Los Angeles

Transcription

Los Angeles

State of California
DHMO Provider Directory
Provider Directory
TABLE OF CONTENTS
COUNTY
PAGE
ALAMEDA ............................................................1
BELL ...................................................................2
BUTTE .................................................................3
CONTRA COSTA ...................................................3
EL DORADO .........................................................4
FRESNO ...............................................................5
IMPERIAL .............................................................7
KERN ...................................................................8
KINGS ................................................................11
LOS ANGELES ....................................................11
MADERA ............................................................42
MERCED ............................................................43
MONTEREY ........................................................43
NAPA.................................................................45
NEVADA.............................................................45
ORANGE ............................................................45
PLACER .............................................................55
RIVERSIDE .........................................................55
SACRAMENTO ....................................................63
SAN BERNARDINO ..............................................68
SAN DIEGO ........................................................75
SAN FRANCISCO ................................................82
SAN JOAQUIN ....................................................83
SAN LUIS OBISPO ..............................................84
SAN MATEO .......................................................84
SANTA BARBARA ...............................................85
SANTA CLARA ...................................................85
SANTA CRUZ......................................................87
COUNTY
PAGE
SHASTA .............................................................87
SOLANO.............................................................88
SONOMA ............................................................89
STANISLAUS ......................................................89
SUTTER .............................................................90
TULARE .............................................................90
VENTURA ...........................................................91
YOLO .................................................................95
LANGUAGE CODES .............................................96
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Provider Directory
Alameda
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
DR YU'S FAMILY DENTAL CARE, INC
10497
168781
CHAN
STEVEN
10497
115760
DAVE
NACHIKET
3031 TELEGRAPH AVE NO. 136A
BERKELEY
(510) 845-2240
5, 6
BERKELEY
(510) 845-2240
10497
38633
YU
GUOLIN
5, 6
BERKELEY
(510) 845-2240
5, 6
HILLCREST DENTAL
148901
154825
VO
GIANG
7042 DUBLIN BLVD
DUBLIN
(925) 828-6684
5, 6, 30
SMILECARE DENTAL GROUP # 46
15084
113961
BERGER
IVAN
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15084
128652
DORLIKAR
UJJWALA
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15084
129320
GARLAPATI
VASAVI
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
BROOKVALE FAMILY DENTISTRY
15650
120423
HA
PHUONG
39236 ARGONAUT WAY
FREMONT
(510) 739-0701
6, 26, 27
15084
166057
KHOURY
SAM
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15084
165713
KIM
HOUN
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15650
125280
LA
JANET
39236 ARGONAUT WAY
FREMONT
(510) 739-0701
6, 26, 27
AMERICAN DENTAL GROUP
124880
120063
LAI
MICHAEL
39624 MISSION BLVD
FREMONT
(510) 744-1177
4, 6, 16
15084
155547
MAHMOUDI
AZARMIDOKHT
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15650
38565
MOFTAKHAR
FARSHAD
39236 ARGONAUT WAY
FREMONT
(510) 739-0701
6, 26, 27
15084
158455
NGUYEN
HUY
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15084
177102
SHAH
EKTA
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15084
177768
SHIVANNA
SOUMYA
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
15650
129128
TRAC
TRINH
39236 ARGONAUT WAY
FREMONT
(510) 739-0701
6, 26, 27
15084
120137
VUPPALA
LINGA
36416 FREMONT BLVD
FREMONT
(510) 739-3889
6
AMERICAN DENTAL GROUP
124880
127799
YI
KAIN
39624 MISSION BLVD
FREMONT
(510) 744-1177
4, 6, 16
THE DENTAL HEALTH CENTER
157221
106310
ANSARI
MOHSEN
660 W WINTON AVE
HAYWARD
(510) 783-0501
7, 18, 26
SMILECARE DENTAL GROUP #41
13283
113961
BERGER
IVAN
22421 HESPERIAN BLVD
HAYWARD
(510) 782-4161
6, 7, 26, 30
13283
113083
CHANNEGOWDA
PAVITHRA
HAYWARD
(510) 782-4161
6, 7, 26, 30
13283
116417
HUYNH
LOC
HAYWARD
(510) 782-4161
6, 7, 26, 30
13283
166057
KHOURY
SAM
HAYWARD
(510) 782-4161
6, 7, 26, 30
13283
165713
KIM
HOUN
HAYWARD
(510) 782-4161
6, 7, 26, 30
157221
120978
LOTFI
POUYAN
660 W WINTON AVE
HAYWARD
(510) 783-0501
7, 18, 26
13283
121925
MALEK
PEDRAM
HAYWARD
(510) 782-4161
6, 7, 26, 30
157221
121925
MALEK
PEDRAM
660 W WINTON AVE
HAYWARD
(510) 783-0501
7, 18, 26
13283
158455
NGUYEN
HUY
HAYWARD
(510) 782-4161
6, 7, 26, 30
13283
108241
OU-YANG
FRED
HAYWARD
(510) 782-4161
6, 7, 26, 30
13283
177102
SHAH
EKTA
HAYWARD
(510) 782-4161
6, 7, 26, 30
13283
177768
SHIVANNA
SOUMYA
HAYWARD
(510) 782-4161
6, 7, 26, 30
ADVANTA DENTAL CARE
117941
120935
VARGAS
FRANK
22535 SECOND ST
HAYWARD
(510) 889-6900
6, 26
ROBERT T ALBERTSON
113559
115847
ALBERTSON
ROBERT
1510 FRANKLIN ST
OAKLAND
(510) 893-1923
6
OAKLAND DENTAL
119117
110974
AMIRI
HAMID
8105 EDGEWATER DR NO. 250
OAKLAND
(510) 568-6272
6, 26
OAKLAND DENTAL CARE
148423
113326
BASTANI
DANESH
1700 BROADWAY
OAKLAND
(510) 444-6300
6, 7, 26
OAKLAND DENTAL
119117
122247
BU
BING HONG
OAKLAND
(510) 568-6272
6, 26
RONALD E BULLARD
11595
26350
BULLARD
RONALD
2844 SUMMIT ST NO. 205
OAKLAND
(510) 444-4215
6, 26
6
GENTLE DENTAL OAKLAND
15776
38654
CAGE
MARK
1624 FRANKLIN ST NO. 615
OAKLAND
(510) 451-7881
ANDREW CHEUNG
14888
37641
CHUENG
ANDREW
3300 WEBSTER ST NO. M-168
OAKLAND
(510) 763-3331
4, 6
OAKLAND DENTAL
119117
100387
CUENCA
ERICK
OAKLAND
(510) 568-6272
6, 26
= This provider is currently not accepting new patients
For language codes, please refer to the last page
Page 1
Provider Directory
Alameda
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
15776
172732
FOROUZAN
FARIBA
OAKLAND
(510) 451-7881
Languages
6
EAST BAY FAMILY DENTISTRY
101109
120423
HA
PHUONG
3040 E 9TH ST NO. D
OAKLAND
(510) 534-0706
6, 26
6, 26
ELEGANT SMILE DENTAL CENTER
116907
120423
HA
PHUONG
3301 E 12TH ST NO. 163 & 165
OAKLAND
(510) 533-5500
DR. MOJDEH HARIRI-VIJEH
10444
41260
HARIRI-VIJEH
MOJDEH
3645 GRAND AVE NO. 103
OAKLAND
(510) 251-1962
6, 7
FRANKLIN DENTAL CARE
113512
106110
KIM
KWANG
1624 FRANKLIN ST NO.1220
OAKLAND
(510) 893-4041
4, 6, 14, 16, 26
15776
123210
KOMENAKA
GARY
OAKLAND
(510) 451-7881
6
101109
125280
LA
JANET
3040 E 9TH ST NO. D
OAKLAND
(510) 534-0706
6, 26
6, 26
116907
125280
LA
JANET
3301 E 12TH ST NO. 163 & 165
OAKLAND
(510) 533-5500
101109
38565
MOFTAKHAR
FARSHAD
3040 E 9TH ST NO. D
OAKLAND
(510) 534-0706
6, 26
116907
38565
MOFTAKHAR
FARSHAD
3301 E 12TH ST NO. 163 & 165
OAKLAND
(510) 533-5500
6, 26
FARHAD PARTOVI DDS
16710
41510
PARTOVI
FARHAD
2648 INTERNATIONAL BLVD NO. 602
OAKLAND
(510) 532-8995
4, 5, 18, 26
101109
129128
TRAC
TRINH
3040 E 9TH ST NO. D
OAKLAND
(510) 534-0706
6, 26
6, 26
116907
129128
TRAC
TRINH
3301 E 12TH ST NO. 163 & 165
OAKLAND
(510) 533-5500
CLIFFORD WAINWRIGHT
105130
106508
WAINWRIGHT
CLIFFORD
9210 INTERNATIONAL BLVD
OAKLAND
(510) 568-5118
6
FRANKLIN DENTAL CARE
113512
115792
WU
LAWRENCE
1624 FRANKLIN ST NO.1220
OAKLAND
(510) 893-4041
4, 6, 14, 16, 26
BAY FAMILY DENTAL CARE
112389
45779
TEHRANIAN-TORGHABEH
MASSOUD
173 SPRING ST NO. 110
PLEASANTON
(925) 600-9006
6, 7, 26
13284
113961
BERGER
IVAN
15301 WASHINGTON AVE
SAN LEANDRO
(510) 351-6820
6, 26
13284
129320
GARLAPATI
VASAVI
SAN LEANDRO
(510) 351-6820
6, 26
13284
165713
KIM
HOUN
SAN LEANDRO
(510) 351-6820
6, 26
13284
128467
LANDYAN
CHRISTINA
SAN LEANDRO
(510) 351-6820
6, 26
13284
121925
MALEK
PEDRAM
SAN LEANDRO
(510) 351-6820
6, 26
13284
158455
NGUYEN
HUY
SAN LEANDRO
(510) 351-6820
6, 26
OLYMPICS DENTAL CARE
109443
110233
OLIMPIADA
JORN
15401 HESPERIAN BLVD NO. F
SAN LEANDRO
(510) 317-9439
6, 26, 27
13284
177102
SHAH
EKTA
SAN LEANDRO
(510) 351-6820
6, 26
13284
164713
SINGH
SHAILAJA
SAN LEANDRO
(510) 351-6820
6, 26
13284
111247
SRIKANTAM
SOWJANYA
SAN LEANDRO
(510) 351-6820
6, 26
Bell
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
102999
113961
BERGER
IVAN
761ST TANK BATTALION BLDG 330
FORT HOOD
(254) 285-2014
6
102999
152021
CLYDE
IBIS
FORT HOOD
(254) 285-2014
6
102999
165577
MARNENI
NIRMALA
FORT HOOD
(254) 285-2014
6
102999
110221
MORRIS
AMY
FORT HOOD
(254) 285-2014
6
102999
165936
OCHOA
LISA
FORT HOOD
(254) 285-2014
6
102999
176416
SINGH
ROHINI
FORT HOOD
(254) 285-2014
6
102999
155933
TANKSLEY
GEORGE
FORT HOOD
(254) 285-2014
6
Page 2
Provider Directory
Butte
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
ACCESS DENTAL CENTER
11421
37620
ABBASZADEH
REZA
1010 MANGROVE AVE NO. A/B
CHICO
(530) 342-7500
Languages
6, 26
11421
158415
CARRILLO
BRYANT
CHICO
(530) 342-7500
6, 26
11421
175034
CARRILLO
JESSICA
CHICO
(530) 342-7500
6, 26
CHICO DENTAL GROUP
117254
42664
JHANG
ALEXANDER
955 EAST AVE
CHICO
(530) 893-5334
6, 26
11421
156851
RAMLEY
STANLEY
CHICO
(530) 342-7500
6, 26
FEATHER RIVER INDIAN HEALTH, INC
11893
115987
DE MAROIS
ROBERT
2145 5TH AVE
OROVILLE
(530) 534-5394
6
11893
25271
LAI
CARY
2145 5TH AVE
OROVILLE
(530) 534-5394
6
11893
104169
MEJIA
RICHARD
2145 5TH AVE
OROVILLE
(530) 534-5394
6
11893
106302
PLATNER
KEVIN
2145 5TH AVE
OROVILLE
(530) 534-5394
6
11893
39569
TRAHIN
RICKY
2145 5TH AVE
OROVILLE
(530) 534-5394
6
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
S GHANNAM, DDS, INC
125457
44681
GHANNAM
SALAM
2225 BUCHANAN RD NO. A
ANTIOCH
(925) 779-1112
6, 26
14656
113961
BERGER
IVAN
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
6, 7, 26, 30
Contra Costa
14656
166057
KHOURY
SAM
1851 SUTTER ST
CONCORD
(925) 827-2798
14656
116657
MADHURE
VEENA
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
14656
127737
NARE
PREETI
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
14656
112902
NGUYEN
AN
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
14656
158455
NGUYEN
HUY
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
6, 7, 26, 30
14656
155665
PATEL
NEIL
1851 SUTTER ST
CONCORD
(925) 827-2798
14656
98913
QUOCK
STANLEY
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
14656
177102
SHAH
EKTA
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
14656
177768
SHIVANNA
SOUMYA
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
14656
121468
TSOUZMER
POLINA
1851 SUTTER ST
CONCORD
(925) 827-2798
6, 7, 26, 30
CROWN DENTAL CARE
109269
108606
FARAHMAND
BARDIA
10810 SAN PABLO AVE NO. 30
EL CERRITO
(510) 528-0280
5, 6, 7, 26
ART DENTAL
157354
116417
HUYNH
LOC
10586 SAN PABLO AVE
EL CERRITO
(510) 559-8598
6, 26, 30
5, 6, 7, 26
CROWN DENTAL CARE
109269
126426
TANG
VIVIAN
EL CERRITO
(510) 528-0280
GLORIA FARNE UY
10414
26291
UY
GLORIA
500 ALFRED NOBEL RD NO. 265
HERCULES
(510) 724-4678
6, 26, 27
MARTINEZ DENTAL
120832
156548
BANKIEWICZ
MALINA
1160 ARNOLD DR NO. G
MARTINEZ
(925) 372-7100
6, 26
MARTINEZ DENTAL
120832
100387
CUENCA
ERICK
MARTINEZ
(925) 372-7100
6, 26
MARTINEZ DENTAL
120832
44706
JEBRIN
AIMAN
MARTINEZ
(925) 372-7100
6, 26
MARTINEZ DENTAL
120832
171505
KULYK
ANDRIY
MARTINEZ
(925) 372-7100
6, 26
PINOLE DENTAL
120265
156548
BANKIEWICZ
MALINA
1477 FITZGERALD DR NO. 106
PINOLE
(510) 669-0350
6, 26
PINOLE DENTAL
120265
100387
CUENCA
ERICK
PINOLE
(510) 669-0350
6, 26
PINOLE DENTAL
120265
171505
KULYK
ANDRIY
PINOLE
(510) 669-0350
6, 26
BENJAMIN ROSALES, DDS, INC
123043
126461
ROSALES
BENJAMIN
PINOLE
(510) 741-0770
6, 26, 27
PINOLE DENTAL
120265
31882
WENDELL
FORREST
PINOLE
(510) 669-0350
6, 26
LA CLINICA DE LA RAZA
118924
122035
GUMBER
DONNA
2100 MONUMENT BLVD NO. 8
PLEASANT HILL
(925) 363-1256
6, 26
LA CLINICA DE LA RAZA
118924
122978
MONTELL
ALICIA
2100 MONUMENT BLVD NO. 8
