Andrei Souchitski D.D.S, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

43249 Issued in CA

Legal business name

ANDREI SOUCHITSKI D.D.S, INC.

Doing business as

Mc Arthur Park Dental Office

Practice address

2007 Wilshire Blvd
Los Angeles, CA 90057-3506

Phone

(213) 928-7297

Fax

(310) 274-6067

NPI assigned

Feb 26, 2015

Last updated

Nov 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrei Souchitski, D.D.S

Title

Owner

Phone

(213) 858-4007

Specialties & licenses 1

Addresses

Other names 1

• Mc Arthur Park Dental Office Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irena Starchenko, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1104433796
  NPD

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1417349556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 WILSHIRE BLVD.",
            "address_2": "SUITE 525",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-858-4007",
            "fax_number": "213-858-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573506",
            "telephone_number": "213-928-7297",
            "fax_number": "310-274-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREI SOUCHITSKI D.D.S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "SOUCHITSKI",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-858-4007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mc Arthur Park Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Penagos
• Gabriella Andreasian, CCC-SLP
• Renee Marcel Andreassen, MSW ACSW
• Andree Leroy MD PC
• Benjamin Andreesen
• Andres Almora DDS Inc
• Andres Zalamea Chiropractic, Professional Corporation
• Chadwin Andres
• Kayla Ina Garcia Andres, AMFT
• Mary Andres, PSY.D.

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.