MEDICARE: DR. HENGEMEH ANARAKI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	39365	CA

General Provider Information

NPI Number	:	1356390520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENGEMEH ANARAKI DDS

Provider Business Mailing Address
First Line	:	3875 WILSHIRE BLVD
Second Line	:	SUITE 901
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3205
Country	:	US
Telephone Number	:	310-855-2923
Fax Number	:

Provider Business Practice Location Address
First Line	:	3875 WILSHIRE BLVD
Second Line	:	SUITE 901
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3205
Country	:	US
Telephone Number	:	310-855-2923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	11/19/2007

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