PLEASANT HILL
(925) 363-1256
6, 26
Page 3
Provider Directory
Contra Costa
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
PAI-CHENG SHEN
13795
28813
SHEN
PAI-CHENG
194 BROADWAY AVE
RICHMOND
(510) 234-4961
Languages
6, 16
REACH DENTAL CARE
120473
108302
GITLIN
LENA
4200 KLOSE WAY NO. A
SAN PABLO
(510) 223-8228
6
REACH DENTAL CARE
120473
108303
HUANG
WEI
SAN PABLO
(510) 223-8228
6
REACH DENTAL CARE
120473
98295
NIP
CHARLES
SAN PABLO
(510) 223-8228
6
11575
113961
BERGER
IVAN
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
11575
166057
KHOURY
SAM
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
11575
155547
MAHMOUDI
AZARMIDOKHT
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
11575
128057
MITBAVKAR
RITA
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
11575
158455
NGUYEN
HUY
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
11575
177102
SHAH
EKTA
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
11575
177768
SHIVANNA
SOUMYA
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
11575
111247
SRIKANTAM
SOWJANYA
9130-A ALCOSTA BLVD
SAN RAMON
(925) 803-9700
6, 7, 26
DENTAL CARE OF WALNUT CREEK
151139
115792
WU
LAWRENCE
1111 CIVIC DR NO. 145
WALNUT CREEK
(925) 937-9017
6, 16, 26
DENTAL CARE OF WALNUT CREEK
151139
127799
YI
KAIN
1111 CIVIC DR NO. 145
WALNUT CREEK
(925) 937-9017
6, 16, 26
El Dorado
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
PLEASANT VALLEY DENTAL
152454
43010
GOODIS
MITCHELL
6400 PLEASANT VALLEY
EL DORADO
(530) 622-2862
6
GREEN VALLEY DENTAL GROUP
124765
38166
BUEHLER
BRIAN
2205 FRANCISCO DR NO. 150
EL DORADO HILLS
(916) 934-0207
26
124765
127662
KATTA
SRILAKSHMI
EL DORADO HILLS
(916) 934-0207
26
124765
156367
PAWAR
AMAR
EL DORADO HILLS
(916) 934-0207
26
THOMPSON FAMILY DENTISTRY
151656
119963
THOMPSON
DAVID
1204 SUNCAST LN NO. 1
EL DORADO HILLS
(916) 939-3800
6
PREVENTIVE DENTAL CARE CENTER
125001
112244
HAN
INJOO
4355 GOLDEN CTR DR NO. A
PLACERVILLE
(530) 622-3430
6, 14, 26
STEELE PLACERVILLE DENTAL GROUP, INC
149125
112021
HASTINGS
JAMES
699 MAIN ST NO. B
PLACERVILLE
(530) 295-8000
6
RAYMOND W LARSEN
15459
30179
LARSEN
RAYMOND
1004 FOWLER WAY NO. 8
PLACERVILLE
(530) 622-3050
6, 26
149125
169088
MAJER
MADELINE
699 MAIN ST NO. B
PLACERVILLE
(530) 295-8000
6
JOHN A NERWINSKI, DDS, A PROF CORP
119200
122329
NERWINSKI
JOHN
384 PLACERVILLE DR NO. H
PLACERVILLE
(530) 642-9880
6, 18
149125
127421
STEELE
BRIAN
699 MAIN ST NO. B
PLACERVILLE
(530) 295-8000
6
149125
176522
UZRA
KHURSAND
699 MAIN ST NO. B
PLACERVILLE
(530) 295-8000
6
KANG Y LEE, DDS
104148
45130
LEE
KANG
3368 LAKE TAHOE BLVD # 203
SOUTH LAKE
TAHOE
(530) 541-8229
6
KANG Y LEE, DDS
104148
105988
LEE
YOUNGSKL
3368 LAKE TAHOE BLVD # 203
SOUTH LAKE
TAHOE
(530) 541-8229
6
Page 4
Provider Directory
Fresno
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
115262
117449
ALROUSAN
SABA
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
Languages
6
115262
113961
BERGER
IVAN
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
115262
120441
CHANG
HONGQIU
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
115262
121066
CHANGIZI
SUSSAN
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
CLOVIS DENTAL
118170
121066
CHANGIZI
SUSSAN
1420 SHAW AVE NO. 101
CLOVIS
(559) 299-9008
6, 26
115262
155745
CHOI
CHUNKEUN
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
CLOVIS DENTAL
118170
100387
CUENCA
ERICK
CLOVIS
(559) 299-9008
6, 26
CLOVIS DENTAL
118170
112243
HAONG
LENG
CLOVIS
(559) 299-9008
6, 26
115262
105199
ISMAIL
AYMAN
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
DENTAL GROUP OF CLOVIS
111225
122622
JAVID
NIKZAD
200 W SHAW AVE NO. 110
CLOVIS
(559) 325-6161
6, 26
115262
166057
KHOURY
SAM
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
115262
123793
KIM
JI-HYUN
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
115262
129351
MANN
HARMEET
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
DENTAL GROUP OF CLOVIS
111225
39862
PAKRAVAN
FARID
CLOVIS
(559) 325-6161
6, 26
6, 26
CLOVIS DENTAL
118170
172116
PHAM
THAO
CLOVIS
(559) 299-9008
CLOVIS DENTAL
118170
121726
ROSS
ANDREW
CLOVIS
(559) 299-9008
6, 26
115262
119724
SANDHU
KIRAN
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
115262
128078
SINGH
SATINDER
1010 SHAW AVE NO. B
CLOVIS
(559) 323-1776
6
CLOVIS DENTAL
118170
117371
SOLANO
ALFREDO
CLOVIS
(559) 299-9008
6, 26
CLOVIS DENTAL
118170
100449
WHISENHUNT
CHERYL
CLOVIS
(559) 299-9008
6, 26
DR SAM DENTAL OFFICE
125170
116321
AKANDE
ADENIYI
1902 E ASHLAN AVE
FRESNO
(559) 228-3000
6, 26
11573
117449
ALROUSAN
SABA
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
117449
ALROUSAN
SABA
1901 E SHIELDS AVE NO. 226
FRESNO
(559) 226-2626
6
115265
117449
ALROUSAN
SABA
5657 E KING CANYON RD NO. 107
FRESNO
(559) 454-7900
6
ARTASHES AVAKIAN, DDS
11722
43311
AVAKIAN
ARTASHES
7269 N FIRST ST NO. 101
FRESNO
(559) 447-5454
2, 6, 23
11573
113961
BERGER
IVAN
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
113961
BERGER
IVAN
FRESNO
(559) 226-2626
6
115265
113961
BERGER
IVAN
FRESNO
(559) 454-7900
6
GALLO DENTAL
11663
27509
CAVE
MARK
5690 N FRESNO ST NO. 101
FRESNO
(559) 436-3470
6
11573
120441
CHANG
HONGQIU
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
120441
CHANG
HONGQIU
FRESNO
(559) 226-2626
6
115265
120441
CHANG
HONGQIU
FRESNO
(559) 454-7900
6
11573
121066
CHANGIZI
SUSSAN
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
121066
CHANGIZI
SUSSAN
FRESNO
(559) 226-2626
6
115265
121066
CHANGIZI
SUSSAN
FRESNO
(559) 454-7900
6
FRESNO DENTAL
120564
121066
CHANGIZI
SUSSAN
6680 N BLACKSTONE AVE
FRESNO
(559) 431-9111
6, 26
11573
155745
CHOI
CHUNKEUN
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
155745
CHOI
CHUNKEUN
FRESNO
(559) 226-2626
6
115265
155745
CHOI
CHUNKEUN
FRESNO
(559) 454-7900
6
FRESNO DENTAL
120564
100387
CUENCA
ERICK
FRESNO
(559) 431-9111
6, 26
XUEWEN S CUI, DDS, INC
106662
108247
CUI
XUEWEN
407 S CLOVIS AVE NO. 107
FRESNO
(559) 255-3333
5, 6, 26
GALLO DENTAL
11663
125500
DEEN
SARA
FRESNO
(559) 436-3470
6
GALLO DENTAL
11663
115424
EHRHARDT
ALBERT
FRESNO
(559) 436-3470
6
Page 5
Provider Directory
Fresno
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
BULLARD DENTAL GROUP
150476
40815
FAY
MEHRDAD
323 E BULLARD AVE NO. 104
FRESNO
(559) 439-9990
Languages
6, 7, 8, 26
GALLO DENTAL
11663
31040
GALLO
DONALD
FRESNO
(559) 436-3470
6
FRESNO DENTAL
120564
112243
HAONG
LENG
FRESNO
(559) 431-9111
6, 26
JEFF C HUANG, DDS, INC
14431
41017
HUANG
JEFF
3738 E SHIELDS AVE
FRESNO
(559) 230-2222
6, 16, 18, 26
11573
105199
ISMAIL
AYMAN
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
105199
ISMAIL
AYMAN
FRESNO
(559) 226-2626
6
115265
105199
ISMAIL
AYMAN
FRESNO
(559) 454-7900
6
WHITE AND BRIGHT FAMILY DENTAL
10918
41432
KARIMI-HAJISHOREH
KAVEH
FRESNO
(559) 432-6384
6
115261
166057
KHOURY
SAM
FRESNO
(559) 226-2626
6
11573
123793
KIM
JI-HYUN
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
123793
KIM
JI-HYUN
FRESNO
(559) 226-2626
6
115265
123793
KIM
JI-HYUN
FRESNO
(559) 454-7900
6
150476
156505
KOUROSHNIA
MANDANA
FRESNO
(559) 439-9990
6, 7, 8, 26
DEVINDER KUMAR
169491
41746
KUMAR
DEVINDER
6535 N PALM AVE NO. 102
FRESNO
(559) 435-3200
6, 10, 26, 31
GALLO DENTAL
11663
106619
LEE
JANE
FRESNO
(559) 436-3470
6
GALLO DENTAL
11663
106500
LEUNG
JENNY ANN
FRESNO
(559) 436-3470
6
150476
157898
MAGLEBY
BENJAMIN
FRESNO
(559) 439-9990
6, 7, 8, 26
11573
129351
MANN
HARMEET
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
129351
MANN
HARMEET
FRESNO
(559) 226-2626
6
115265
129351
MANN
HARMEET
FRESNO
(559) 454-7900
6
FRESNO DENTAL
120564
172116
PHAM
THAO
FRESNO
(559) 431-9111
6, 26
GALLO DENTAL
11663
114877
RAHIMI
IKE
FRESNO
(559) 436-3470
6
FRESNO DENTAL
120564
121726
ROSS
ANDREW
FRESNO
(559) 431-9111
6, 26
11573
119724
SANDHU
KIRAN
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
119724
SANDHU
KIRAN
FRESNO
(559) 226-2626
6
115265
119724
SANDHU
KIRAN
FRESNO
(559) 454-7900
6
GALLO DENTAL
11663
124208
SHAHBAZYAN
ZARUHI
FRESNO
(559) 436-3470
6
GALLO DENTAL
11663
129076
SIEMENS
KATHRYN
FRESNO
(559) 436-3470
6
11573
128078
SINGH
SATINDER
FRESNO
(559) 227-2900
6, 7, 26, 30
115261
128078
SINGH
SATINDER
FRESNO
(559) 226-2626
6
115265
128078
SINGH
SATINDER
FRESNO
(559) 454-7900
6
FAMILY DENTISTRY
118875
117867
SO
LAURO
1436 E OLIVE AVE
FRESNO
(559) 485-0340
6, 26, 27
6, 26
FRESNO DENTAL
120564
117371
SOLANO
ALFREDO
FRESNO
(559) 431-9111
GALLO DENTAL
11663
125728
TRAN
JOHNNY
FRESNO
(559) 436-3470
6
FRESNO DENTAL
120564
100449
WHISENHUNT
CHERYL
FRESNO
(559) 431-9111
6, 26
FRANK J WOO, DDS, INC
13717
40761
WOO
FRANK
FRESNO
(559) 243-1115
6, 26
DR YOUSSEF DENTAL CLINIC, INC
12834
42022
YOUSSEF
SAMI
4755 E GETTYSBURG AVE NO. 101
FRESNO
(559) 292-4444
1, 2, 6, 26
FARZIN ZABIHI, DDS, INC
111975
47341
ZABIHI
FARZIN
FRESNO
(559) 222-1550
6, 7, 26
UHC-HURON
104085
156623
ABASS
OLAWUNMI
16928 11TH ST
HURON
(559) 945-2541
6, 11, 26
UHC-HURON
104085
111827
NAKATSUCHI
HIROFUMI
16928 11TH ST
HURON
(559) 945-2541
6, 11, 26
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY, I
117055
156623
ABASS
OLAWUNMI
517 S MADERA AVE
KERMAN
(559) 846-6330
6
117055
155355
LIPUMANO-SANCHEZ
LULETTE
517 S MADERA AVE
KERMAN
(559) 846-6330
6
117055
36114
SHIN
STEVE
517 S MADERA AVE
KERMAN
(559) 846-6330
6
Page 6
Provider Directory
Fresno
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
117055
155356
THOMPSON
ROGELIO
517 S MADERA AVE
KERMAN
(559) 846-6330
Languages
6
117055
165501
TORRES
JOSE
517 S MADERA AVE
KERMAN
(559) 846-6330
6
KINGSBURG SMILE CENTER
15869
42148
FANAIAN
MASOUD
1591 EARL ST
KINGSBURG
(559) 897-5042
6, 26
KINGSBURG SMILE CENTER
15869
40434
FAREID
BEHZAD
1591 EARL ST
KINGSBURG
(559) 897-5042
6, 26
UHC-MENDOTA
107433
156623
ABASS
OLAWUNMI
121 BARBOZA AVE
MENDOTA
(559) 655-5000
6, 26
UHC-MENDOTA
107433
155356
THOMPSON
ROGELIO
121 BARBOZA AVE
MENDOTA
(559) 655-5000
6, 26
UHC-MENDOTA
107433
165501
TORRES
JOSE
121 BARBOZA AVE
MENDOTA
(559) 655-5000
6, 26
UHC-ORANGE COVE
103692
123100
SANCHEZ
MANUEL
445 11TH ST
ORANGE COVE
(559) 626-4031
6, 26
UHC-ORANGE COVE
103692
24174
SCOTT
JAMES
445 11TH ST
ORANGE COVE
(559) 626-4031
6, 26
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY, INC 14811
156623
ABASS
OLAWUNMI
650 ZEDIKER AVE
PARLIER
(559) 646-3561
6, 26
SIERRA KINGS DENTAL SURGERY CENTER
158040
168803
ABBY
CHAD
145 S NEWMARK AVE
PARLIER
(559) 646-5437
6, 26
158040
108420
AYSON
PAUL
145 S NEWMARK AVE
PARLIER
(559) 646-5437
6, 26
108633
BOGLE
BARRY
650 ZEDIKER AVE
PARLIER
(559) 646-3561
6, 26
44866
DRINCIC
MARKO
650 ZEDIKER AVE
PARLIER
(559) 646-3561
6, 26
6, 26
165952
LEUNG
HERMAN
650 ZEDIKER AVE
PARLIER
(559) 646-3561
101363
MARTINEZ
JIM
650 ZEDIKER AVE
PARLIER
(559) 646-3561
6, 26
PARLIER FAMILY DENTISTRY
13775
43224
PANOFF
CRISTIAN
13669 E MANNING NO. 104
PARLIER
(559) 646-7506
6, 26
PARLIER FAMILY DENTISTRY
6, 26
13775
39864
PANOFF
DANIEL
13669 E MANNING NO. 104
PARLIER
(559) 646-7506
36114
SHIN
STEVE
650 ZEDIKER AVE
PARLIER
(559) 646-3561
6, 26
107519
SPENCER
RICHARD
145 S NEWMARK AVE
PARLIER
(559) 646-5437
6, 26
155356
THOMPSON
ROGELIO
650 ZEDIKER AVE
PARLIER
(559) 646-3561
6, 26
165501
TORRES
JOSE
650 ZEDIKER AVE
PARLIER
(559) 646-3561
6, 26
ST ANTHONY FAMILY DENTISTRY
42628
ANACTA
MARIA
1323 E MANNING AVE
REEDLEY
(559) 643-8448
6
158040
14830
Imperial
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
SOUTHWEST DENTAL GROUP
166161
115759
AGHALOO
JAVAD
1502 S LA BRUEHERIE RD
EL CENTRO
(760) 482-5505
6, 26
BAKER & KHORSAND DENTAL CORPORATION
118661
121761
KHORSAND
ARASH
646 W MAIN ST NO. A
EL CENTRO
(760) 339-9992
6, 7, 26
IMPERIAL DENTAL GROUP INC
14095
44935
MAKAR
GEORGE
1111 S FOURTH ST NO. B
EL CENTRO
(760) 336-2600
6
14095
44985
PENG
GRACE
EL CENTRO
(760) 336-2600
6
14095
25441
QUEZADA
MAX
EL CENTRO
(760) 336-2600
6
14095
158093
RODRIGUEZ
ELEZEAR
EL CENTRO
(760) 336-2600
6
14095
158332
SANTOS
CLAVER
EL CENTRO
(760) 336-2600
6
14095
36834
SIMAN
EDDIE
EL CENTRO
(760) 336-2600
6
Page 7
Provider Directory
Kern
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
OILDALE COMMUNITY HEALTH CENTER
116742
47027
AMAL
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
6, 26
1, 6, 26, 27
ABIAOUI
G ST FAMILY DENTISTRY
114044
116420
ALEXANDER
LEONARDA
2611 G ST
BAKERSFIELD
(661) 859-0192
HOME CARE DENTAL
119550
