individual | Dentist | 1621 COLORADO BLVD LOS ANGELES, CA 90041 (323) 344-0448 | Non-Participating Provider | YES |
| 1841300209 | STEPHEN DAVID LEVINE | Individual | Dentist | 11645 WILSHIRE BLVD. STE 1001 LOS ANGELES, CA 90025 (310) 208-7769 | Non-Participating Provider | NO |
| 1356489660 | JERRY LANIER | Individual | Dentist | 2215 N VERMONT AVE LOS ANGELES, CA 90027 (323) 203-2564 | Non-Participating Provider | NO |
| 1164881926 | PETER BALACKY | Individual | Dentist (Oral and Maxillofacial Surgery) | 12121 WILSHIRE BLVD STE 1111 LOS ANGELES, CA 90025 (310) 820-9933 | Non-Participating Provider | YES |
| 1649549254 | SEUNGHO CHOI | Individual | Dentist (General Practice) | 3800 WILSHIRE BLVD # 207 LOS ANGELES, CA 90010 (213) 386-6700 | Non-Participating Provider | NO |
| 1366637704 | ROBERT JOHNSON | Individual | Dentist (General Practice) | 3015 CRENSHAW BLVD LOS ANGELES, CA 90016 (323) 731-0801 | Non-Participating Provider | NO |
| 1710360854 | BRIAN JOSEPH FERNANDES | Individual | Dentist | 808 W 58TH ST LOS ANGELES, CA 90037 (323) 541-1600 | Non-Participating Provider | NO |
| 1720242696 | ALAN M FRIEDMAN | Individual | Dentist (General Practice) | 1990 WESTWOOD BLVD SUITE 250 LOS ANGELES, CA 90025 (310) 477-8043 | Non-Participating Provider | NO |
| 1699800920 | ANNABELLE AMADOR | Individual | Dentist (General Practice) | 3932 WILSHIRE BLVD UNIT 100 LOS ANGELES, CA 90010 (213) 386-3336 | Non-Participating Provider | YES |
| 1619518289 | RONALD PHAM | Individual | Dentist (General Practice) | 8880 S BROADWAY LOS ANGELES, CA 90003 (323) 758-6768 | Non-Participating Provider | NO |
| 1083379812 | YU CHUN SHIN | Individual | Dentist | 903 CRENSHAW BLVD STE 303 LOS ANGELES, CA 90019 (323) 930-4800 | Non-Participating Provider | NO |
| 1316476922 | SEAN D MCGIVERN | Individual | Dentist (Pediatric Dentistry) | 2100 W 3RD ST STE 220 LOS ANGELES, CA 90057 (888) 499-9303 | Non-Participating Provider | NO |
| 1760589618 | STEPHEN WEISBERG | Individual | Dentist | 11600 WILSHIRE BLVD STE 520 LOS ANGELES, CA 90025 (310) 444-9900 | Accepts Medicare | YES |
| 1003307976 | IRENE L CHING | Individual | Dentist (Pediatric Dentistry) | 925 W 34TH ST LOS ANGELES, CA 90089 (415) 425-8202 | Non-Participating Provider | NO |
| 1407972433 | ALAN L. FELSENFELD | Individual | Dentist (Oral and Maxillofacial Surgery) | 53-076 UCLA SCHOOL OF DENTISTRY LOS ANGELES, CA 90095 (310) 825-9733 | Maybe Accepts Medicare | YES |
| 1669519369 | KEVIN BARRETT | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD SUITE 802 LOS ANGELES, CA 90049 (310) 820-4952 | Non-Participating Provider | NO |
| 1265543920 | ANDREI SOUCHITSKI | Individual | Dentist (General Practice) | 514 E WASHINGTON BLVD LOS ANGELES, CA 90015 (213) 749-3934 | Non-Participating Provider | YES |
| 1225124944 | HAROUN ROSTAMI | Individual | Dentist (Prosthodontics) | 11980 SAN VICENTE BLVD SUITE 660 LOS ANGELES, CA 90049 (310) 979-8345 | Opted out of Medicare | YES |
