MEDICARE: EKATERINA N. GALINA, DDS,PROFESSIONAL DENTAL CORPORATION

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

General Provider Information

NPI Number	:	1881894590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EKATERINA N. GALINA, DDS,PROFESSIONAL DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	7109 1/2 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-4411
Country	:	US
Telephone Number	:	323-850-7007
Fax Number	:	323-850-8008

Provider Business Practice Location Address
First Line	:	7109 1/2 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-4411
Country	:	US
Telephone Number	:	323-850-7007
Fax Number	:	323-850-8008

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MS. LANA TSOFNAS
Credential	:
Telephone Number	:	323-850-7007

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	03/11/2025

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