MEDICARE: LIANNA DAMARGI, 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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1700740453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIANNA DAMARGI, DDS

Provider Business Mailing Address
First Line	:	2650 GRIFFITH PARK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2520
Country	:	US
Telephone Number	:	323-660-5522
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 GRIFFITH PARK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2520
Country	:	US
Telephone Number	:	323-660-5522
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	LIANNA DAMARGI
Credential	:	DDS
Telephone Number	:	323-660-5522

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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