| 1083947121 | THERESIA LAKSMANA | Individual | Dentist (Periodontics) | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-2805 | Non-Participating Provider | NO |
| 1205019072 | FERESHTEH YOUSEFZADEH | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 2658 WESTWOOD BLVD LOS ANGELES, CA 90064 (310) 795-1319 | Non-Participating Provider | NO |
| 1194936047 | MICHAEL DAVIDOV | Individual | Dentist | 8250 W 3RD ST SUITE 201 LOS ANGELES, CA 90048 (323) 653-0816 | Non-Participating Provider | NO |
| 1063938751 | DAVID GARFINKEL | Individual | Dentist | 335 N ORANGE GROVE AVE APT 3 LOS ANGELES, CA 90036 (559) 301-4174 | Non-Participating Provider | YES |
| 1982920955 | PERRY RICHARD KLOKKEVOLD | Individual | Dentist (Periodontics) | 100 UCLA MEDICAL PLAZA SUITE #320 LOS ANGELES, CA 90095 (310) 206-6252 | Opted out of Medicare | YES |
| 1114084308 | PETER VON POWER | Individual | Dentist (General Practice) | 2110 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033 (323) 262-1555 | Non-Participating Provider | NO |
| 1659710432 | VICTORIA MOURADIAN | Individual | Dentist (General Practice) | 4905 HOLLYWOOD BLVD LOS ANGELES, CA 90027 (323) 461-9942 | Non-Participating Provider | NO |
| 1922359058 | BONNY HAKIMIRAD | Individual | Dentist | 10636 WILSHIRE BLVD APT 204 LOS ANGELES, CA 90024 (310) 525-0444 | Non-Participating Provider | NO |
| 1295971000 | GARDNER LEONARD BEALE | Individual | Dentist (Pediatric Dentistry) | 8930 S SEPULVEDA BLVD STE 205 LOS ANGELES, CA 90045 (310) 641-9233 | Non-Participating Provider | NO |
| 1134798200 | HANNAH BODNAR | Individual | Dentist | 714 TIVERTON AVE LOS ANGELES, CA 90095 (310) 825-9789 | Non-Participating Provider | NO |
| 1053366195 | MEHRTAJ DABIRI | Individual | Dentist | 2926 CESAR CHAVEZ AVE LOS ANGELES, CA 90033 (323) 266-6789 | Non-Participating Provider | NO |
| 1902432933 | BRALIPISUT ASADAMONGKOL | Individual | Dentist (General Practice) | 5065 HOLLYWOOD BLVD STE 205 LOS ANGELES, CA 90027 (323) 666-9881 | Non-Participating Provider | NO |
| 1760796726 | VAHID TABIBZADEH | Individual | Dentist (Oral and Maxillofacial Surgery) | 10833 LE CONTE AVE ROOM 53-076 CHS LOS ANGELES, CA 90095 (310) 825-3685 | Non-Participating Provider | YES |
| 1316074057 | JAMES YOUNG | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1655 HILLHURST AVE SUITE 203 LOS ANGELES, CA 90027 (323) 663-4610 | Non-Participating Provider | NO |
| 1770210254 | JUN SANG PARK | Individual | Dentist (Periodontics) | 4220 W 3RD ST LOS ANGELES, CA 90020 (209) 518-2095 | Non-Participating Provider | NO |
| 1982279766 | REMEDIOS RIVERA MARAVILLA | Individual | Dentist (General Practice) | 3450 WILSHIRE BLVD. STE. 410 LOS ANGELES, CA 90010 (213) 388-2466 | Non-Participating Provider | NO |
| 1215000492 | LISA B. KEDERIAN | Individual | Dentist (General Practice) | 11500 W OLYMPIC BLVD STE 326 LOS ANGELES, CA 90064 (424) 901-0701 | Non-Participating Provider | NO |
| 1750594636 | JON B MARASHI | Individual | Dentist (General Practice) | 11777 SAN VICENTE BLVD STE 521 LOS ANGELES, CA 90049 (310) 820-0300 | Non-Participating Provider | NO |