47836
ALKHALAYEH
MOSHEER
5917 NILES NO. 3
BAKERSFIELD
(661) 366-6527
1, 6, 26
CENTENNIAL DENTAL CLINIC
124663
47836
ALKHALAYEH
MOSHEER
201 CHINA GRADE LOOP
BAKERSFIELD
(661) 393-4333
1, 6, 26
MILLENNIUM DENTAL CENTER
149698
47836
ALKHALAYEH
MOSHEER
1830 28TH ST
BAKERSFIELD
(661) 326-8536
1, 6, 26
15085
127980
ASATRYAN
MHER
2750 MING AVE
BAKERSFIELD
(661) 396-1701
6, 7, 26, 30
15085
113961
BERGER
IVAN
2750 MING AVE
BAKERSFIELD
(661) 396-1701
6, 7, 26, 30
DEDICATED DENTAL PANAMA WIBLE
13052
122206
BHASIN
GURPREET
3150 PANAMA LN NO. 1
BAKERSFIELD
(661) 396-0156
6, 26
DEDICATED DENTAL TOWN & COUNTRY
13012
171510
BISCHOFF
ERIC
8200 STOCKDALE HWY NO. M-9
BAKERSFIELD
(661) 834-9042
6, 26
DEDICATED DENTAL CALIFORNIA CENTER
12996
26160
COX
WILLIAM
3400 WIBLE RD
BAKERSFIELD
(661) 835-8672
6, 26
13012
26160
COX
WILLIAM
BAKERSFIELD
(661) 834-9042
6, 26
13052
26160
COX
WILLIAM
BAKERSFIELD
(661) 396-0156
6, 26
DEDICATED DENTAL - NILES POINT
14217
26160
COX
WILLIAM
2219 NILES POINT NO. 19
BAKERSFIELD
(661) 323-2871
6, 26
DEDICATED DENTAL ROSEDALE
14247
26160
COX
WILLIAM
9600 ROSEDALE HWY NO. A
BAKERSFIELD
(661) 589-5248
6, 26
116742
158688
DE CASTRO
CLARISSA
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
6, 26
17TH STREET DENTAL CARE
151301
43593
DIZON
MARIA CHRISTINA
1621 17TH ST
BAKERSFIELD
(661) 631-0529
6, 26
116742
156836
FARAGALLA
AMGAD
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
6, 26
HANNA FARID
117240
30544
FATTOUCH
WADID
3809 SAN DIMAS ST NO. A
BAKERSFIELD
(661) 322-7696
1, 6, 8, 26
NEW IMAGE DENTISTRY
13024
44884
GHALAMBOR
MAZIYAR
1801 26TH ST
BAKERSFIELD
(661) 322-8860
6, 7
AFFORDABLE DENTAL CARE
112891
109673
GILL
SUKHWINDER
3512 MING AVE
BAKERSFIELD
(661) 836-0000
6, 26, 31
1, 6, 26
149698
45262
HAJARIAN
HAMID
1830 28TH ST
BAKERSFIELD
(661) 326-8536
HANNA FARID
117240
31045
HANNA
FARID
3809 SAN DIMAS ST NO. A
BAKERSFIELD
(661) 322-7696
1, 6, 8, 26
BHASKAR M JOSHI, DDS, INC
119232
48126
JOSHI
BHASKAR
2519 RIVER BLVD
BAKERSFIELD
(661) 873-9632
6, 10, 26
13052
116030
KIM
YUSEOK
BAKERSFIELD
(661) 396-0156
6, 26
13052
117287
KWON
JUSTIN
BAKERSFIELD
(661) 396-0156
6, 26
13012
156692
LEE
KWANG
BAKERSFIELD
(661) 834-9042
6, 26
CUSTOM DENTAL
124914
124093
LIN
BENJAMIN
3409 CALLOWAY DR UNIT 402
BAKERSFIELD
(661) 387-6577
6, 26
12996
103742
LIN
JACK
3400 WIBLE RD
BAKERSFIELD
(661) 835-8672
6, 26
116742
128271
LUCIO
JULITA
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
6, 26
15085
129219
MASSOUMI
SAYEH
2750 MING AVE
BAKERSFIELD
(661) 396-1701
6, 7, 26, 30
15085
164235
MURADYAN
LIANA
2750 MING AVE
BAKERSFIELD
(661) 396-1701
6, 7, 26, 30
14247
103644
NAGTALON
IMELDA
BAKERSFIELD
(661) 589-5248
6, 26
MERCY PLAZA DENTAL GROUP
115040
115203
NEDELTCHEV
KAMEN
500 OLD RIVER RD NO. 225
BAKERSFIELD
(661) 663-0109
6, 18, 26
MERCY PLAZA DENTAL GROUP
115040
154071
NEDELTCHEVA
TZVETANKA
500 OLD RIVER RD NO. 225
BAKERSFIELD
(661) 663-0109
6, 18, 26
13012
121704
NGUYEN
KIMMIE
BAKERSFIELD
(661) 834-9042
6, 26
13012
122189
NGUYEN
LE
BAKERSFIELD
(661) 834-9042
6, 26
13012
156740
OH
IN
BAKERSFIELD
(661) 834-9042
6, 26
14247
156740
OH
IN
BAKERSFIELD
(661) 589-5248
6, 26
13052
120884
PARK
DAVID
BAKERSFIELD
(661) 396-0156
6, 26
CUSTOM DENTAL
124914
177804
PATEL
PARITA
3409 CALLOWAY DR UNIT 402
BAKERSFIELD
(661) 387-6577
6, 26
116742
120995
PRADO
VERONICA
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
6, 26
Page 8
Provider Directory
Kern
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
13012
126214
REBONG
RENALIE
BAKERSFIELD
(661) 834-9042
Languages
6, 26
13052
126214
REBONG
RENALIE
BAKERSFIELD
(661) 396-0156
6, 26
116742
119291
ROLDAN
MARY JANET
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
6, 26
15085
43654
ROUHANI
MORVARID
2750 MING AVE
BAKERSFIELD
(661) 396-1701
6, 7, 26, 30
14247
174226
SAATJIAN
AVEDIS
BAKERSFIELD
(661) 589-5248
6, 26
COLUMBUS FAMILY DENTISTRY
12841
43655
SAGARIAN
MIKE
505 W COLUMBUS ST
BAKERSFIELD
(661) 322-1300
6, 7, 26
6, 26
DEDICATED DENTAL - NILES POINT
14217
115719
SALAMA
WASFI
2219 NILES POINT NO. 19
BAKERSFIELD
(661) 323-2871
HOME CARE DENTAL
119550
115719
SALAMA
WASFI
5917 NILES NO. 3
BAKERSFIELD
(661) 366-6527
1, 6, 26
CENTENNIAL DENTAL CLINIC
124663
115719
SALAMA
WASFI
201 CHINA GRADE LOOP
BAKERSFIELD
(661) 393-4333
1, 6, 26
149698
115719
SALAMA
WASFI
1830 28TH ST
BAKERSFIELD
(661) 326-8536
1, 6, 26
12996
30695
SCHWANDT
BRUCE
3400 WIBLE RD
BAKERSFIELD
(661) 835-8672
6, 26
13012
30695
SCHWANDT
BRUCE
BAKERSFIELD
(661) 834-9042
6, 26
13052
30695
SCHWANDT
BRUCE
BAKERSFIELD
(661) 396-0156
6, 26
14247
30695
SCHWANDT
BRUCE
BAKERSFIELD
(661) 589-5248
6, 26
15085
128166
SZPOGANICZ
RAFAELA
2750 MING AVE
BAKERSFIELD
(661) 396-1701
6, 7, 26, 30
116742
166049
TADLE
GUIA
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
6, 26
MID TOWN FAMILY DENTISTRY
148310
36117
THOMAS
MARK
2427 H ST NO. A
BAKERSFIELD
(661) 861-0577
6, 26
JUST FOR KIDS DENTISTRY
148312
36117
THOMAS
MARK
4000 STOCKDALE HWY NO. H
BAKERSFIELD
(661) 327-7668
6, 26
13012
121022
TRAN
BACH
BAKERSFIELD
(661) 834-9042
6, 26
13012
46341
TRINH
LAM
BAKERSFIELD
(661) 834-9042
6, 26
12996
172981
VO
CHAU HUYNH THI
3400 WIBLE RD
BAKERSFIELD
(661) 835-8672
6, 26
13052
172981
VO
CHAU HUYNH THI
BAKERSFIELD
(661) 396-0156
6, 26
6, 26
116742
125790
WILLIAM
SALLY
525 ROBERTS LN
BAKERSFIELD
(661) 215-2342
13012
49028
YAM
CHAP
BAKERSFIELD
(661) 834-9042
6, 26
13012
116027
YASALAPU
SREELATHA
BAKERSFIELD
(661) 834-9042
6, 26
6, 26
MID TOWN FAMILY DENTISTRY
148310
154293
YEUNG
LAI
2427 H ST NO. A
BAKERSFIELD
(661) 861-0577
SOUTH H DENTAL
121806
125209
ZHANG
JIACHANG
2707 S H ST NO. B
BAKERSFIELD
(661) 833-8822
5, 6, 26
BUTTONWILLOW HEALTH & DENTAL CENTER
13545
47027
ABIAOUI
AMAL
277 E FRONT ST
BUTTONWILLOW
(661) 764-5257
1, 6, 8, 18, 26
13545
158688
DE CASTRO
CLARISSA
277 E FRONT ST
BUTTONWILLOW
(661) 764-5257
1, 6, 8, 18, 26
13545
156836
FARAGALLA
AMGAD
277 E FRONT ST
BUTTONWILLOW
(661) 764-5257
1, 6, 8, 18, 26
13545
36638
MOLNAR
GEORGETTA
277 E FRONT ST
BUTTONWILLOW
(661) 764-5257
1, 6, 8, 18, 26
13545
120995
PRADO
VERONICA
277 E FRONT ST
BUTTONWILLOW
(661) 764-5257
1, 6, 8, 18, 26
13545
119291
ROLDAN
MARY JANET
277 E FRONT ST
BUTTONWILLOW
(661) 764-5257
1, 6, 8, 18, 26
DELANO FAMILY DENTAL AND WOMEN'S HEALTH CENTER
15446
47027
ABIAOUI
AMAL
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
15446
158688
DE CASTRO
CLARISSA
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
15446
156836
FARAGALLA
AMGAD
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
HOMETOWN DENTAL CARE
14565
40955
KIM
BRIAN
1406 JEFFERSON ST
DELANO
(661) 725-9430
6
14565
44808
KIM
NICHOLAS
1406 JEFFERSON ST
DELANO
(661) 725-9430
6
15446
128271
LUCIO
JULITA
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
15446
36638
MOLNAR
GEORGETTA
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
14565
125098
PETERS
SANGLIM
1406 JEFFERSON ST
DELANO
(661) 725-9430
6
15446
120995
PRADO
VERONICA
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
15446
119291
ROLDAN
MARY JANET
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
Page 9
Provider Directory
Kern
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
15446
127645
SILVERIO
JOSEPHINE
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
15446
166049
TADLE
GUIA
1215 JEFFERSON ST
DELANO
(661) 454-1700
1, 6, 8, 18, 26
LETICIA R TOLENTINO, DMD, INC
12625
41798
TOLENTINO
LETICIA
1625 CECIL AVE NO. A
DELANO
(661) 725-9393
6, 20, 26
14565
42196
TRAN
DARLENE
1406 JEFFERSON ST
DELANO
(661) 725-9430
6
LAMONT COMM HEALTH CENTER
13435
168803
ABBY
CHAD
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
173078
GILL
PRABHDEEP
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
168801
MENDOZA
JUAN-CARLOS
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
122731
OAK
SARA
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
156740
OH
IN
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
113198
PEREZ
NOEL
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
16028
PERRY
LELAND
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
113291
SABRI
LAMYA
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
123557
SIMPSON
JARED
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
156347
SUH
JEFF
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
176508
TUESTA
ENRIQUE
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
13435
170629
TUESTA
TRISCHA
8787 HALL RD
LAMONT
(661) 845-3688
1, 6, 18, 26
LOST HILLS COMMUNITY HEALTH CENTER
107945
47027
ABIAOUI
AMAL
21138 PASO ROBLES HWY
LOST HILLS
(661) 797-2677
6, 26
107945
158688
DE CASTRO
CLARISSA
LOST HILLS
(661) 797-2677
6, 26
107945
128271
LUCIO
JULITA
LOST HILLS
(661) 797-2677
6, 26
107945
120995
PRADO
VERONICA
LOST HILLS
(661) 797-2677
6, 26
107945
119291
ROLDAN
MARY JANET
LOST HILLS
(661) 797-2677
6, 26
RIDGECREST COMMUNITY MEDICAL & DENTAL CENTER
152432
174791
ATALLA
HANNA
1133 N CHELSEA ST
RIDGECREST
(760) 446-3808
6, 26, 27
152432
156836
FARAGALLA
AMGAD
1133 N CHELSEA ST
RIDGECREST
(760) 446-3808
6, 26, 27
152432
127962
HAYASHI
WADE
1133 N CHELSEA ST
RIDGECREST
(760) 446-3808
6, 26, 27
152432
119291
ROLDAN
MARY JANET
1133 N CHELSEA ST
RIDGECREST
(760) 446-3808
6, 26, 27
152432
158646
SILAGON
FRANCIS
1133 N CHELSEA ST
RIDGECREST
(760) 446-3808
6, 26, 27
TAFT DENTAL CENTER
116646
47027
ABIAOUI
AMAL
1100 4TH ST
TAFT
(661) 770-3320
6, 26
TAFT DENTAL CENTER
116646
158688
DE CASTRO
CLARISSA
1100 4TH ST
TAFT
(661) 770-3320
6, 26
TAFT DENTAL CENTER
116646
105774
ONG
AGNES
1100 4TH ST
TAFT
(661) 770-3320
6, 26
TAFT DENTAL CENTER
116646
120995
PRADO
VERONICA
1100 4TH ST
TAFT
(661) 770-3320
6, 26
6, 26
TAFT DENTAL CENTER
116646
119291
ROLDAN
MARY JANET
1100 4TH ST
TAFT
(661) 770-3320
TAFT DENTAL CENTER
116646
127645
SILVERIO
JOSEPHINE
1100 4TH ST
TAFT
(661) 770-3320
6, 26
DEDICATED DENTAL VALLEY
13054
26160
COX
WILLIAM
20300 VALLEY RD NO. A
TEHACHAPI
(661) 822-1134
6, 26
TEHACHAPI COMMUNITY MEDICAL & DENTAL CENTER
121635
156836
FARAGALLA
AMGAD
161 N MILL ST
TEHACHAPI
(661) 822-9054
6, 14, 26, 27
121635
127962
HAYASHI
WADE
161 N MILL ST
TEHACHAPI
(661) 822-9054
6, 14, 26, 27
121635
172129
LIM
SOY
161 N MILL ST
TEHACHAPI
(661) 822-9054
6, 14, 26, 27
13054
103742
LIN
JACK
TEHACHAPI
(661) 822-1134
6, 26
121635
128271
LUCIO
JULITA
161 N MILL ST
TEHACHAPI
(661) 822-9054
6, 14, 26, 27
13054
156740
OH
IN
TEHACHAPI
(661) 822-1134
6, 26
13054
46925
PHAM
QUYEN
TEHACHAPI
(661) 822-1134
6, 26
121635
120995
PRADO
VERONICA
161 N MILL ST
TEHACHAPI
(661) 822-9054
6, 14, 26, 27
121635
119291
ROLDAN
MARY JANET
161 N MILL ST
TEHACHAPI
(661) 822-9054
6, 14, 26, 27
13054
30695
SCHWANDT
BRUCE
TEHACHAPI
(661) 822-1134
6, 26
Page 10
Provider Directory
Kern
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
121635
127645
SILVERIO
JOSEPHINE
161 N MILL ST
TEHACHAPI
(661) 822-9054
6, 14, 26, 27
WASCO MEDICAL & DENTAL CENTER
14102
47027
ABIAOUI
AMAL
2101 7TH ST NO. C
WASCO
(661) 758-5903
1, 6, 8, 18, 26
14102
156836
FARAGALLA
AMGAD
2101 7TH ST NO. C
WASCO
(661) 758-5903
1, 6, 8, 18, 26
14102
128271
LUCIO
JULITA
2101 7TH ST NO. C
WASCO
(661) 758-5903
1, 6, 8, 18, 26
14102
36638
MOLNAR
GEORGETTA
2101 7TH ST NO. C
WASCO
(661) 758-5903
1, 6, 8, 18, 26
14102
120995
PRADO
VERONICA
2101 7TH ST NO. C
WASCO
(661) 758-5903
1, 6, 8, 18, 26
14102
119291
ROLDAN
MARY JANET
2101 7TH ST NO. C
WASCO
(661) 758-5903
1, 6, 8, 18, 26
ROSETOWN FAMILY DENTISTRY
12842
43655
SAGARIAN
MIKE
1229 SEVENTH ST
WASCO
(661) 758-5338
6, 7, 26
Kings
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
JOHN VD RICHARDSON, DDS, INC
10100
39700
JOHN
1409 WHITLEY AVE NO. D
CORCORAN
(559) 992-4138
6, 26
RICHARDSON
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
AGOURA DENTAL
126309
129332
CHOROOMI
AMIR
30313 CANWOOD ST NO. 36
AGOURA HILLS
(818) 735-3800
6, 7, 18, 20, 23, 26
SEA BREEZE DENTAL CARE
158193
28838
ZAK
BORIS
29525 CANWOOD ST NO. 200
AGOURA HILLS
(818) 991-9852
2, 6, 7, 8, 23, 26
FOCUS DENTAL GROUP
121809
128162
CHANG
HSUAN-CHEN
333 S GARFIELD AVE NO. B
ALHAMBRA
(626) 642-0288
4, 16, 26, 30
FOCUS DENTAL GROUP
121809
41399
DO
KY
333 S GARFIELD AVE NO. B
ALHAMBRA
(626) 642-0288
4, 16, 26, 30
ALHAMBRA GARFIELD DENTAL
10718
44744
NADIR-MOHAMMADI
SHAHLA
747 S GARFIELD AVE
ALHAMBRA
(626) 289-6815
6, 7, 26
ALHAMBRA FAMILY DENTISTRY
166065
