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ANATOLY VAISMAN D.D.S., INC
NPI 1235371600
Dentist - General Practice in San Fernando, CA

Active since April 01, 2009
11273 LAUREL CANYON BLVD STE 3, SAN FERNANDO, CA 91340(818) 365-7191(818) 361-7641 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anatoly Vaisman D.d.s., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANATOLY VAISMAN D.D.S., INC (NPI 1235371600) is a healthcare organization registered as a general practice in San Fernando, California and active in the NPI registry since April 2009. The organization lists Maria Carlos, Office Manage, as its authorized official.

NPPES Registry Identity

NPI1235371600
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANATOLY VAISMAN D.D.S., INC
Location Address11273 LAUREL CANYON BLVD STE 3San Fernando, CA 91340-4358
Mailing Address11273 Laurel Canyon Blvd Ste 3San Fernando, CA 91340-4358 · (818) 365-7191 · Fax (818) 361-7641
Phone(818) 365-7191
Fax(818) 361-7641
Organization SubpartYesParent: Anatoly Vaisman D.d., Inc
Authorized OfficialMaria CarlosOffice Manage · (818) 365-7191
Enumeration DateApril 1, 2009
✔ NPI 1235371600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43259
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11273 LAUREL CANYON BLVD STE 3, San Fernando, CA 91340
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Other Identifiers 1

MedicaidG93630-01CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anatoly Vaisman D.D.S., Inc's NPI number?

The NPI number for Anatoly Vaisman D.D.S., Inc is 1235371600. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Anatoly Vaisman D.D.S., Inc located?

Anatoly Vaisman D.D.S., Inc is located at 11273 Laurel Canyon Blvd Ste 3, San Fernando, CA 91340. The listed phone number is (818) 365-7191.

What is Anatoly Vaisman D.D.S., Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Anatoly Vaisman D.D.S., Inc was last updated on April 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.