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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.