174321
SALIB
HANY
600 W MAIN ST NO. 102
ALHAMBRA
(626) 282-4119
1, 6, 26
ALHAMBRA GARFIELD DENTAL
10718
44282
YAZDANI
SOHRAB
747 S GARFIELD AVE
ALHAMBRA
(626) 289-6815
6, 7, 26
5, 6, 13, 26
JIN ZHANG, DDS, INC
158056
121086
ZHANG
JIN
1711 W MAIN ST
ALHAMBRA
(626) 308-1711
COMPEAN AND OKTANYAN DENTAL CORPORATION
123727
29127
COMPEAN
CARLOS
721 W HUNTINGTON DR SUITE B
ARCADIA
(626) 574-1766
6
ARCADIA DENTAL GROUP
10738
29322
KELLY
DAVID
111 E LIVE OAK AVE
ARCADIA
(626) 445-1181
2, 5, 6, 16, 26, 27
DENTAL CENTER OF ARCADIA
13045
46286
LEE
SUSAN
440 E HUNTINGTON DR NO. 101
ARCADIA
(626) 447-5126
2, 6, 14, 26, 27
DENTAL CENTER OF ARCADIA
13045
38558
MANAVI
FARHAD
440 E HUNTINGTON DR NO. 101
ARCADIA
(626) 447-5126
2, 6, 14, 26, 27
COMPEAN AND OKTANYAN DENTAL CORPORATION
123727
126905
OKTANYAN
HAMBIK
721 W HUNTINGTON DR SUITE B
ARCADIA
(626) 574-1766
6
OSBOURNE DENTAL OFFICE INC
11227
37781
AZIZIAN
SHAHRAM
13205 OSBORNE NO. F
ARLETA
(818) 890-2426
6, 7, 26
SIMA BOOSTANFAR
11902
32028
BOOSTANFAR
SIMHA
9069 1/2 WOODMAN AVE
ARLETA
(818) 893-8799
6, 7, 26
SJ SUMMIT DENTAL, INC
152115
156688
BELEN
MARIA SHARON
17808 S PIONEER BLVD NO. 110
ARTESIA
(562) 809-5988
6, 26, 27
SJ SUMMIT DENTAL, INC
152115
158303
DEL ROSARIO
MAY JACQUELINE
ARTESIA
(562) 809-5988
6, 26, 27
SIOE HWA ONG, DDS, INC
11887
36996
ONG
HAMLET
ARTESIA
(562) 860-9612
6, 26
Page 11
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
SIOE HWA ONG, DDS, INC
11887
22436
ONG
SIOE
ARTESIA
(562) 860-9612
Languages
6, 26
JAMES D AHN, DDS, INC
15683
46234
AHN
JAMES
315 E GLADSTONE ST
AZUSA
(626) 969-6728
6, 14, 26
CANYON CITY DENTAL CARE
124074
106535
ALADE
ENOMA
706 N AZUSA AVE
AZUSA
(626) 334-7310
6, 26
ANGELA HOFFMAN, DDS, INC
114672
117125
HOFFMAN
ANGELA
483 S CITRUS AVE
AZUSA
(626) 966-3400
6, 18, 23
APPLE DENTAL
100116
44217
MIN
DEREK
891 E ARROW HWY NO. B
AZUSA
(626) 332-4788
6, 18, 26, 28
U SMILE DENTAL OFFICE
124776
122362
OBANDO
MARIA VENUS
680 E ALOSTA AVE NO. 108
AZUSA
(626) 812-6612
4, 6, 16, 26, 27
U SMILE DENTAL OFFICE
124776
112269
SHIH
YEN
680 E ALOSTA AVE NO. 108
AZUSA
(626) 812-6612
4, 6, 16, 26, 27
WEST COAST DENTAL GROUP OF BALDWIN PARK
120324
125580
AUNG
MAUNG
4000 LA RICA AVE NO. D
BALDWIN PARK
(626) 430-9171
5, 6, 26, 27
IMPRESSIVE DENTAL CARE, LLC
169341
123199
KALRA
AMIT
14510 TOWNE CTR DR NO. F-2
BALDWIN PARK
(626) 851-4444
6, 10, 26, 27
SAN JOSE YOLING DENTAL
164925
173120
KIM
YOUNG
14514 RAMONA BLVD NO. 1
BALDWIN PARK
(626) 337-4700
6, 14
WEST COAST DENTAL GROUP OF BALDWIN PARK
120324
41594
LEE
RYAN
4000 LA RICA AVE NO. D
BALDWIN PARK
(626) 430-9171
5, 6, 26, 27
ST MARY AND ST GEORGE DENTAL CENTER
151559
128830
ABAIAN
MICHAEL
6905 1/2 S ATLANTIC AVE
BELL
(323) 773-5029
6, 7, 26
LA FAMIILIA DENTAL GROUP
149189
125811
AHMADI
MOHAMMAD
4203 GAGE AVE
BELL
(323) 312-0500
1, 6, 7, 26
ALTA MED MEDICAL AND DENTAL GROUP - BELL
117811
128213
ALVARENGA
DAISY
BELL
(323) 562-9222
26
117811
39591
ARIAS
JANET
BELL
(323) 562-9222
26
117811
176486
ARJANG
LEYLA
BELL
(323) 562-9222
26
117811
154692
ARZU
ROSA
BELL
(323) 562-9222
26
117811
122993
CORTEZ-PACHECO
CARLOS
BELL
(323) 562-9222
26
117811
41071
COVARRUBIASD'ALESSANDRO
CONSUELO
BELL
(323) 562-9222
26
117811
128713
EISENHOFER
KAREN
BELL
(323) 562-9222
26
BELL PLAZA DENTAL GROUP
124132
45857
FATEMI
MOJDEH
6343 ATLANTIC AVE NO. C
BELL
(323) 771-7226
6, 7, 26
117811
43298
FLORES
MICHAEL
BELL
(323) 562-9222
26
DR KAMRAN HAKIM, DDS, A DENTAL CORP
12877
34339
HAKIM
KAMRAN
6815 EASTERN AVE NO. A1
BELL
(323) 560-2595
6, 26
DR KAMRAN HAKIM, DDS, A DENTAL CORP
122349
34339
HAKIM
KAMRAN
6334 ATLANTIC AVE
BELL
(323) 560-3646
6, 26
GARDENS DENTAL GROUP
168626
176386
HAKIMZADEH
PASHA
7218 GARFIELD AVE
BELL
(562) 927-4110
6, 7, 26
GRACE DENTISTRY, INC
105074
106446
KIM
BOCK
6501 EASTERN AVE NO. B
BELL
(323) 773-2082
6, 14, 18, 26
117811
173540
LEUNG
WILSON
BELL
(323) 562-9222
26
117811
176457
MEYERS
JAMIE
BELL
(323) 562-9222
26
117811
154691
REYES-VASQUEZ
BELINDA
BELL
(323) 562-9222
26
6, 7, 26
GARDENS DENTAL GROUP
168626
157476
REYHANI
BEHNOUD
7218 GARFIELD AVE
BELL
(562) 927-4110
F MICHAEL YEBRI, DDS, INC
10168
34419
SHAYANI
ROYA
3464 E GAGE AVE
BELL
(323) 582-2292
6, 26
117811
155957
THAN
HUY
BELL
(323) 562-9222
26
10168
35570
YEBRI
FEREYDOUN
3464 E GAGE AVE
BELL
(323) 582-2292
6, 26
ST JAMES DENTAL GROUP
124552
127432
ZINATI
LADAN
7607-9 ATLANTIC AVE
BELL
(323) 771-7254
6, 7, 26
10551
175455
AMJADI
NAHID
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
UNIVERSAL CARE DENTAL
163984
154093
ASUNCION
MARIA
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
10551
113961
BERGER
IVAN
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
163984
156826
CO
MARIA LUISA
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
46176
DAO
TU
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
112197
DUONG
VICKY
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
47074
ELMASRI
MAHA
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
35496
GARABEDIAN
JAMES
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
Page 12
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
163984
157267
JOSON
GLENDA
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
Languages
5, 6, 7, 18, 26, 30
163984
42280
KAMPPILA
ARLENE
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
CALIFORNIA DENTAL GROUP
149205
127222
KIM
RICK
10106 ALONDRA BLVD NO. A
BELLFLOWER
(562) 867-5117
6, 14, 26
10551
155406
KWON
JAE
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
163984
154360
LAURENTE
REX
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
116170
LE
MAI
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
46402
LE
VINH
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
117082
LOZADA
LAWRENCE
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
113567
LUNA
AILEEN
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
37464
LUNA
CELLINI
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
109566
LY
HOA
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
10551
44932
MAI
MICHAEL
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
BELLFLOWER FAMILY DENTAL SERVICES
10582
34283
NEHRU
AMRIT
17019 BELLFLOWER BLVD
BELLFLOWER
(562) 866-9739
6, 10, 18, 26
163984
125838
NGUYEN
BINH
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
5, 6, 7, 18, 26, 30
163984
114005
NGUYEN
MINH TRI
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
10551
110965
PARK
STEPHEN
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
163984
42211
PATEL-MEHTA
ROSHANI
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
154370
PHAM
KIM
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
110232
POBLETE
EDITHA
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
10551
171477
SAAD
AHMED
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
163984
124082
SADJADI
AMIR
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
GERALD W SANDARG
10592
14868
SANDARG
GERALD
17024 CLARK AVE NO. C
BELLFLOWER
(562) 925-7436
6, 26
10551
45190
SHARIFI
MINA
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
163984
172217
STERMER
DAVID
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
156827
TRAN
MAI
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
49013
TRAN
THE-HAO
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
172218
TREDENNICK
SILVANA
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
126200
TSAI
MATTHEW
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
124136
VO
HANH
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
120427
VO
HANHNGOC
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
120558
VO
LETHY
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
163984
120425
VO
THACH
17660 LAKEWOOD BLVD
BELLFLOWER
(562) 461-1180
5, 6, 7, 18, 26, 30
10551
173128
ZAKER
MEYSAM
17240 DOWNEY AVE
BELLFLOWER
(562) 531-0221
6, 7, 26, 30
ROBERT NASSER ABDI S CORP
10247
40520
ABDI
ROBERT
9301 WILSHIRE BLVD NO. 407
BEVERLY HILLS
(310) 271-3225
6, 7, 8, 18, 26
AESTHETIC DENTISTRY
165908
126952
ABRI
DAVID
50 N LA CIENEGA BLVD NO. 217
BEVERLY HILLS
(310) 275-0032
2, 6, 7, 23, 26, 27
PACIFIC DENTAL CARE
13590
122042
BALIKYAN
MICHAEL
BEVERLY HILLS
(310) 274-7485
6, 26
DENTAL GROUP OF BEVERLY HILLS
148774
154683
BOGHOSIAN
NATASHA
250 N ROBERTSON BLVD NO. 412
BEVERLY HILLS
(310) 271-3003
2, 6, 7, 26
148774
39024
KHODADADI
SOHEIL
250 N ROBERTSON BLVD NO. 412
BEVERLY HILLS
(310) 271-3003
2, 6, 7, 26
165868
39024
KHODADADI
SOHEIL
BEVERLY HILLS
(310) 289-1818
2, 6, 7, 26, 27
RICHARD E SPRAGUE, DDS, INC
119852
155515
LARA
NANCY
416 N BEDFORD AVE NO. 103
BEVERLY HILLS
(310) 278-9632
6, 26
PACIFIC DENTAL CARE
13590
38565
MOFTAKHAR
FARSHAD
BEVERLY HILLS
(310) 274-7485
6, 26
165868
174245
ROMERO
MIRIAM
BEVERLY HILLS
(310) 289-1818
2, 6, 7, 26, 27
BURBANK/GLANDALE DENTAL GROUP
11183
174817
ABADI
SANAZ
500 E OLIVE AVE NO. 430
BURBANK
(818) 567-4662
2, 6, 7, 26
Page 13
Provider Directory
Los Angeles

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
EMPIRE DENTAL GROUP
123404
117911
ELIE
ARASH
1635 N VICTORY PL
BURBANK
(818) 565-0057
6
VERDUGO GENTLE DENTAL
111296
113418
EVAZYAN
BENITA
401 S GLENOAKS BLVD NO. 100
BURBANK
(818) 566-4438
2, 6, 18, 26
VERDUGO GENTLE DENTAL
111296
43949
EVAZYAN
RITA
401 S GLENOAKS BLVD NO. 100
BURBANK
(818) 566-4438
2, 6, 18, 26
TINA GHOTANIAN
157480
122971
GHOTANIAN
TINA
BURBANK
(818) 846-2600
2, 26
11183
175000
GROSLEIB
MICHELLE
BURBANK
(818) 567-4662
2, 6, 7, 26
GREEN CALIFORNIA DENTAL GRUOP
169351
177118
KERIKORIAN
VARAND
1822 W BURBANK BLVD
BURBANK
(818) 238-9700
2, 6, 7, 26
S & S KHOSH, DDS, INC
11216
172118
KHOSH
SHAYESTEH
2114 N GLENOAKS BLVD
BURBANK
(818) 846-8915
1, 2, 6, 7, 23, 26
BURBANK VILLIAGE DENTISTRY
11212
36127
LEONOV
ALEXANDER
928 N SAN FERNANDO BLVD NO. E
BURBANK
(818) 841-8607
6, 23, 26
LOUIS MO
167850
175580
MO
LOUIS
BURBANK
(818) 846-3181
6, 26
VINELAND DENTAL PRACTICE
114673
117127
OH
JOON
10970 SHERMAN WAY NO. 102
BURBANK
(818) 565-0001
6, 14, 26
COMFORT ZONE DENTAL
168585
176336
POLUSHKIN
DAVID
3808 W RIVERSIDE DR NO. 508
BURBANK
(818) 955-9788
6, 23, 26, 27
11183
37368
SHIRAZI-ARDESTANI
BEHZAD
BURBANK
(818) 567-4662
2, 6, 7, 26
MICHAEL SHIRVANI, DDS, INC
124240
127208
SHIRVANI
MICHAEL
354 E ANGELENO AVE
BURBANK
(818) 846-2858
6, 26
JOHN YEKIKIAN
13209
31431
YEKIKIAN
JOHN
2601 W ALAMEDA AVE NO. 406
BURBANK
(818) 843-7841
2, 6, 7, 26
WHITE SMILES DENTAL GROUP
102867
157451
ARIAS
HENIDE
CANOGA PARK
(818) 887-0260
6, 7, 26
EDALATPAJOUH & KALAT DENTAL PRACTICE
11224
40811
EDALATPAJOUH
FARAMARZ
6832 DESOTO AVE
CANOGA PARK
(818) 888-2211
6, 26
DR MARJAN GARMESTANI, DDS, INC
108619
45862
GARMESTANI
MARJAN
CANOGA PARK
(818) 610-2007
6, 7, 26
EDALATPAJOUH & KALAT DENTAL PRACTICE
11224
41739
KALAI
KAMBIZ
6832 DESOTO AVE
CANOGA PARK
(818) 888-2211
6, 26
102867
41984
RABIZADEH
DAVID
CANOGA PARK
(818) 887-0260
6, 7, 26
102867
46324
RABIZADEH
SHAWN
CANOGA PARK
(818) 887-0260
6, 7, 26
OMEGA DENTAL GROUP
149309
155246
RASSIBI
EDMOND
21712 SHERMAN WAY
CANOGA PARK
(818) 883-6634
6, 7, 9, 26
KISHORE SHAH DDS, INC
11153
157975
SAINI
TRISHAL
CANOGA PARK
(818) 346-7032
6, 27
AMEICAN DENTAL CENTER OF CANOGA PARK
123530
42224
SEPEHRIPOUR
BEHNAZ
21045 SHERMAN WAY
CANOGA PARK
(818) 883-1234
6, 7, 26
KISHORE SHAH DDS, INC
11153
30003
SHAH
KISHORE
CANOGA PARK
(818) 346-7032
6, 27
A CALIFORNIA DENTAL CARE
14807
45524
SHARIFI
NAZANIN
CANOGA PARK
(818) 887-4668
6, 7, 26
SINAI DENTAL CLINIC
15859
43397
SINAI
ABOLGHASEM
7257 VASSAR AVE NO. 203
CANOGA PARK
(818) 251-9794
6, 7, 8, 26, 29
SALAH E ZEIDAN
11251
29008
ZEIDAN
SALAH
20913 SHERMAN WAY
CANOGA PARK
(818) 992-4600
6, 26
CANYON COUNTRY FAMILY DENTISTRY
113909
116237
CHO
JOHN
18507 SOLEDAD CANYON RD
CANYON COUNTRY
(661) 252-0020
6, 23, 26
CANYON COUNTRY FAMILY DENTISTRY
113909
116236
LIBERMAN
ANNA
18507 SOLEDAD CANYON RD
CANYON COUNTRY
(661) 252-0020
6, 23, 26
13235
154676
ADOURIAN
EDWARD
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
FAMILY DENTAL CENTER
10275
35069
AWAD
ATEF
22813 S FIGUEROA ST
CARSON
(310) 549-3717
1, 6, 18, 26
13235
113961
BERGER
IVAN
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
CARE DENTAL CENTER
123099
126523
HADIAN
MARYAM
23517 MAIN ST NO. 106
CARSON
(310) 513-0222
6, 7, 26
13235
38008
HARIRI
ABBAS
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
13235
126449