| 1932332087 | RAFFIE SARIAN | Individual | Dentist | 5534 YORK BLVD LOS ANGELES, CA 90042 (323) 344-0444 | Non-Participating Provider | NO |
| 1558351502 | XIAOPANG CAI | Individual | Dentist | 733 NEW HIGH SUITE A LOS ANGELES, CA 90012 (213) 680-2808 | Non-Participating Provider | YES |
| 1861166803 | SEDONNI SIMONE WILSON | Individual | Dentist | 1500 S OLIVE ST LOS ANGELES, CA 90015 (213) 747-5542 | Non-Participating Provider | YES |
| 1457541534 | WILLIAM EUGENE FAULKNER | Individual | Dentist (General Practice) | 5870 CRENSHAW BLVD STE 512 LOS ANGELES, CA 90043 (323) 292-0231 | Non-Participating Provider | YES |
| 1013212919 | EVLYNE HERSEL | Individual | Dentist | 1627 CAMDEN AVE APT #305 LOS ANGELES, CA 90025 (310) 429-8043 | Non-Participating Provider | YES |
| 1386784999 | FRANCISCO ILEM JR | Individual | Dentist (General Practice) | 1253 VINE ST SUITE 18 LOS ANGELES, CA 90038 (323) 464-0489 | Non-Participating Provider | NO |
| 1710432521 | CHRISTOPHER EVAN SPEARS | Individual | Dentist (General Practice) | 3729 WESTWOOD BLVD APT 16 LOS ANGELES, CA 90034 (404) 376-3604 | Non-Participating Provider | NO |
| 1043699754 | ARACELI STOUT | Individual | Dentist | 4762 WHITTIER BLVD LOS ANGELES, CA 90022 (951) 496-5637 | Non-Participating Provider | YES |
| 1740895150 | CHANTELLE AABEDI | Individual | Dentist | 2711 CASIANO RD LOS ANGELES, CA 90077 (310) 228-7048 | Non-Participating Provider | NO |
| 1104961135 | DALIA NOSRATI | Individual | Dentist (General Practice) | 6221 WILSHIRE BLVD 307 LOS ANGELES, CA 90048 (323) 931-9161 | Non-Participating Provider | NO |
| 1477046944 | CARLY MARTIN | Individual | Dentist (General Practice) | 5670 WILSHIRE BLVD STE 1700 LOS ANGELES, CA 90036 (310) 529-1127 | Non-Participating Provider | NO |
| 1982733200 | CATHERINE LI | Individual | Dentist (General Practice) | 1619 GLENDALE BLVD LOS ANGELES, CA 90026 (213) 484-9416 | Non-Participating Provider | NO |
| 1346380029 | LEITH K. SHAWAF | Individual | Dentist (General Practice) | 11859 WILSHIRE BLVD STE 555 LOS ANGELES, CA 90025 (310) 477-8235 | Non-Participating Provider | NO |
| 1548309693 | GLORIA DAYOAN VALDE | Individual | Dentist | 1415 ONE AND A HALF N VERMONT AVE LOS ANGELES, CA 90027 (323) 913-4420 | Non-Participating Provider | NO |
| 1942791207 | DORA GUEVARA | Individual | Dentist (General Practice) | 1115 COLORADO BLVD LOS ANGELES, CA 90041 (323) 255-6931 | Non-Participating Provider | NO |
| 1922253095 | NEDA YERMIAN | Individual | Dentist | 500 N ROBINWOOD DR LOS ANGELES, CA 90049 (310) 666-6469 | Non-Participating Provider | NO |
| 1477875458 | RYAN CHRISTOPHER WALLACE | Individual | Dentist (Prosthodontics) | 420 E 3RD ST STE 1008 LOS ANGELES, CA 90013 (213) 625-7141 | Non-Participating Provider | NO |
| 1023114436 | ALEXEI BUZNIKOV | Individual | Dentist (General Practice) | 11600 WILSHIRE BLVD STE 10 LOS ANGELES, CA 90025 (310) 415-1649 | Non-Participating Provider | NO |
