ANATOLY VAISMAN D.D.S. INC NPI 1235371600

NPI Information

  • NPI: 1235371600
  • Provider Name: ANATOLY VAISMAN D.D.S., INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 11273 LAUREL CANYON BLVD STE 3
    SAN FERNANDO, CA
    ZIP 91340
  • Phone: (818) 365-7191

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NPI Details

ANATOLY VAISMAN D.D.S., INC is a general practice dentist in San Fernando, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ANATOLY VAISMAN D.D.S., INC NPI is 1235371600. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11273 LAUREL CANYON BLVD STE 3
SAN FERNANDO, CA
ZIP 91340-358
Phone: (818) 365-7191
Fax: (818) 361-7641

The provider's authorized official is Maria Carlos .
The authorized official title is Office Manage and has the following contact phone number (818) 365-7191.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice43259CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G93630-01MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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