HORIYAT
MARYAM
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
RANDOLPH LUM
10292
25939
LUM
RANDOLPH
21847 S AVALON BLVD
CARSON
(310) 549-9710
6, 26, 27
13235
44932
MAI
MICHAEL
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
MARIA JUDINA B MORALES, DDS, INC
148179
154069
MORALES
MA JUDINA
20401 S AVALON BLVD NO. A
CARSON
(310) 217-1507
6, 26, 27
6, 26, 30
JAUBIN NGUYEN, DMD, PROFESSIONAL DENTAL CROP
106987
46911
NGUYEN
JAUBIN
1754 E CARSON ST
CARSON
(310) 518-7068
13235
110965
PARK
STEPHEN
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
13235
171477
SAAD
AHMED
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
CARE DENTAL CENTER
123099
112016
SADRI
POURIA
23517 MAIN ST NO. 106
CARSON
(310) 513-0222
6, 7, 26
13235
123918
SALAMEH
HUSAM
550 E DEL AMO BLVD
CARSON
(310) 515-5672
6, 7, 26, 30
Page 14
Provider Directory
Los Angeles

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
BLOOMFIELD DENTAL CENTER
14538
40827
GUERGUIS
IHAAB
12657 166TH ST
CERRITOS
(562) 926-6502
Languages
1, 6, 8, 26
CERRITOS TOWNE CENTER DENTISTRY
111848
174121
HWANG
CHIN-WEI
17550 BLOOMFIELD AVE NO. C
CERRITOS
(562) 809-4464
6, 26
CERRITOS DENTAL CENTER
10573
17510
LOPEZ
ABELARDO
11135 E 183RD ST
CERRITOS
(562) 860-0387
6, 26, 27
111848
30419
MUDITAJAYA
DANNY
CERRITOS
(562) 809-4464
6, 26
111848
44515
MUDITAJAYA
WINSTON
CERRITOS
(562) 809-4464
6, 26
BLOOMFIELD DENTAL CENTER
14538
155387
TEWFIK
GAMAL
12657 166TH ST
CERRITOS
(562) 926-6502
1, 6, 8, 26
HACIENDA-VALLEY FAMILY DENTISTRY
13368
27286
GO
JULIA
161 S HACIENDA BLVD
CITY OF INDUSTRY
(626) 968-9601
6, 18, 26
ST. JOHN'S WELL CHILD & FAMILY CENTER
112345
105772
ALBERT
ROBERT
2115 N WILMINGTON AVE
COMPTON
(310) 603-1332
6
COBB DENTAL GROUP
10183
38978
COBB
RODNEY
818 W ALONDRA BLVD
COMPTON
(310) 632-2113
6, 26
112345
173156
GONZALEZ
STELLA
COMPTON
(310) 603-1332
6
112345
128491
GOODLETT
JEREMY
COMPTON
(310) 603-1332
6
112345
120030
ISKANDAR
MONA
COMPTON
(310) 603-1332
6
112345
41943
LII
DER-SHSUAN
COMPTON
(310) 603-1332
6
GOLDEN STATE DENTAL GROUP
10286
28205
MURTHY
NAGARAJA
1601 N LONGBEACH BLVD
COMPTON
(310) 639-5000
6
112345
112397
NICA
ANCA
COMPTON
(310) 603-1332
6
LINDA C ONYEADOR, DDS, INC
149939
155883
ONYEADOR
LINDA
555 W COMPTON BLVD NO. 103
COMPTON
(310) 762-9292
6, 26
COMPTON FAMILY DENTAL OFFICE
10288
29411
PARIKH
SHAILESH
2001 E COMPTON BLVD
COMPTON
(310) 639-7970
6, 18, 26, 30
GOLDEN STATE DENTAL GROUP
10286
41674
SALIB
MAGDI
1601 N LONGBEACH BLVD
COMPTON
(310) 639-5000
6
RUBIN NICHOLS, DDS, INC
148978
155643
AZNAVOUR
SARKIS
558 W BADILLO ST
COVINA
(626) 331-0506
6, 26
DENTAL GROUP OF COVINA
108896
38979
COHEN SEDGH
SOLEYMAN
1406 N AZUSA AVE NO. C
COVINA
(626) 858-9940
6, 7
COLLEGE STREET FAMILY DENTISTRY
169298
126582
HAN
EDISON
153 W COLLEGE ST
COVINA
(626) 339-9085
6, 14, 26
LIANE HOURANY, DDS, INC
10725
35121
HOURANY
LIANE
650 S FIRST AVE
COVINA
(626) 332-7311
1, 6
148978
124238
NAJI
AHMED
558 W BADILLO ST
COVINA
(626) 331-0506
6, 26
148978
20803
NICHOLS
RUBIN
558 W BADILLO ST
COVINA
(626) 331-0506
6, 26
ARROW SMILE DENTAL A PRACTICE OF VICTOR M
ROSALES, DDS, INC
148334
128673
ROSALES
VICTOR
20530 E ARROW HWY NO. A
COVINA
(626) 938-1236
6, 27
148978
127739
ZHANG
JOHN
558 W BADILLO ST
COVINA
(626) 331-0506
6, 26
ALIREZA DANESHVAR
170067
126957
DANESHVAR
ALIREZA
10119 WASHINGTON BLVD
CULVER CITY
(310) 202-9009
6
WEST VIEW DENTAL
161105
38060
JAVAHERIAN
MEHRAN
10814 JEFFERSON BLVD NO. G
CULVER CITY
(310) 204-0440
6, 7, 26
SMILE DENTAL
114892
117402
RADULOVICH
RADOJE
10920 VENICE BLVD
CULVER CITY
(310) 204-6661
6, 20, 26
6, 20, 26
SMILE DENTAL
114892
41532
ROXAS
SAMUEL
10920 VENICE BLVD
CULVER CITY
(310) 204-6661
WEST VIEW DENTAL
161105
169093
SHADAIEE-YASHMERANI
FARJAM
10814 JEFFERSON BLVD NO. G
CULVER CITY
(310) 204-0440
6, 7, 26
GOLDEN SPRINGS FAMILY DENTISTRY
12318
36623
MONIAGA
ESTHER
23341 E GOLDEN SPRINGS NO. 206
DIAMOND BAR
(909) 396-7774
6, 18, 26, 27
EDWARD H MOUSALLY
112580
114783
MOUSSALLY
EDWARD
23525 GOLDEN SPRINGS DR NO.C
DIAMOND BAR
(909) 860-9399
6
13251
154676
ADOURIAN
EDWARD
9474 FIRESTONE BLVD
DOWNEY
(562) 803-4224
6, 7, 26, 30
SOHEIR S AZER, DDS, APC
14484
42521
AZER
SOHEIR
10800 PARAMOUNT BLVD NO. 307
DOWNEY
(562) 923-3714
1, 6
13251
113961
BERGER
IVAN
9474 FIRESTONE BLVD
DOWNEY
(562) 803-4224
6, 7, 26, 30
DOWNEY DENTAL CENTER
10586
26960
BRONSTEIN
ROBERT
8515 FLORENCE AVE NO. 200
DOWNEY
(562) 869-4532
6, 26
165361
17684
GHOLDOIAN
GEORGE
10501 LAKEWOOD BLVD NO. A
DOWNEY
(562) 862-2341
2, 6, 26
PLANET DENTAL
121822
38060
JAVAHERIAN
MEHRAN
8843 ROSECRANS AVE NO. A
DOWNEY
(562) 633-9300
6, 7, 26
13251
155406
KWON
JAE
9474 FIRESTONE BLVD
DOWNEY
(562) 803-4224
6, 7, 26, 30
10586
28349
LASCOE
NEAL
DOWNEY
(562) 869-4532
6, 26
13251
43654
ROUHANI
MORVARID
9474 FIRESTONE BLVD
DOWNEY
(562) 803-4224
6, 7, 26, 30
Page 15
Provider Directory
Los Angeles

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
13251
123918
SALAMEH
HUSAM
9474 FIRESTONE BLVD
DOWNEY
(562) 803-4224
6, 7, 26, 30
DR. PRADEEP SHAH
10576
30631
SHAH
PRADEEP
8029 E IMPERIAL HWY
DOWNEY
(562) 862-6979
6, 18, 26
13251
45190
SHARIFI
MINA
9474 FIRESTONE BLVD
DOWNEY
(562) 803-4224
6, 7, 26, 30
CHARLES R STUCKEN, DDS, A PROFESSIONAL DENTAL
CORPORATION
14819
28992
STUCKEN
CHARLES
8847 IMPERIAL HWY NO. C-2
DOWNEY
(562) 861-4011
6, 26
13251
156426
TCHABOUKIAN
OHANNES
9474 FIRESTONE BLVD
DOWNEY
(562) 803-4224
6, 7, 26, 30
10586
27570
VERDUGO
RICHARD
DOWNEY
(562) 869-4532
6, 26
YING WU, DDS, INC
102795
103723
WU
YING
12651 LAKEWOOD BLVD NO. 101
DOWNEY
(562) 904-1150
5, 6, 13, 26
DENTAL PRO
118770
22433
YOUNG
CHARLES
12156 LAKEWOOD BLVD
DOWNEY
(562) 803-1600
6, 26
ALTA MED SERVICES CORPORATION
149830
128213
ALVARENGA
DAISY
10418 VALLEY BLVD B 2ND FL
EL MONTE
(626) 453-8466
6, 26
149830
176486
ARJANG
LEYLA
EL MONTE
(626) 453-8466
6, 26
SHAHRIYAB BEHJOU DENTAL CORPORATION
11917
41352
BEHJOU
SHAHRIYAR
10755 LOWER AZUSA RD NO. B-C
EL MONTE
(626) 448-2040
6, 7, 26
KY L. DO DDS INC
15328
129072
CHAN
LIN
12072 E VALLEY BLVD
EL MONTE
(626) 527-2200
3, 4, 5, 6, 16, 18,
26, 30
149830
122993
CORTEZ-PACHECO
CARLOS
EL MONTE
(626) 453-8466
6, 26
149830
41071
CONSUELO
EL MONTE
(626) 453-8466
6, 26
KY L. DO DDS INC
15328
41399
DO
KY
12072 E VALLEY BLVD
EL MONTE
(626) 527-2200
3, 4, 5, 6, 16, 18,
26, 30
MERCED DENTAL CENTER
10736
32300
FAYNGOR
LEONARD
9939 E GARVEY AVE NO. D
EL MONTE
(626) 444-2227
6, 23, 26
FAMILY DENTISTRY
10746
38287
GEORGESCU
IONEL
9060 TELSTAR AVE NO. 206
EL MONTE
(626) 571-5975
6, 18, 26
GUTIERREZ DENTAL OFFICE
13588
47899
GUTIERREZ
JOSE
12100 E VALLEY BLVD NO. 112
EL MONTE
(626) 443-7929
6, 26
KHAN DENTAL CORPORATION
10753
39426
KHAN
MOHAMMAD
4900 N PECK RD
EL MONTE
(626) 579-5158
6, 18, 26
KHAN DENTAL CORPORATION
10753
37914
KHAN
SHATAJ
4900 N PECK RD
EL MONTE
(626) 579-5158
6, 18, 26
149830
173540
LEUNG
WILSON
EL MONTE
(626) 453-8466
6, 26
149830
176457
MEYERS
JAMIE
EL MONTE
(626) 453-8466
6, 26
KY L. DO DDS INC
15328
129073
PHAM
ANH
12072 E VALLEY BLVD
EL MONTE
(626) 527-2200
3, 4, 5, 6, 16, 18,
26, 30
TESSIE T SY, DDS, A PROFESSIONAL CORPORATION
149874
155822
SY
TESSIE
4565 N PECK RD
EL MONTE
(626) 350-3295
5, 6, 26, 27
149830
155957
THAN
HUY
EL MONTE
(626) 453-8466
6, 26
GUTIERREZ DENTAL OFFICE
13588
121605
VALDEZ
CARMEN
12100 E VALLEY BLVD NO. 112
EL MONTE
(626) 443-7929
6, 26
SUNSHINE DENTAL GROUP
121783
125179
VILLASENOR-CALVILLO
JORGE
4161 TYLER AVE
EL MONTE
(626) 579-4274
5, 6, 16, 18, 26
SUNSHINE DENTAL GROUP
121783
125652
WU
HOWARD
4161 TYLER AVE
EL MONTE
(626) 579-4274
5, 6, 16, 18, 26
MARY ANN CORPUS PROFESSIONAL DENTAL
CORPORATION
13750
41381
CORPUS
MARY ANN
15720 VENTURA BLVD NO. 301
ENCINO
(818) 788-7181
6, 20
IRAJ EBRAMI, DDS, INC
151270
157444
EBRAMI
IRAJ
ENCINO
(818) 905-8337
6, 7, 26
DR. MAHNAZ-DEBORAH GOZINI
12101
38016
GOZINI
MAHNAZ-DEBORAH
ENCINO
(818) 881-1330
6, 7, 26
DR. DAN ROSEN
11237
32373
NOURIAN
SHAHRAM
ENCINO
(818) 907-6736
6, 7, 26
6, 7, 26
DR. DAN ROSEN
11237
38742
ROSEN
DAN
ENCINO
(818) 907-6736
CITY DENTAL CENTER
15633
175502
BAZOS
VASILIKI
1300 W 155 ST NO. 208
GARDENA
(310) 715-2723
6, 26
CITY DENTAL CENTER
15633
165479
CHEN
MINDY
1300 W 155 ST NO. 208
GARDENA
(310) 715-2723
6, 26
HARRY C. KIM DDS, INC
102982
103923
KIM
HARRY
15400 CRENSHAW BLVD
GARDENA
(310) 516-9858
6, 26
PHUONG BICH LAM
112482
114696
LAM
PHUONG
15000 CRENSHAW BLVD NO. 104A
GARDENA
(310) 323-2629
6, 26, 30
CITY DENTAL CENTER
15633
175522
LEE
SHAWN
1300 W 155 ST NO. 208
GARDENA
(310) 715-2723
6, 26
CITY DENTAL CENTER
15633
42407
RHIND
JEFFREY
1300 W 155 ST NO. 208
GARDENA
(310) 715-2723
6, 26
Page 16
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
JOHN YEKIKIAN
11140
34457
AFAR
BIJAN
1128 N BRAND BLVD
GLENDALE
(818) 242-4703
2, 6, 7, 26
COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
122838
154826
AGHAJANIAN
LEO
801 S CHEVY CHASE DR NO. 250
GLENDALE
(818) 265-2259
2, 6, 23, 26
ALFRED AIDIE, DMD, INC
114789
44811
AIDIE
ALFRED
1219 N PACIFIC AVE
GLENDALE
(818) 243-1000
2, 6, 18, 23, 26
122838
126751
AMIGON
REMEDIOS
GLENDALE
(818) 265-2259
2, 6, 23, 26
CYBERDENT
111745
111655
BAGHDASARYAN
KAREN
6300 SAN FERNANDO RD
GLENDALE
(818) 547-4455
2, 6, 23, 26
GLENDALE PREMIER DENTAL CENTER
148929
154845
BRAVO
GHISELA
819 N PACIFIC AVE
GLENDALE
(818) 240-1760
1, 6, 26, 27
DENTAL CENTRAL GROUP
119675
115102
COHEN
CATREEN
814 E BROADWAY NO. 4
GLENDALE
(818) 241-1160
7, 26
1, 6, 26, 27
148929
46259
GHAZARIAN
ANAHIT
819 N PACIFIC AVE
GLENDALE
(818) 240-1760
122838
39273
HARMANDARIAN
ANNA
GLENDALE
(818) 265-2259
2, 6, 23, 26
SARADJIAN DENTAL CLINIC
11143
126161
KREKORIANS
VANIK
205 S VERDUGO RD NO. A
GLENDALE
(818) 244-4949
1, 2, 6, 7, 8, 23, 26
122838
173540
LEUNG
WILSON
GLENDALE
(818) 265-2259
2, 6, 23, 26
OVSEP LUSINYAN
169989
116136
LUSINYAN
OVSEP
501 W GLENOAKS NO. 14
GLENDALE
(818) 500-7978
2, 6, 23
148929
113064
MATOSSIAN
NISHAN
819 N PACIFIC AVE
GLENDALE
(818) 240-1760
1, 6, 26, 27
CARMEN OHANIAN, DDS, INC
11142
40701
OHANIAN
CARMEN
607 N CENTRAL AVE NO. 301
GLENDALE
(818) 244-0215
2, 6, 7
122838
114656
RODRIGUEZ
ARIEL
GLENDALE
(818) 265-2259
2, 6, 23, 26
CYBERDENT
111745
113932
ROSTOMIAN
SOUREN
GLENDALE
(818) 547-4455
2, 6, 23, 26
11143
32078
SARADJIAN
ARTEMIS
GLENDALE
(818) 244-4949
1, 2, 6, 7, 8, 23, 26
11143
34023
SARMICANIC
MARIAM
GLENDALE
(818) 244-4949
1, 2, 6, 7, 8, 23, 26
CYBERDENT
111745
128246
SHAHNUBARYAN
ARTUR
GLENDALE
(818) 547-4455
2, 6, 23, 26
STARLIGHT DENTAL GROUP
156951
164457
SOOFERI
PAYAM
214 N CENTRAL AVE
GLENDALE
(818) 243-8888
2, 6, 7, 23, 26
JOHN YEKIKIAN
11140
31431
YEKIKIAN
JOHN
1128 N BRAND BLVD
GLENDALE
(818) 242-4703
2, 6, 7, 26
GLENDORA DENTAL CENTER
12516
24708
ASSAF
JAFAR
130 W ROUTE 66 STE. 316
GLENDORA
(626) 335-7727
1, 6, 18, 20, 26
WOODGLEN DENTAL CENTER
148259
120696
KASSAR
RAEDA
220 S GLENDORA AVE NO. B
GLENDORA
(626) 914-4054
1, 6, 26
PAGES DENTAL OFFICE
11947
34539
PAGES
HARRY
641 W ROUTE 66 NO. D
GLENDORA
(626) 914-3068
6, 26
BUENAVENTURA DENTAL OFFICE, INC
162662
170661
BUENAVENTURA
ESPERANZA
16917 DEVONSHIRE ST
GRANADA HILLS
(818) 360-0957
6, 10, 26, 27
162662
121433
COMIA
ALLAN
16917 DEVONSHIRE ST
GRANADA HILLS
(818) 360-0957
6, 10, 26, 27
162662
170662
ESTABILLO
SONIA
16917 DEVONSHIRE ST
GRANADA HILLS
(818) 360-0957
6, 10, 26, 27
(626) 333-5244
COMFORT SMILE FAMILY DENTISTRY
15422
43974
HUANG
PHILLIP
15724 E GALE AVE
HACIENDA HEIGHTS
GENTLE DENTAL CARE
149234
121894
KIM
MIN
12144 E CARSON ST NO. E
HAWAIIAN GARDENS (562) 982-1380
6, 14, 26
5, 6, 16, 26
DAILY DENTAL GROUP
13416
108995
AL-SHAWE
HALA
11633 HAWTHORNE BLVD NO. 502
HAWTHORNE
(310) 644-4464
6, 18, 26
BURTON SCHNIEROW, DDS, INC
10299
164461
ANGELES-AVILES
CARMENCITA
13450 S HAWTHORNE BLVD
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
10299
49278
BANAWIS
MICHAEL
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
10299
33921
DOUGLAS
JAMES
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
AAA DENTAL STUDIO
116983
119684
DURGHINESCU
CRIS
12950 HAWTHORNE BLVD
HAWTHORNE
(310) 970-0433
6, 18, 26
10299
164472
GALGO
ROSALENE
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
10299
164464
GONZALES
LEILA
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
10299
37424
GUEDIKIAN
RAFFI
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
MARTHA GUTIERREZ DDS INC.
