Michael Tasic DDS a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27932 Issued in CA

Legal business name

MICHAEL TASIC DDS A PROFESSIONAL CORPORATION

Practice address

8781 Van Nuys Blvd
Panorama City, CA 91402-2401

Phone

(818) 672-8289

NPI assigned

Jan 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Tasic, DDS

Title

President

Phone

(818) 624-4326

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1265617765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "818-624-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-672-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL TASIC DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "TASIC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-624-4326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "27932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Commprehensive Community
• Nkechi Patricia Meremikwu
• Kathleen Elizabeth Metcalf, MD
• Robert Y Meyerson, MD
• MG Care and Bonding LLC
• Reyadh J Michail, M.D
• Mikhail Sergey Mikhaylyants, OPTICIAN
• Emily Miles, MA
• Michael Angelo Millan, NP
• Geena Marie Miller, LVN

• Dental Clinic/Center in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.