DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. EMILIIA MGDVELADZE DDS

MEDICARE: DR. EMILIIA MGDVELADZE 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
11223G0001XGeneral Practice Dentistry108568CA

General Provider Information

NPI Number : 1922705029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILIIA MGDVELADZE DDS
Provider Business Mailing Address
First Line : 5710 W 83RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-4301
Country : US
Telephone Number : 424-216-0718
Fax Number :
Provider Business Practice Location Address
First Line : 1440 W MANCHESTER AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-5422
Country : US
Telephone Number : 323-826-5542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2023
Last Update Date : 05/26/2026

Similar Medicare Providers

1831285170 — DR. SAGHI SHAYAN RAZI DDS, MS
Practice Location Address:
1440 W MANCHESTER AVE
LOS ANGELES, CA
90047-5422
Practice Phone: 323-753-1141
Practice Fax:
1831285154 — DR. CHARLES JOSEPH BANASKY DDS
Practice Location Address:
1440 W MANCHESTER AVE
LOS ANGELES, CA
90047-5422
Practice Phone: 323-753-1141
Practice Fax:
1760579130 — DR. CHU ZHANG DDS
Practice Location Address:
1440 W MANCHESTER AVE
LOS ANGELES, CA
90047-5422
Practice Phone: 323-753-1141
Practice Fax:
1720158124 — COMMUNITY DENTAL SERVICES
Practice Location Address:
1440 W MANCHESTER AVE
LOS ANGELES, CA
90047-5422
Practice Phone: 323-753-1141
Practice Fax: 323-753-3046
1528544814 — B. DEIRMENJIAN, DDS, INC
Practice Location Address:
1440 W MANCHESTER AVE
LOS ANGELES, CA
90047-5422
Practice Phone: 323-753-1141
Practice Fax:
1376365098 — B. DEIRMENJIAN, D.D.S., INC.
Practice Location Address:
1450 W MANCHESTER AVE
LOS ANGELES, CA
90047-5422
Practice Phone: 760-241-3336
Practice Fax:

Directions to “ DR. EMILIIA MGDVELADZE DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.