111388
109743
GUTIERREZ
MARTHA
12703 PRAIRIE AVE
HAWTHORNE
(310) 676-2442
6
SUNRISE DENTAL GROUP
110134
112079
HAGHIGHATPOUR
MOHSEN
13624 HAWTHORNE BLVD NO. 205
HAWTHORNE
(310) 856-6574
6, 7, 18, 26
10299
164465
INOCENTES
ELVIRA
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
10299
45475
KHORRAM
NASRIN
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
CHOICE DENTAL GROUP
14244
154474
LEE
SOOJI
12730-D HAWTHORNE BLVD
HAWTHORNE
(310) 644-4000
6, 7, 26
JOHN M LEGASPI, A PROFESSIONAL CORPORATION
124126
115967
LEGASPI
JOHN
HAWTHORNE
(310) 973-1525
6, 26, 27
Page 17
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
10299
164471
LIM
ALICE
HAWTHORNE
(310) 679-0106
Languages
2, 5, 6, 18, 20, 26
CHOICE DENTAL GROUP
14244
35141
MAANAVI
SUSAN
HAWTHORNE
(310) 644-4000
6, 7, 26
2, 5, 6, 18, 20, 26
10299
164468
MAGALANG
CHRISTINE
HAWTHORNE
(310) 679-0106
10299
28968
ORTEGA
ANTHONY
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
CHOICE DENTAL GROUP
14244
39862
PAKRAVAN
FARID
HAWTHORNE
(310) 644-4000
6, 7, 26
2, 5, 6, 18, 20, 26
10299
110232
POBLETE
EDITHA
HAWTHORNE
(310) 679-0106
10299
110231
PYLEN
EUGENE
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
SANTA MARIA DENTAL OFFICE INC
14238
37486
ROFAEL
NAWAL
HAWTHORNE
(310) 973-0945
1, 6, 26
LA DENTAL CARE
14335
43490
ROWHANI
SHIRIN
12820 INGLEWOOD AVE
HAWTHORNE
(310) 349-1980
6, 7, 26
10299
16629
SCHNIEROW
BURTON
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
121120
16629
SCHNIEROW
BURTON
HAWTHORNE
(310) 970-0584
2, 5, 6, 7, 18, 20,
26, 30
2, 5, 6, 18, 20, 26
10299
43865
TAGHAVI
REZA
HAWTHORNE
(310) 679-0106
10299
157221
WONG
JENNIFER
HAWTHORNE
(310) 679-0106
2, 5, 6, 18, 20, 26
BINAFARD DENTAL CORPORATION
110833
154837
ASSIL
FARIBA
7136 PACIFIC BLVD NO. 210
HUNTINGTON PARK
(323) 585-1000
6, 7, 26, 27
BINAFARD DENTAL CORPORATION
110833
37388
BINAFARD
BEHZAD
HUNTINGTON PARK
(323) 585-1000
6, 7, 26, 27
NAUM FAYNGOR DENTAL CORP
15855
34954
FAYNGOR
NAUM
6416 SANTA FE AVE
HUNTINGTON PARK
(323) 588-6480
6, 23, 26
DR FRANSIS DENTAL CENTER
10172
32232
FRANSIS
ADEL
6040 PACIFIC BLVD
HUNTINGTON PARK
(323) 583-5677
1, 6, 23, 26
DR JUSTIN FAMILY DENTAL PRACTICE
13468
35273
HWANG
JUSTIN
HUNTINGTON PARK
(323) 582-2200
6, 14, 26
KIMS FAMILY DENTISTRY
10176
24128
KIM
JUNG
7601 SEVILLE AVE
HUNTINGTON PARK
(323) 587-6600
6, 14, 26
ALL AMERICAN DENTAL CENTER
102966
103909
LEE
VIVIENNE
2822 E FLORENCE AVE
HUNTINGTON PARK
(323) 583-4660
1, 6, 18, 26
ALAMEDA DENTAL GROUP
151831
39189
MOVASSAGHI
ALIREZA
7700 S ALAMEDA ST NO. A
HUNTINGTON PARK
(323) 585-9200
6, 7, 26
PRO DENTISTA
165992
174244
PHAN
NAM
2634 CLARENDON AVE
HUNTINGTON PARK
(323) 585-2777
6, 26, 30
10172
122032
SEDGHIZADEH
PARISH
6040 PACIFIC BLVD
HUNTINGTON PARK
(323) 583-5677
1, 6, 23, 26
ANDREW C SHIEH, DDS, A PROFESSIONAL CORP
13936
44084
SHIEH
CHANG
2563 ZOE AVE
HUNTINGTON PARK
(323) 588-6384
6, 18, 22
SIDERMAN, YAMPOLSKY DENTAL CORP
111967
108348
SIDERMAN
JERRY
6601 RUGBY AVE NO. 400
HUNTINGTON PARK
(323) 585-1515
6, 23, 26
10172
155387
TEWFIK
GAMAL
6040 PACIFIC BLVD
HUNTINGTON PARK
(323) 583-5677
1, 6, 23, 26
111967
114180
VOLOSHIN
MICHAEL
HUNTINGTON PARK
(323) 585-1515
6, 23, 26
111967
123315
ZOUBTSOV
VIACHESLAV
HUNTINGTON PARK
(323) 585-1515
6, 23, 26
AAA DENTISTRY AT IMPERIAL CRENSHAW DENTAL CENTER 121134
42276
BENLAVI
JHON
2798 W IMPERIAL HWY
INGLEWOOD
(323) 418-8888
6, 7, 26, 27
WESTCHESTER DENTAL CARE
12258
37388
BINAFARD
BEHZAD
212-214 N MARKET ST
INGLEWOOD
(310) 671-9920
6, 7, 26
GARY L WEINER, DDS, & CHESTER W KAUFMAN, DDS, INC
10298
43913
CHAVEZ
JUAN
3516 W IMPERIAL HWY
INGLEWOOD
(310) 677-9101
6, 26
RAYMONT H JOHNSON, JR, DDS, A CALIFORNIA
CORPORATION
10290
25404
JOHNSON
RAYMONT
808 E MANCHESTER BLVD
INGLEWOOD
(310) 671-1234
6, 26
10298
19914
KAUFMAN
CHESTER
3516 W IMPERIAL HWY
INGLEWOOD
(310) 677-9101
6, 26
SIAMAK KHAKSOOY, DDS, INC
125815
125533
KHAKSHOOY
SIAMAK
3451 W CENTURY BLVD NO. B1
INGLEWOOD
(310) 330-9000
6, 7, 9, 26
RAYMONT H JOHNSON, JR, DDS, A CALIFORNIA
CORPORATION
10290
125008
MORRIS
LA TOYA
808 E MANCHESTER BLVD
INGLEWOOD
(310) 671-1234
6, 26
SOUTHWEST FAMILY DENTAL OFFICE
156904
29932
OKONKWO
EMMANUEL
2710 W MANCHESTER BLVD NO. 3
INGLEWOOD
(323) 971-5026
6, 18, 26
10298
19018
WEINER
GARY
3516 W IMPERIAL HWY
INGLEWOOD
(310) 677-9101
6, 26
CRESENTA FAMILY DENTAL
109993
123860
GRIGORIAN
FREDRICK
2644 FOOTHILL BLVD
LA CRESCENTA
(818) 248-9988
6, 7
CRESENTA FAMILY DENTAL
109993
39643
HAKIMI
SOHAIL
2644 FOOTHILL BLVD
LA CRESCENTA
(818) 248-9988
6, 7
FAMILY DENTISTRY
126022
128970
MEHRABIAN
VAHAG
3157 FOOTHILL BLVD NO. A
LA CRESCENTA
(818) 541-9724
6, 18, 23, 26
LA MIRADA FAMILY DENTISTRY
151461
112387
AMBARACHYAN
ARMEN
15071 E IMPERIAL HWY
LA MIRADA
(562) 947-7000
2, 6, 26
Page 18
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
GAD PROFESSIONAL DENTAL CORP
12609
38318
ALINA
12252 LA MIRADA BLVD
LA MIRADA
(562) 943-0151
1, 5, 6, 26
GAD
GAD PROFESSIONAL DENTAL CORP
12609
37825
GAD
MAGDY
12252 LA MIRADA BLVD
LA MIRADA
(562) 943-0151
1, 5, 6, 26
LA MIRADA FAMILY DENTAL
10594
102866
HLAING
SUE
12319 IMPERIAL HWY
LA MIRADA
(562) 926-7025
6, 18, 26
CALIFORNIA DENTISTRY & BRACES
13410
46394
JUE
ZECHENG
LA MIRADA
(562) 947-9500
6, 14, 26, 27

BEST CARE DENTAL
116926
122534
KIM
KENNETH
15651 E IMPERIAL HWY NO. 206
LA MIRADA
(562) 947-2559
6, 14, 26
10594
40648
LAY
GILBERT
12319 IMPERIAL HWY
LA MIRADA
(562) 926-7025
6, 18, 26

BEST CARE DENTAL
116926
110568
LEE
KANG
LA MIRADA
(562) 947-2559
6, 14, 26
LA MIRADA FAMILY DENTISTRY
151461
128970
MEHRABIAN
VAHAG
LA MIRADA
(562) 947-7000
2, 6, 26
10594
174238
MOE
THOMAS
12319 IMPERIAL HWY
LA MIRADA
(562) 926-7025
6, 18, 26
IMPERIAL DENTAL
10588
37888
OCAMPO
SERGIO
LA MIRADA
(562) 902-9898
6, 26
IMPERIAL DENTAL
10588
128168
VERGEL DE DIOS
ROSETTA
LA MIRADA
(562) 902-9898
6, 26
LA PUENTE VILLAGE FAMILY DENTISTRY
125819
40804
DEIRMENJIAN
BAROUIR
401 A S AZUSA AVE
LA PUENTE
(626) 810-8222
6, 26
KENNETH NGUYEN, DDS, APC
115364
46204
NGUYEN
KENNETH
762 N GLENDORA AVE NO. D
LA PUENTE
(626) 333-7920
6, 26, 30
DR. VIJAY L PHARAR DENTAL CORPORATION
10759
34190
PHARAR
VIJAY
17311 E VALLEY BLVD NO. B
LA PUENTE
(626) 810-2444
4, 6, 18
DENTAL CARE OF LA VERNE
14453
38323
LIU
PAUL
2323 FOOTHILL BLVD
LA VERNE
(909) 596-1861
5, 6, 22, 26, 27
LAKEWOOD-CERRITOS DENTAL
10546
17510
LOPEZ
ABELARDO
5819 ADENMOOR AVE
LAKEWOOD
(562) 804-2296
6, 26, 27
D & D DENTAL
10600
41465
LUONG
DEAN
4180 WOODRUFF AVE
LAKEWOOD
(562) 938-9514
6, 26, 30
D & D DENTAL
10600
42356
LUONG
DONALD
4180 WOODRUFF AVE
LAKEWOOD
(562) 938-9514
6, 26, 30
LAKEWOOD FAMILY DENTISTRY
10574
30025
VASA
JITEN
11455 E CARSON ST NO. E
LAKEWOOD
(562) 860-7116
6, 18, 26, 27
103093
158369
BABAKHANOF
PAUL
1228 W AVE K NO. E3 & F2-6
LANCASTER
(661) 949-1970
6, 7, 26, 30
103093
113961
BERGER
IVAN
1228 W AVE K NO. E3 & F2-6
LANCASTER
(661) 949-1970
6, 7, 26, 30
BOYADJIAN & MATOSSIAN DENTAL
124317
124015
BOYADJIAN
ALINE
43845 10TH ST W NO. 1A
LANCASTER
(661) 948-9646
2, 6, 26
HI-DESERT DENTAL CENTER
11114
111097
GORDON
LEONEED
1745 W AVE K NO. C
LANCASTER
(661) 723-5400
6, 18, 23, 26
KEVIN JU, DDS, INC
152200
123894
JU
KEVIN
44439 N 17TH ST NO. 201
LANCASTER
(661) 723-1461
6, 14, 26
11114
43622
KOHANOFF
SHARONA
1745 W AVE K NO. C
LANCASTER
(661) 723-5400
6, 18, 23, 26
GOLDEN DENTAL
156833
164310
MARKARIAN
ROLAND
803 W AVE NO. J
LANCASTER
(661) 948-8100
2, 6, 7, 26
124317
113064
MATOSSIAN
NISHAN
43845 10TH ST W NO. 1A
LANCASTER
(661) 948-9646
2, 6, 26
RICUCCIO A NEGOM, DDS, PC
126023
128971
NEGOM
RICUCCIO
44725 10TH ST W NO. 160
LANCASTER
(661) 942-8555
6, 8, 26
103093
113553
NGUYEN
MICHELLE
1228 W AVE K NO. E3 & F2-6
LANCASTER
(661) 949-1970
6, 7, 26, 30
FAMILY DENTAL PRACTICE OF LANCASTER
148492
39862
PAKRAVAN
FARID
44558 10TH ST W
LANCASTER
(661) 723-1111
6, 26
103093
43654
ROUHANI
MORVARID
1228 W AVE K NO. E3 & F2-6
LANCASTER
(661) 949-1970
6, 7, 26, 30
6, 14, 26
KEVIN JU, DDS, INC
152200
158771
SEUONG
SHON
44439 N 17TH ST NO. 201
LANCASTER
(661) 723-1461
FAMILY DENTAL PRACTICE OF LANCASTER
148492
154611
SHAFA
FARID
44558 10TH ST W
LANCASTER
(661) 723-1111
6, 26
124317
127031
STENGER
FLORA
43845 10TH ST W NO. 1A
LANCASTER
(661) 948-9646
2, 6, 26
103093
122860
ZEKAVAT
PARVIN
1228 W AVE K NO. E3 & F2-6
LANCASTER
(661) 949-1970
6, 7, 26, 30
HANNA DENTISTRY
13739
41614
HANNA
HANNA
LAWNDALE
(310) 676-6400
1, 6, 18, 26
HENRY S LEE
169277
45131
LEE
HENRY
4181 W REDONDO BEACH BLVD
LAWNDALE
(310) 371-6513
6, 16, 26
A DENTISTRY
15026
45948
PAIK
MISUNG
1816 LOMITA BLVD
LOMITA
(310) 326-4117
6, 14, 26
163313
154093
ASUNCION
MARIA
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
154093
ASUNCION
MARIA
3325 N PALO VERDE AVE NO. 208
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
DR BONDADE'S FAMILY DENTAL OFFICE
166123
30194
BONDADE
DEEPAK
6950 PARAMOUNT BLVD
LONG BEACH
(562) 531-9711
6, 10, 18, 26
OMEGA FAMILY DENTAL
114821
117306
CHAN
TED
816 W WILLOW ST
LONG BEACH
(562) 595-7077
4, 6, 26
163313
156826
CO
MARIA LUISA
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
Page 19
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
164007
156826
MARIA LUISA
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
CO
163313
46176
DAO
TU
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
46176
DAO
TU
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
PROFFESSIONAL DENTAL CARE
10540
36534
DE LOS SANTOS
VICTOR
LONG BEACH
(562) 426-1298
6, 26, 27
163313
112197
DUONG
VICKY
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
112197
DUONG
VICKY
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
47074
ELMASRI
MAHA
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
47074
ELMASRI
MAHA
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
10540
111953
FERMA
ALICE
LONG BEACH
(562) 426-1298
6, 26, 27
166123
177845
GANDHI
ADARSH
6950 PARAMOUNT BLVD
LONG BEACH
(562) 531-9711
6, 10, 18, 26
163313
35496
GARABEDIAN
JAMES
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
35496
GARABEDIAN
JAMES
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
FIROZ HAKAKHA, DDS, INC
114275
116677
HAKAKHA
FIROZ
1183 E ANAHEIM ST
LONG BEACH
(562) 599-6600
6, 7, 26
FIROZ HAKAKHA, DDS, INC
126255
116677
HAKAKHA
FIROZ
1327 LONG BEACH BLVD
LONG BEACH
(562) 218-5555
6, 26
2, 6, 7, 14, 26
UNITED FAMILY DENTAL
163382
38060
JAVAHERIAN
MEHRAN
141-P E WILLOW ST
LONG BEACH
(562) 988-2888
163313
157267
JOSON
GLENDA
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
157267
JOSON
GLENDA
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
42280
KAMPPILA
ARLENE
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
42280
KAMPPILA
ARLENE
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
KOSAL KOM, DDS, INC
10543
41442
KOM
KOSAL
2338 E ANAHIEM ST NO. 108
LONG BEACH
(562) 434-9980
3, 6, 26, 28
163313
154360
LAURENTE
REX
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
154360
LAURENTE
REX
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
116170
LE
MAI
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
116170
LE
MAI
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
46402
LE
VINH
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
46402
LE
VINH
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
10540
106619
LEE
JANE
LONG BEACH
(562) 426-1298
6, 26, 27
163313
117082
LOZADA
LAWRENCE
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
117082
LOZADA
LAWRENCE
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
113567
LUNA
AILEEN
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
113567
LUNA
AILEEN
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
37464
LUNA
CELLINI
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
37464
LUNA
CELLINI
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
109566
LY
HOA
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
109566
LY
HOA
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
10540
111951
MA
KHAI
LONG BEACH
(562) 426-1298
6, 26, 27
166123