| 1275035701 | EUGEN KIM | Individual | Dentist | 2032 MARENGO ST LOS ANGELES, CA 90033 (213) 989-7700 | Non-Participating Provider | NO |
| 1073835385 | CHING HSIU KETTY CHIU | Individual | Dentist (Periodontics) | 925 W 34TH ST LOS ANGELES, CA 90089 (213) 740-1545 | Non-Participating Provider | NO |
| 1912154923 | KATIA BEHROOZ AGHDAM | Individual | Dentist | 1817 FEDERAL AVE #7 LOS ANGELES, CA 90025 (714) 571-3682 | Non-Participating Provider | NO |
| 1659564052 | BENNY NABIZADEH | Individual | Dentist | 11607 W WASHINGTON BLVD LOS ANGELES, CA 90066 (310) 927-7658 | Accepts Medicare | YES |
| 1689886624 | THOMAS S TANBONLIONG | Individual | Dentist (Pediatric Dentistry) | 411 N LARCHMONT BLVD LOS ANGELES, CA 90004 (323) 304-5763 | Non-Participating Provider | YES |
| 1265630065 | EDWARD C TERZIAN | Individual | Dentist (Oral and Maxillofacial Surgery) | 5162 WHITTIER BLVD LOS ANGELES, CA 90022 (310) 779-9418 | Non-Participating Provider | NO |
| 1114057114 | MARYAM TALAIE | Individual | Dentist | 2570 WESTRIDGE RD LOS ANGELES, CA 90049 (310) 968-6645 | Non-Participating Provider | YES |
| 1073027991 | BRANDON DAVIS | Individual | Dentist | 767 N HILL ST STE 213 LOS ANGELES, CA 90012 (213) 808-1790 | Non-Participating Provider | YES |
| 1740720648 | ALI SALEHPOUR | Individual | Dentist | UCLA ORAL & MAXILLOFACIAL SURGERY 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-0834 | Non-Participating Provider | YES |
| 1770757247 | IAN COREY GIBBS | Individual | Dentist (Oral and Maxillofacial Surgery) | 1510 S BARRINGTON AVE APT 201 LOS ANGELES, CA 90025 (215) 917-6708 | Non-Participating Provider | NO |
| 1447458807 | ALINA KRIVITSKY | Individual | Dentist | 1717 STONER AVE APT 111 LOS ANGELES, CA 90025 (310) 801-7678 | Non-Participating Provider | YES |
| 1063629897 | LYZA O RUIZ DE LUZURIAGA | Individual | Dentist (General Practice) | 4128 VERDUGO RD LOS ANGELES, CA 90065 (323) 256-1225 | Non-Participating Provider | NO |
| 1285765669 | ANNARUTH PEREZ | Individual | Dentist (General Practice) | 2161 W 6TH ST LOS ANGELES, CA 90057 (213) 483-8222 | Non-Participating Provider | NO |
| 1558775718 | OZ SIMEL | Individual | Dentist (Oral and Maxillofacial Surgery) | 10833 LE CONTE AVE RM 53-076 CHS LOS ANGELES, CA 90095 (310) 825-3241 | Non-Participating Provider | NO |
| 1548414584 | ROSEANN MULLIGAN | Individual | Dentist | 925 W 34TH ST # 151 LOS ANGELES, CA 90089 (213) 740-7405 | Non-Participating Provider | NO |
| 1669834404 | ANDIS ALMASI | Individual | Dentist (Pediatric Dentistry) | 8930 S SEPULVEDA BLVD LOS ANGELES, CA 90045 (212) 998-9800 | Non-Participating Provider | NO |
| 1871714220 | MICHAEL VOURAKIS | Individual | Dentist (General Practice) | 11980 SAN VICENTE BLVD SUITE 606 LOS ANGELES, CA 90049 (310) 207-7400 | Non-Participating Provider | NO |
| 1043365943 | FARHANG REZAPOUR | Individual | Dentist | 5828 SANTA MONICA BLVD LOS ANGELES, CA 90038 (323) 871-9191 | Non-Participating Provider | YES |
