Active NPI
Yigal Prilutsky, D.M.D., Inc.
- Dental Clinic/Center
- Los Angeles, CA
National Provider Identifier
1457532459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- YIGAL PRILUTSKY, D.M.D., INC.
- Practice address
- 8515 Venice Blvd
Los Angeles, CA 90034-2548 - Phone
- (310) 839-3900
- Fax
- (310) 839-3332
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yigal Prilutsky, D.M.D.
- Title
- President
- Phone
- (818) 929-9572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
8515 Venice Blvd
Los Angeles, CA 90034-2548
Mailing address
8515 Venice Blvd
Los Angeles, CA 90034-2548
Phone (310) 839-3900
Other names 1
- Beverlywood Dental
National Provider Directory
National Provider DirectoryLocations
8515 Venice Blvd
Los Angeles, CA 90034
Phone (310) 839-3900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393545600000",
"number": "1457532459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342548",
"telephone_number": "310-839-3900",
"fax_number": "310-839-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342548",
"telephone_number": "310-839-3900",
"fax_number": "310-839-3332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YIGAL PRILUTSKY, D.M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2014-02-28",
"status": "A",
"authorized_official_last_name": "PRILUTSKY",
"authorized_official_first_name": "YIGAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-929-9572",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beverlywood Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.