28597
MEHTA
MAHENDRA
6950 PARAMOUNT BLVD
LONG BEACH
(562) 531-9711
6, 10, 18, 26
BEAUTIFUL SMILES DENTAL CARE
116634
25759
MIRANDA
NORMA
1729 TERMINO AVE
LONG BEACH
(562) 494-8400
6, 26
FAMILY DENTISTRY
10536
29382
MOHAN
SHAMANNA
5399 ORANGE AVE
LONG BEACH
(562) 422-9698
6, 10, 26
ST MARK MEDICAL
10537
40864
NESSIM
MAGED
3440 ATLANTIC AVE NO. 2A
LONG BEACH
(562) 424-0724
3, 6, 8, 26
163313
125838
NGUYEN
BINH
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
125838
NGUYEN
BINH
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
CANAI NGUYEN, DDS, INC
10542
36688
NGUYEN
CANAI
2136 E ANAHEIM ST
LONG BEACH
(562) 433-1966
3, 6, 8, 26, 30
Page 20
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
163313
114005
NGUYEN
MINH TRI
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
114005
NGUYEN
MINH TRI
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
LONG BEACH FAMILY DENTAL GROUP
108734
110531
NGUYEN
PETER
2006 LONG BEACH BLVD NO. E
LONG BEACH
(562) 218-6575
6, 26
LONG BEACH FAMILY DENTAL GROUP
108734
110530
NGUYEN
THOMAS
LONG BEACH
(562) 218-6575
6, 26
3, 6, 26, 28, 30
LONG BEACH DENTAL GROUP
116845
119526
PAPADOPOULOS
MICHAEL
659 REDONDO AVE
LONG BEACH
(562) 439-0494
163313
42211
PATEL-MEHTA
ROSHANI
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
42211
PATEL-MEHTA
ROSHANI
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
154370
PHAM
KIM
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
154370
PHAM
KIM
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
110232
POBLETE
EDITHA
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
110232
POBLETE
EDITHA
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
SINGH DENTAL CORPORATION
113119
115339
PRONSTROLLER
JANICE
460 LONG BEACH BLVD
LONG BEACH
(562) 436-9234
6, 18, 20
KNOLLS DENTAL GROUP
167820
107009
RASNER
LLOYD
3932 LONG BEACH BLVD NO. A
LONG BEACH
(562) 427-3890
6
BEAUTIFUL SMILES DENTAL CARE
116634
42768
RUIZ
ADRIAN
1729 TERMINO AVE
LONG BEACH
(562) 494-8400
6, 26
163313
124082
SADJADI
AMIR
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
124082
SADJADI
AMIR
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
SINGH DENTAL CORPORATION
113119
46430
SINGH
RAVINDER
460 LONG BEACH BLVD
LONG BEACH
(562) 436-9234
6, 18, 20
163313
172217
STERMER
DAVID
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
172217
STERMER
DAVID
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
156827
TRAN
MAI
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
156827
TRAN
MAI
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
49013
TRAN
THE-HAO
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
49013
TRAN
THE-HAO
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
172218
TREDENNICK
SILVANA
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
172218
TREDENNICK
SILVANA
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
126200
TSAI
MATTHEW
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
126200
TSAI
MATTHEW
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
124136
VO
HANH
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
124136
VO
HANH
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
120427
VO
HANHNGOC
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
120427
VO
HANHNGOC
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
120558
VO
LETHY
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
120558
VO
LETHY
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
163313
120425
VO
THACH
2360 PACIFIC AVE
LONG BEACH
(562) 595-0731
5, 7, 18, 26, 30
164007
120425
VO
THACH
LONG BEACH
(562) 429-1642
6, 7, 26, 27, 30
CANAI NGUYEN, DDS, INC
10542
37949
VU
HIEU
2136 E ANAHEIM ST
LONG BEACH
(562) 433-1966
3, 6, 8, 26, 30
HONG T VU, DENTAL CORP
10544
45418
VU
HONG
3000 E ANAHEIM ST
LONG BEACH
(562) 438-9437
6, 18, 26
SOTO DENTAL CARE
157298
128830
ABAIAN
MICHAEL
3061 WABASH AVE
LOS ANGELES
(323) 266-3200
6, 7, 26
CYPRESS DENTAL CLINIC
10102
35064
ACHHNANI
DIPTI
2135 CYPRESS AVE
LOS ANGELES
(323) 223-0731
6, 26
WILSHIRE DENTAL CARE
124097
34457
AFAR
BIJAN
LOS ANGELES
(323) 938-6137
6, 7, 26
MID WILSHIRE DENTAL CARE
125031
34457
AFAR
BIJAN
LOS ANGELES
(323) 931-2000
6, 7, 23, 26
BAY DENTAL
105615
107082
AGAKI
MEIR
11607 W WASHINGTON BLVD
LOS ANGELES
(310) 398-7166
5, 6, 7, 8, 19, 26
114894
154826
AGHAJANIAN
LEO
1704 COLORADO BLVD
LOS ANGELES
(323) 256-4116
2, 6, 26
Page 21
Provider Directory
Los Angeles

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
LA PAZ MEDICAL GROUP
13482
155596
AGHAMYAN
ELINA
1107 S ALVARADO ST NO. 102
LOS ANGELES
(213) 380-9999
2, 6, 26
ALTA MED MEDICAL & DENTAL GROUP - BOYLE HEIGHTS
117808
128213
ALVARENGA
DAISY
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
HASMIK AMBARTSUMYAN
104015
111678
AMBARTSUMYAN
HASMIK
5222 1/2 SUNSET BLVD
LOS ANGELES
(323) 666-2222
2, 6, 23
114894
126751
AMIGON
REMEDIOS
1704 COLORADO BLVD
LOS ANGELES
(323) 256-4116
2, 6, 26
SUNSET FAMILY DENTISTRY
115589
118219
AMIN
MANOJKUMAR
2613 SUNSET BLVD
LOS ANGELES
(213) 484-1845
6, 10, 18, 26
GIHAN ANTHONY, DDS
10142
43275
ANTHONY
GIHAN
6368 HOLLYWOOD BLVD
LOS ANGELES
(323) 469-5555
6
GIHAN ANTHONY, DDS, PC
10211
43275
ANTHONY
GIHAN
2515 W PICO BLVD
LOS ANGELES
(213) 384-4555
1, 6, 18, 26, 27
117808
39591
ARIAS
JANET
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
117808
176486
ARJANG
LEYLA
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
MICHEL ELYSON, DDS, A PROFESSIONAL CORPORATION
13055
40135
ASSILI-DAMAVANDI
RAMIN
745 S KERN AVE
LOS ANGELES
(323) 263-2125
6, 26
163993
154093
ASUNCION
MARIA
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
154093
ASUNCION
MARIA
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
COMPLETE FAMILY MEDICAL AND DENTAL CLINIC
10145
39940
BAKHOUM
MERVAT
5540 N FIGUEROA ST
LOS ANGELES
(323) 478-1101
1, 6, 26
MERVAT S BAKHOUM
119677
39940
BAKHOUM
MERVAT
443 S SOTO ST
LOS ANGELES
(323) 263-6103
6
6, 26
CRENSHAW PROF DENTAL CTR
102977
122926
BALLENGER
DEBBIE
3015 CRENSHAW BLVD NO. A
LOS ANGELES
(323) 731-0801
13248
22468
BANASKY
CHARLES
1440 W MANCHESTER AVE
LOS ANGELES
(323) 753-1141
5, 6, 26
DANIEL Q. BARRIENTOS
10129
25321
BARRIENTOS
DANIEL
2426 W EIGHTH ST NO. 209
LOS ANGELES
(213) 381-1900
6, 18, 26, 27
EDWIN BARZALLO, DDS, INC
105315
104441
BARZALLO
EDWIN
741 SOUTH ATLANTIC BLVD
LOS ANGELES
(323) 263-3300
6, 26
CHANTISTE BEAL
157930
165686
BEAL
CHANTISTE
3019 W SLAUSON AVE
LOS ANGELES
(323) 292-6267
6, 26
EHTERAM BENJI BEHROOZAN
13414
31568
BEHROOZAN
EHTERAM
5255 W SUNSET BLVD
LOS ANGELES
(323) 463-7252
6, 7, 26
EHTERAM BENJI BEHROOZAN
13414
107753
BEHROOZAN
YOSI
5255 W SUNSET BLVD
LOS ANGELES
(323) 463-7252
6, 7, 26
DR PEDRO E BELLO, DDS, INC
148554
46027
BELLO
PEDRO
2217 E FIRST ST
LOS ANGELES
(323) 264-4466
6, 26
DAN P BENYAMINI, DDS, INC
10151
46168
BENYAMINI
DAN
1826 W SEVENTH ST
LOS ANGELES
(213) 484-6660
6, 7
13248
113961
BERGER
IVAN
LOS ANGELES
(323) 753-1141
5, 6, 26
CHERYL D BINGHAM
10158
34818
BINGHAM
CHERYL
11905 S CENTRAL AVE NO. 203
LOS ANGELES
(323) 564-7504
6, 26
CRENSHAW PROF DENTAL CTR
102977
127327
BLACK
JAMES
3015 CRENSHAW BLVD NO. A
LOS ANGELES
(323) 731-0801
6, 26
CULVER DEL REY DENTAL CENTR
10252
31574
BRAND
MICHAEL
LOS ANGELES
(310) 915-9797
6, 8, 26
KENNETH K CHANG
10233
21695
CHANG
KENNETH
4026 W OLYMPIC BLVD
LOS ANGELES
(323) 930-1744
6, 14, 26
CENTRAL MEDICO & DENTAL FAMILIAR
12069
157326
CHEN
CURTIS
514 E WASHINGTON BLVD
LOS ANGELES
(213) 749-3934
6, 23
EAST LOS ANGELES FAMILY DENTISTRY
149013
36069
CHEN
ISAAC
4410 E WHITTIER BLVD
LOS ANGELES
(323) 881-0881
6, 26
PEDIATRIC & FAMILY MEDICAL CENTER
12059
157783
CHINEN
ATSUKO
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
12059
124057
CHIU
LISABETH
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
WALDEMAR CHMIELEWSKI
12013
39387
CHMIELEWSKI
WALDEMAR
11510 S VERMONT AVE
LOS ANGELES
(323) 756-8334
6, 21, 23, 26
YONGCHUN CHOE, DDS, INC
115366
117952
CHOE
YONGCHUN
2675 W OLYMPIC BLVD NO. 300
LOS ANGELES
(213) 739-0150
6, 14, 26
WHITE PLUS DENTAL
151123
157285
CHUNG
JAE
1570 S WESTERN AVE NO. 201
LOS ANGELES
(323) 733-4567
6, 14, 26
DENTAL OFFICE OF JONG HOON CHUNG, DDS, BOYLE
HEIGHTS FAMILY DENTISTRY
10122
36531
CHUNG
JONG
2110 E CESAR E CHAVEZ AVE
LOS ANGELES
(323) 268-8308
6, 14, 26
163993
156826
CO
MARIA LUISA
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
156826
CO
MARIA LUISA
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
COBB DENTAL CORP
148880
38978
COBB
RODNEY
5830 OVERHILL DR NO. 1
LOS ANGELES
(323) 294-5149
6, 26
DENTAL CENTRAL GROUP
112899
115102
COHEN
CATREEN
3009 S VERMONT
LOS ANGELES
(323) 730-7200
6, 7, 26
10252
30368
COLLINS
RENEE
LOS ANGELES
(310) 915-9797
6, 8, 26
117808
122993
CORTEZ-PACHECO
CARLOS
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
Page 22
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
117808
41071
CONSUELO
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
ANGELES FAMILY DENTAL
10121
34829
DABIRI
MEHIRTAJ
2926 CESAR CHAVES AVE
LOS ANGELES
(323) 266-6789
6, 7, 26
163993
46176
DAO
TU
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
46176
DAO
TU
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
BRIGHTER DENTAL
15413
45849
DARDASHTI
BABAK
LOS ANGELES
(323) 939-7899
6, 7, 20, 26
VICTOR DE LOS SANTOS, DDS, INC
169453
36534
DE LOS SANTOS
VICTOR
201 S ALVARADO ST NO. 402
LOS ANGELES
(213) 484-2919
6, 26, 27
DR. LAI H. DEA
12092
24968
DEA
LAI
LOS ANGELES
(213) 483-5160
4, 6, 16, 26, 27
6, 26, 27
QUEENS CARE FAMILY CLINICS
105676
107148
DEL ROSARIO
SUSAN
150 N RENO ST
LOS ANGELES
(213) 380-7298
163993
112197
DUONG
VICKY
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
112197
DUONG
VICKY
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
6, 7, 9, 20, 26
WILSHIRE SMILE STUDIO DENTAL GROUP
119140
122751
EBRAHIMI
MEHRYAR
LOS ANGELES
(323) 937-5773
117808
128713
EISENHOFER
KAREN
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
163993
47074
ELMASRI
MAHA
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
47074
ELMASRI
MAHA
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
WILSHIRE SMILE STUDIO DENTAL GROUP
119140
122269
ELYASSI
IGAL
LOS ANGELES
(323) 937-5773
6, 7, 9, 20, 26
MICHEL ELYSON, DDS, A PROFESSIONAL CORPORATION
13055
40605
ELYSON
MICHEL
745 S KERN AVE
LOS ANGELES
(323) 263-2125
6, 26
DENTAL PROS
118832
121941
EMANUEL
DONNY
906 N VERMONT AVE
LOS ANGELES
(323) 953-7700
6, 26
VLADIMIR EYCHIS
10198
30202
EYCHIS
VLADIMIR
7260 SUNSET BLVD NO. 201
LOS ANGELES
(323) 874-0110
2, 6, 23, 26
CONTINENTAL DENTAL
10215
39398
EZEANI
HYACINTH
600 W MANCHESTER AVE NO. 2
LOS ANGELES
(213) 750-1582
6, 23, 26
117808
43298
FLORES
MICHAEL
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
HAPPY DENTISTRY & PAIN MANAGEMENT
119439
30354
FUNG
HENRY
5424 E BEVERLY BLVD
LOS ANGELES
(323) 721-3312
4, 5, 6, 16, 26
DR.RUZANNA GALFAYAN
10193
38839
GALFAYAN
RUZANNA
1300 N VERMONT NO. 903
LOS ANGELES
(323) 669-1341
2, 6, 23
DEVANG M GANDHI DENTAL CORP
10216
32076
GANDHI
DEVANG
2500 W FLORENCE AVE
LOS ANGELES
(323) 750-2082
6, 18, 26
163993
35496
GARABEDIAN
JAMES
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
35496
GARABEDIAN
JAMES
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
12059
157963
GARCIA
ALICE
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
DANIEL Q. BARRIENTOS
10129
47078
GARCIA
ELIZABETH
LOS ANGELES
(213) 381-1900
6, 18, 26, 27
UNIVERSAL CITY DENTAL CENTER
111955
114171
GASPARIAN
JIRAIR
3535 W CAHUENGA BLVD NO. 115
LOS ANGELES
(323) 874-5855
2, 6, 23
AFSOON GERAYLI, DDS, INC
117934
120924
GERAYLI
AFSOON
LOS ANGELES
(310) 824-2624
6, 7
S GEWAID PROFESSIONAL DENTAL CORP
113501
105414
GEWAID
SHENOUDA
231 W VERNON AVE NO. 107
LOS ANGELES
(323) 233-5906
1, 6, 26
6, 7, 26
OJAN GHALCHI, DMD, INC
10147
34106
GHALCHI
OJAN
281 S COLUMBIA AVE
LOS ANGELES
(213) 483-3020
PICO LA CIENEGA DENTAL
124428
122136
GHARIBIAN
DERICK
8530 W PICO BLVD
LOS ANGELES
(310) 854-6107
2, 6, 7, 26
WILSHIRE DENTAL CARE