| 1790963890 | CELIA PONCE OCTOMAN | Individual | Dentist (General Practice) | 2023 BEVERLY BLVD LOS ANGELES, CA 90057 (213) 353-9930 | Non-Participating Provider | YES |
| 1609097757 | OLGA MIKHASKO | Individual | Dentist (General Practice) | 5449 HOLLYWOOD BLVD., SUITE C LOS ANGELES, CA 90027 (323) 463-1760 | Non-Participating Provider | NO |
| 1528155819 | JOHNNY K KIM | Individual | Dentist (General Practice) | 906 N VERMONT AVE LOS ANGELES, CA 90029 (323) 617-4180 | Non-Participating Provider | YES |
| 1659346641 | JOHN S LAMSAM | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 3875 WILSHIRE BLVD SUITE 1001 LOS ANGELES, CA 90010 (213) 385-1725 | Non-Participating Provider | NO |
| 1629330980 | JENNIFER LYNN EGLI | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 3100 SAWTELLE BLVD APT 301 LOS ANGELES, CA 90066 (310) 482-0203 | Non-Participating Provider | NO |
| 1295819464 | SAM NIRUYI | Individual | Dentist | 808 W 58TH ST LOS ANGELES, CA 90037 (323) 541-1600 | Non-Participating Provider | YES |
| 1134205370 | GILBERT GILVNG RI | Individual | Dentist | 954 VINE STREET LOS ANGELES, CA 90038 (323) 465-2828 | Non-Participating Provider | NO |
| 1336712777 | AFSANEH FALLAHTAFTI | Individual | Dentist | 936 S OLIVE ST APT 641 LOS ANGELES, CA 90015 (949) 423-5354 | Non-Participating Provider | NO |
| 1851436026 | AFSANEH MALAEKEH | Individual | Dentist (General Practice) | 1950 SAWTELLE BLVD #100 LOS ANGELES, CA 90025 (310) 312-0882 | Non-Participating Provider | NO |
| 1982048971 | CHELSEA PINTO | Individual | Dentist | 4123 CHASE AVE LOS ANGELES, CA 90066 (317) 440-5940 | Non-Participating Provider | NO |
| 1467628750 | AMIR H GHAZINOOR | Individual | Dentist | 2362 WESTWOOD BLVD LOS ANGELES, CA 90064 (310) 475-3301 | Non-Participating Provider | NO |
| 1760822266 | JENNIFER EVA HADDAD | Individual | Dentist (General Practice) | 1950 SAWTELLE BLVD STE 100 LOS ANGELES, CA 90025 (310) 312-0882 | Non-Participating Provider | NO |
| 1255834560 | KRISTI AGARI | Individual | Dentist | 1200 N STATE ST. CLINIC TOWER, SUITE A7D LOS ANGELES, CA 90033 (323) 409-2345 | Non-Participating Provider | YES |
| 1821203282 | DONG M KIM | Individual | Dentist | 1055 S ALVARADO ST LOS ANGELES, CA 90006 (213) 382-8980 | Accepts Medicare | YES |
| 1285026492 | HASSAN HAIDAR | Individual | Dentist (Oral and Maxillofacial Surgery) | 1100 N STATE ST CT-A7D LOS ANGELES, CA 90033 (323) 409-6931 | Non-Participating Provider | YES |
| 1831390798 | PHILIP I CHIN | Individual | Dentist | 913 W COLLEGE ST LOS ANGELES, CA 90012 (805) 453-5966 | Non-Participating Provider | NO |
| 1508298761 | MARGARITA ARLEEN ANGULO | Individual | Dentist | 1530 S OLIVE ST LOS ANGELES, CA 90015 (213) 747-5542 | Non-Participating Provider | NO |
| 1780777243 | DAVID POWELL | Individual | Dentist (Pediatric Dentistry) | 4650 SUNSET LOS ANGELES, CA 90027 (323) 669-2130 | Non-Participating Provider | NO |
| 1356566889 | JAMES M. ROBBINS | Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD STE 752 LOS ANGELES, CA 90025 (310) 826-0814 | Non-Participating Provider | NO |
