GLENDALE SURGICAL ASSOCIATES LP NPI 1497003685

NPI Information

  • NPI: 1497003685
  • Provider Name: GLENDALE SURGICAL ASSOCIATES, LP
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: PACIFIC COAST OMS
  • Address: 11550 INDIAN HILLS RD STE 270
    MISSION HILLS, CA
    ZIP 91345
  • Phone: (818) 365-5636

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NPI Details

GLENDALE SURGICAL ASSOCIATES, LP is an oral and maxillofacial surgery dentist in Mission Hills, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GLENDALE SURGICAL ASSOCIATES, LP NPI is 1497003685. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pacific Coast Oms.

The provider's business location address is:

11550 INDIAN HILLS RD STE 270
MISSION HILLS, CA
ZIP 91345-244
Phone: (818) 365-5636
Fax: (818) 365-5639

The provider's authorized official is Dianne Lafaurie .
The authorized official title is Office Manager and has the following contact phone number (818) 241-4217.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 8/21/2012.

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
11223S0112XDentistOral and Maxillofacial Surgery21413CALIFORNIANo
21223S0112XDentistOral and Maxillofacial SurgeryOMS71CALIFORNIANo
31223S0112XDentistOral and Maxillofacial Surgery37945CALIFORNIANo
41223S0112XDentistOral and Maxillofacial SurgeryOMS94CALIFORNIAYes

What is NPI?

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

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