LARISSA GUSHANSKY, DDS INC. NPI 1003000928
Dentist in Pomona, CA
About LARISSA GUSHANSKY, DDS INC.
Larissa Gushansky, Dds Inc. is a provider in Pomona, CA. The NPI number assigned to this provider is 1003000928. The practitioner's primary taxonomy code is Dentist (122300000X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Larissa Gushansky, Dds Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
Business Address
LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST
SUITE B
POMONA, CA
ZIP 91766
Phone: (909) 865-8595
Map Location
Mailing Address
LARISSA GUSHANSKY, DDS INC.
887 E 2ND ST
SUITE B
POMONA, CA
ZIP 91766
Phone: (909) 865-8595
Primary Taxonomy
| Taxonomy Code | 122300000X   Primary Taxonomy CodeThe primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code. |
| Classification | Dentist |
| Type | Dental Providers |
| License No. | 36156 |
| License State | CA |
| Taxonomy Description | 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. |
Authorized Official
| Authorized Official Name | DR. LARISSA GUSHANSKY Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider. |
| Authorized Official Title | PRESIDENT |
| Authorized Official Phone | (323) 563-9124 |
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| B36156-02 | OTHER (01) | CA |
Other Providers at the same location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073594131 | DR. SUSAN MACKINTOSH D.O. Individual | Family Medicine | 887 E 2ND ST SUITE C POMONA, CA 91766 (909) 865-2565 |
| 1336166180 | MEHUL SHAILESH SONAWALA M.D. Individual | Internal Medicine | 887 E 2ND ST POMONA, CA 91766 (909) 620-7769 |
| 1760860894 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CA Organization | Non-Pharmacy Dispensing Site | 887 E 2ND ST POMONA, CA 91766 (909) 620-7769 |
| 1982750287 | DR. ASHEESH PASI MD Individual | Family Medicine | 887 E 2ND ST POMONA, CA 91766 (909) 467-0797 |
| 1992185847 | MRS. NANCY ANN RAMIREZ NP-C Individual | Nurse Practitioner (Family) | 887 E 2ND ST POMONA, CA 91766 (888) 562-5442 |