MEDICARE: DR. DAVID SALEHANI D.D.S., M.D.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	A91274	CA
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	048774-1	NY

General Provider Information

NPI Number	:	1760448351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SALEHANI D.D.S., M.D.

Provider Business Mailing Address
First Line	:	9201 W SUNSET BLVD
Second Line	:	SUITE 502
City	:	LOS ANGELES
State	:	CA
Zip	:	90069-3701
Country	:	US
Telephone Number	:	310-275-3635
Fax Number	:	310-275-3646

Provider Business Practice Location Address
First Line	:	9201 W SUNSET BLVD
Second Line	:	SUITE 502
City	:	LOS ANGELES
State	:	CA
Zip	:	90069-3701
Country	:	US
Telephone Number	:	310-275-3635
Fax Number	:	310-275-3646

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

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	12/30/2010

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Directions to “ DR. DAVID SALEHANI D.D.S., M.D.” Practice Location

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