Dr. Larissa Gushansky is a South Gate, California based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Larissa Gushansky is
36156 for Dentistry in California. Her current practice location is
3175 Firestone Blvd # 200, South Gate. Patients can reach her at
323-563-9124.
Dr. Larissa Gushansky is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Larissa Gushansky speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Larissa Gushansky |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3175 Firestone Blvd # 200, South Gate,
California, 90280-2951 |
| Phone: | 323-563-9124 |
| Fax: | 323-563-9814 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548478399 |
| NPI Enumeration Date: | 17 May, 2007 |
| NPI Last Update On: | 30 Nov, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larissa Gushansky are as mentioned below.
| License Number | Specialization | State | Status | |
| 36156 | Dentistry | California | Primary | |
| 36156 | General Practice Dentistry | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Larissa Gushansky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B36156-01 | Medicaid | California | |
| B36156-02 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 211 Glenroy Pl,
Los Angeles, California |
| Zip: | 90049-2419 |
| Phone Number: | 310-951-9500 |
| Fax Number: | 310-988-2957 |
Patients can reach Dr. Larissa Gushansky at
3175 Firestone Blvd # 200, South Gate, California or can
call to book an appointment on 323-563-9124.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.