| 1184056970 | RASHI MUTHAL | Individual | Dentist | 123 S FIGUEROA ST APT #1735 LOS ANGELES, CA 90012 (888) 856-0124 | Non-Participating Provider | NO |
| 1609281443 | VIVIAN YEE | Individual | Dentist (Pediatric Dentistry) | 4650 W SUNSET BLVD MS #116 LOS ANGELES, CA 90027 (323) 660-2450 | Non-Participating Provider | YES |
| 1538368071 | WALTER JAMES SHAW | Individual | Dentist (General Practice) | 5220 W WASHINGTON BLVD 103 LOS ANGELES, CA 90016 (323) 933-5641 | Non-Participating Provider | NO |
| 1477602597 | INGRID ELIANE FIRMAN | Individual | Dentist | 309 S VERMONT AVE LOS ANGELES, CA 90020 (213) 387-4386 | Non-Participating Provider | YES |
| 1013249580 | DALIA BEKHIT | Individual | Dentist | 10801 VENICE BLVD LOS ANGELES, CA 90034 (310) 836-3476 | Non-Participating Provider | NO |
| 1497853725 | AMIT KALRA | Individual | Dentist (General Practice) | 1435 S VERMONT AVE STE 101 LOS ANGELES, CA 90006 (213) 739-3096 | Non-Participating Provider | NO |
| 1023118072 | RANDALL EUGENE NIEDERKOHR | Individual | Dentist (Pediatric Dentistry) | 321 N LARCHMONT BLVD STE 809 LOS ANGELES, CA 90004 (323) 463-8322 | Non-Participating Provider | NO |
| 1245448661 | INESSA VOZNYUK | Individual | Dentist (General Practice) | 130 S ALVARADO ST LOS ANGELES, CA 90057 (213) 484-9660 | Non-Participating Provider | NO |
| 1689703407 | EDUARD M. GUTGARTS | Individual | Dentist (General Practice) | 1510 N POINSETTIA PL LOS ANGELES, CA 90046 (323) 851-7140 | Non-Participating Provider | YES |
| 1942781224 | ARSHPREET K SIDHU | Individual | Dentist (General Practice) | 906 S SOTO ST LOS ANGELES, CA 90023 (657) 236-0483 | Non-Participating Provider | NO |
| 1063620383 | SAMUEL GEGAMIAN | Individual | Dentist (Endodontics) | 336 1/2 N MARIPOSA AVE LOS ANGELES, CA 90004 (818) 276-5603 | Non-Participating Provider | NO |
| 1144635244 | SEPEHR HARIRI | Individual | Dentist (Pediatric Dentistry) | 1725 W 6TH ST LOS ANGELES, CA 90017 (818) 300-4764 | Non-Participating Provider | NO |
| 1588756084 | ROBERT S NISHIKAWA | Individual | Dentist (General Practice) | 9911 W PICO BLVD SUITE 1020 LOS ANGELES, CA 90035 (310) 553-7643 | Non-Participating Provider | NO |
| 1871072736 | MARIANA DE ABREU PEREIRA | Individual | Dentist (General Practice) | 8880 S BROADWAY LOS ANGELES, CA 90003 (323) 758-6768 | Non-Participating Provider | NO |
| 1104031277 | MARLON A. ZAMBONI | Individual | Dentist (General Practice) | 2105 BEVERLY BLVD STE 119 LOS ANGELES, CA 90057 (213) 413-3332 | Non-Participating Provider | NO |
| 1902193774 | SEPAND GHANOUNI | Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 9055 ALCOTT ST #5 LOS ANGELES, CA 90035 (347) 901-2685 | Non-Participating Provider | YES |
| 1457988602 | CARLYNN MEREDITH CHAPPELL | Individual | Dentist (Pediatric Dentistry) | 714 TIVERTON AVE LOS ANGELES, CA 90095 (760) 710-1531 | Non-Participating Provider | NO |
| 1679704621 | DAVID HAKHAM | Individual | Dentist | 6451 WHITTIER BLVD LOS ANGELES, CA 90022 (323) 728-0241 | Non-Participating Provider |