Vanida Wangwongvivat is a North Hollywood, California based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Vanida Wangwongvivat is 40903 for Dentistry in California. Her current practice location is 12724 Sherman Way, North Hollywood. Patients can reach her at 818-765-8280.
Vanida Wangwongvivat 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:
Vanida Wangwongvivat 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:
Vanida Wangwongvivat
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
12724 Sherman Way, North Hollywood, California, 91605-5031
Phone:
818-765-8280
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:
1174540868
NPI Enumeration Date:
17 Jul, 2006
NPI Last Update On:
28 Oct, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vanida Wangwongvivat are as mentioned below.
License Number
Specialization
State
Status
40903
Dentistry
California
Primary
07752
Dentistry
Iowa
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Vanida Wangwongvivat such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
B40903
Other
California
DENTICAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12724 Sherman Way, North Hollywood, California
Zip:
91605-5031
Phone Number:
818-765-8280
Patients can reach Vanida Wangwongvivat at 12724 Sherman Way, North Hollywood, California or can call to book an appointment on 818-765-8280. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.