124097
109160
GHASRI
PONEH
LOS ANGELES
(323) 938-6137
6, 7, 26
MID WILSHIRE DENTAL CARE
125031
109160
GHASRI
PONEH
LOS ANGELES
(323) 931-2000
6, 7, 23, 26
WEST LA DENTAL
124081
43162
GOLYAD
AFSHIN
12340 SANTA MONICA BLVD NO. 241
LOS ANGELES
(310) 820-7010
5, 6, 7, 23
110419
173156
GONZALEZ
STELLA
5701 S HOOVER
LOS ANGELES
(323) 541-1400
8, 18, 26
112346
173156
GONZALEZ
STELLA
2512 ALTA ST
LOS ANGELES
(323) 441-2139
6
110419
128491
GOODLETT
JEREMY
5701 S HOOVER
LOS ANGELES
(323) 541-1400
8, 18, 26
112346
128491
GOODLETT
JEREMY
2512 ALTA ST
LOS ANGELES
(323) 441-2139
6
ARAM TSOLAKYAN, DDS, PC
11180
45868
GRIGORIAN
GOAR
3161 LOS FELIZ BLVD
LOS ANGELES
(323) 663-2606
2, 6, 23
149013
157829
GUERRERO
RODNEY
LOS ANGELES
(323) 881-0881
6, 26
JOSE GUTIERREZ, DDS, INC
100200
47899
GUTIERREZ
JOSE
4055 E OLYMPIC BLVD NO. 211
LOS ANGELES
(323) 264-0205
6, 26
Page 23
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
114894
39273
HARMANDARIAN
ANNA
1704 COLORADO BLVD
LOS ANGELES
(323) 256-4116
2, 6, 26
12059
173069
HENDIZADEH
ORLY
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
12059
126776
HONG
DAVIS
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
CAMELIA H ISAAC
12156
27770
ISAAC
CAMELIA
8250 W THIRD ST NO. 201
LOS ANGELES
(323) 653-0816
6, 8, 23, 26
110419
120030
ISKANDAR
MONA
5701 S HOOVER
LOS ANGELES
(323) 541-1400
8, 18, 26
112346
120030
ISKANDAR
MONA
2512 ALTA ST
LOS ANGELES
(323) 441-2139
6
FAKHRY A JACOUB
10260
33105
JACOUB
FAKHRY
12012 WASHINGTION BLVD
LOS ANGELES
(310) 390-7981
1, 6, 26
UNITED FAMILY DENTAL GROUP
13596
38060
JAVAHERIAN
MEHRAN
LOS ANGELES
(323) 265-2222
6, 7, 10, 26
6, 26
RAYMONT H JOHNSON, JR, DDS, INC
121054
25404
JOHNSON
RAYMONT
3701 STOCKER ST NO. 412
LOS ANGELES
(323) 299-3590
PRAKASH A JOSHI
11976
39286
JOSHI
PRAKASH
4545 E THIRD ST NO. 108
LOS ANGELES
(323) 780-0189
6, 18, 26
163993
157267
JOSON
GLENDA
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
157267
JOSON
GLENDA
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
IMPRESSIVE DENTAL CENTER
120011
123199
KALRA
AMIT
1435 S VERMONT AVE NO. 101
LOS ANGELES
(213) 739-3096
6, 10, 26, 27
163993
42280
KAMPPILA
ARLENE
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
6, 26, 30
164001
42280
KAMPPILA
ARLENE
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
FAKHRY A JACOUB
10260
43354
KELLINY
DAVID
12012 WASHINGTION BLVD
LOS ANGELES
(310) 390-7981
1, 6, 26
NATALIE KHADAVI, DDS, INC
168719
174996
KHADAVI
NATALIE
12331 1/4 W WASHINGTON BLVD
LOS ANGELES
(310) 482-3971
6, 7, 26
VERMONT DENTAL CARE
117521
39024
KHODADADI
SOHEIL
8914 S VERMONT AVE
LOS ANGELES
(323) 750-3370
6, 7
A BRITER SMILE DENTAL GROUP
151423
157600
KHOSROVANI
ALI
4905 YORK BLVD
LOS ANGELES
(323) 255-8774
6, 7, 26
12059
42341
KIM
EUNOCK
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
164088
34860
KIM
JOHNNY
936 CRENSHAW BLVD NO. 101
LOS ANGELES
(323) 934-2804
6, 14, 26
105666
107147
KIM
MICHEAL
4448 YORK BLVD
LOS ANGELES
(323) 344-5233
6, 14, 26
LA BREA FAMILY DENTAL
164849
127222
KIM
RICK
3400 S LA BREA AVE
LOS ANGELES
(323) 734-2284
6, 14, 26
YONG YUL KIM DDS A PROFESSIONAL DENTAL CORP
10133
37434
KIM
YONG
LOS ANGELES
(213) 389-2211
6, 14, 26
ANGELES FAMILY DENTAL
10121
35283
KOLAHI
JAVAD
2926 CESAR CHAVES AVE
LOS ANGELES
(323) 266-6789
6, 7, 26
105678
45479
KOUSHAKJIAN
HOURY
4618 FOUNTAIN AVE
LOS ANGELES
(323) 953-7170
1, 2, 6, 23, 26
13248
155406
KWON
JAE
LOS ANGELES
(323) 753-1141
5, 6, 26
WHITTIER DENTAL GROUP
14223
171161
LAALY
FARZAN
2901 E WHITTIER BLVD NO. D
LOS ANGELES
(323) 526-1992
6, 7, 26
MARISSA LAGUSAY TEMPLO, DDS, INC
122659
126109
LAGUSAY
MARISSA
3940 1/2 BEVERLY BLVD
LOS ANGELES
(213) 384-5902
6, 26, 27
163993
154360
LAURENTE
REX
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
154360
LAURENTE
REX
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
163993
116170
LE
MAI
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
116170
LE
MAI
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
163993
46402
LE
VINH
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
46402
LE
VINH
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
6, 26
WEST COAST DENTAL GROUP OF LOS ANGELES
10206
41594
LEE
RYAN
2604 S VERMONT AVE NO. F
LOS ANGELES
(323) 731-3333
DENTAL GROUP OF HIGHLAND PARK
14233
41594
LEE
RYAN
5807 N FIGUEROA AVE
LOS ANGELES
(323) 982-0999
6, 26
WEST COAST DENTAL GROUP OF GAGE
115308
41594
LEE
RYAN
1423 E GAGE AVE NO. A
LOS ANGELES
(323) 983-4000
6, 26
NUESTRA DENTISTA FAMILIAR
15475
41941
LEE
SEONG
4627 SANTA MONICA BLVD NO. D
LOS ANGELES
(323) 644-0260
6, 14, 26
105679
107149
LEE
STEVEN
133 N SUNOL
LOS ANGELES
(323) 981-1660
6, 26
12059
33614
LEE
STEWART
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
114894
173540
LEUNG
WILSON
1704 COLORADO BLVD
LOS ANGELES
(323) 256-4116
2, 6, 26
117808
173540
LEUNG
WILSON
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
Page 24
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
110419
41943
LII
DER-SHSUAN
5701 S HOOVER
LOS ANGELES
(323) 541-1400
Languages
8, 18, 26
SAN FERNANDO FAMILY DENTAL GROUP
10110
176309
LIU
EDWARD
LOS ANGELES
(323) 257-7744
6, 26
YIWEN LIU, DDS, A PROFESSIONAL CORPORATION
123542
126782
LIU
YIWEN
11103 VENICE BLVD
LOS ANGELES
(310) 559-9191
5, 6, 16, 26
KEROMINA DENTAL OFFICE
15163
45912
LOTFY
LILIAN
4777 FISHER ST
LOS ANGELES
(323) 268-3395
1, 6, 26
163993
117082
LOZADA
LAWRENCE
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
117082
LOZADA
LAWRENCE
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
TOTAL CARE DENTAL & ORTHODONTICS
149732
158474
LU
JENNIFER
5703 S VERMONT AVE
LOS ANGELES
(323) 751-5600
6, 26
163993
113567
LUNA
AILEEN
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
113567
LUNA
AILEEN
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
163993
37464
LUNA
CELLINI
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
37464
LUNA
CELLINI
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
2, 6, 23, 26
ALVINA LUSINYAN FAMILY DENTISTRY
13157
41947
LUSINYAN
ALVINA
5005 HOLLYWOOD BLVD
LOS ANGELES
(323) 662-9308
163993
109566
LY
HOA
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
109566
LY
HOA
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
6, 26
10206
35141
MAANAVI
SUSAN
LOS ANGELES
(323) 731-3333
KATHY MAASOUMI, DDS, INC
15144
41949
MAASOUMI
KATHY
404 S FIGUEROA ST NO. 207
LOS ANGELES
(213) 486-0006
6, 7, 26
DR. ELENE MAKAR
10134
33123
MAKAR
ELENE
LOS ANGELES
(213) 389-7055
1, 6, 26
DR. ELENE MAKAR
10134
31319
MAKAR
EMILE
LOS ANGELES
(213) 389-7055
1, 6, 26
EXCEL DENTAL CARE, INC
164679
172867
MALKIN
OLGA
3980 GLENFELIZ BLVD
LOS ANGELES
(323) 663-2050
2, 6, 18, 23, 26
WEST COAST DENTAL OF EAST LOS ANGELES
119514
38558
MANAVI
FARHAD
LOS ANGELES
(323) 415-6161
6, 26
JEFFREY MANEEPETASUT, DMD, INC
124815
127708
MANEEPETASUT
JEFFRIE
4606 HOLLYWOOD BLVD NO. B
LOS ANGELES
(323) 663-3850
6, 26, 28
149013
174413
MANUKYAN
GARY
LOS ANGELES
(323) 881-0881
6, 26
DAN P BENYAMINI, DDS, INC
10151
105907
MARASHI
NILOFAR
1826 W SEVENTH ST
LOS ANGELES
(213) 484-6660
6, 7
ALVARADO FAMILY DENTAL CENTER
13412
114925
MEJIA
JAVIER
811 S ALVARADO ST
LOS ANGELES
(213) 383-3314
6, 26
1, 6, 26
VENICE DENTAL GROUP
107445
44942
METIAS
NAGWA
12456 VENICE BLVD
LOS ANGELES
(310) 390-2423
117808
176457
MEYERS
JAMIE
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
OLGA MIKHASKO
164003
172101
MIKHASKO
OLGA
5449 HOLLYWOOD BLVD NO. C
LOS ANGELES
(323) 463-1760
2, 6, 23
GENERAL & COSMETIC DENTISTRY
11898
41483
MIZIN
IRINA
11144 PALMS BLVD
LOS ANGELES
(310) 390-2228
6, 23, 26
ALEGRIA DENTAL CENTER
119442
108454
MOAWAD
EMAD
4214 W BEVERLY BLVD NO. 208 & 209
LOS ANGELES
(213) 384-8400
1, 2, 6, 23, 26, 27
ALEGRIA DENTAL CENTER
119442
122566
MOAWAD
KATERINA
4214 W BEVERLY BLVD NO. 208 & 209
LOS ANGELES
(213) 384-8400
1, 2, 6, 23, 26, 27
WESTCHESTER DENTAL CARE
14045
40966
MOGHADDAS
DAVID
8930 S SEPULVEDA BLVD. 117
LOS ANGELES
(310) 641-8890
6, 26
CRYSTAL DENTAL
151855
158030
MORADZADEH
ALEXANDER
2206 S FIGUEROA ST
LOS ANGELES
(213) 748-8448
6, 7, 26
RAYMONT H JOHNSON, JR, DDS, INC
121054
125008
MORRIS
LA TOYA
3701 STOCKER ST NO. 412
LOS ANGELES
(323) 299-3590
6, 26
MARK A MOSES, DDS, INC
151262
157438
MOSES
MARK
1839 W IMPERIAL HWY
LOS ANGELES
(323) 757-1761
6, 26
13412
39189
MOVASSAGHI
ALIREZA
811 S ALVARADO ST
LOS ANGELES
(213) 383-3314
6, 26
NAMIAN FAMILY DENTISTRY
10238
40689
NAMIAN
MAHMOUD
609 S ATLANTIC BLVD
LOS ANGELES
(323) 980-9768
6, 7, 26
PERSONAL DENTAL OFFICE
123289
157544
NELSON
MARK
LOS ANGELES
(323) 933-4444
6, 23, 26
163993
125838
NGUYEN
BINH
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
125838
NGUYEN
BINH
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
HOP T. NGUYEN
10141
34390
NGUYEN
HOP
6464 SUNSET BL NO. 1020
LOS ANGELES
(323) 469-1665
2, 6, 23, 30
163993
114005
NGUYEN
MINH TRI
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
114005
NGUYEN
MINH TRI
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
110419
112397
NICA
ANCA
5701 S HOOVER
LOS ANGELES
(323) 541-1400
8, 18, 26
Page 25
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
112346
112397
NICA
ANCA
2512 ALTA ST
LOS ANGELES
(323) 441-2139
Languages
6
WESTWOOD DENTAL CARE
151264
157440
NIKJOO
EBI
LOS ANGELES
(310) 208-8551
6, 7
SAMI NOUHAD
10140
37467
NOUHAD
SAMI
7080 HOLLYWOOD BLVD NO. 817
LOS ANGELES
(323) 466-3541
1, 6, 7, 8, 26
12069
110659
NYKOLAYCHUK
IVANNA
LOS ANGELES
(213) 749-3934
6, 23
SOUTHWEST FAMILY DENTAL OFFICE
13153
29932
OKONKWO
EMMANUEL
1704 W MANCHESTER AVE NO. 208
LOS ANGELES
(323) 971-5025
6, 26
VICTORIA OLSHANSKY, DDS, INC
124027
46315
OLSHANSKY
VICTORIA
1136 N FAIRFAX AVE
LOS ANGELES
(323) 650-6936
6, 21, 23
SORAYA OMAR
10231
41767
OMAR
SORAYA
1523 N LA BREA NO. 206
LOS ANGELES
(323) 882-6387
1, 6, 8, 26
14223
128026
PAIK
EUN
LOS ANGELES
(323) 526-1992
6, 7, 26
12059
40183
PAK
ELIZABETH
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
10206
39862
PAKRAVAN
FARID
LOS ANGELES
(323) 731-3333
6, 26
DENTAL GROUP OF HIGHLAND PARK
14233
39862
PAKRAVAN
FARID
5807 N FIGUEROA AVE
LOS ANGELES
(323) 982-0999
6, 26
119514
39862
PAKRAVAN
FARID
LOS ANGELES
(323) 415-6161
6, 26
10252
28603
PALMER
PAUL
LOS ANGELES
(310) 915-9797
6, 8, 26
EASTERN DENTAL CENTER
10104
29545
PAN
SIMON
3346 N EASTERN AVE
LOS ANGELES
(323) 227-1800
6, 16, 26, 30
LA BREA FAMILY DENTAL
164849
109489
PARK
CHARLES
3400 S LA BREA AVE
LOS ANGELES
(323) 734-2284
6, 14, 26
LOS ANGELES DENTAL CENTER
11702
36409
PARRA
ROBERTO
215 W FIFTH ST NO. 210
LOS ANGELES
(213) 625-7575
6, 7, 18, 26
163993
42211
PATEL-MEHTA
ROSHANI
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
42211
PATEL-MEHTA
ROSHANI
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
CHERYL D BINGHAM
10158
155193
PECK
ARTHUR
11905 S CENTRAL AVE NO. 203
LOS ANGELES
(323) 564-7504
6, 26
12059
157785
PHAM
JOHN
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
163993
154370
PHAM
KIM
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
154370
PHAM
KIM
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
6, 26
LUIS PINTO
110911
112930
PINTO
LUIS
1437 S ATLANTIC BLVD
LOS ANGELES
(323) 268-9900
163993
110232
POBLETE
EDITHA
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
110232
POBLETE
EDITHA
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
14223
41984
RABIZADEH
DAVID
LOS ANGELES
(323) 526-1992
6, 7, 26
DENTAL PROS
118832
41984
RABIZADEH
DAVID
906 N VERMONT AVE
LOS ANGELES
(323) 953-7700
6, 26
14223
46324
RABIZADEH
SHAWN
LOS ANGELES
(323) 526-1992
6, 7, 26
DENTAL PROS
118832
46324
RABIZADEH
SHAWN
906 N VERMONT AVE
LOS ANGELES
(323) 953-7700
6, 26
13412
126422
RAMIREZ
WILLIAM
811 S ALVARADO ST
LOS ANGELES
(213) 383-3314
6, 26
ANA H. RANKOVIC, D.D.S.
123857
126981
RANKOVIC
ANA
5417 VENICE BLVD.
LOS ANGELES
(323) 634-9950
6
RAMIN RAVAEI, DMD, INC
12992
41988
RAVAEI
RAMIN
1835 S LA CIENEGA BLVD NO. 200
LOS ANGELES
(310) 836-0300
6, 7, 26
ADONIS REGALA FAMILY DENTISTRY
116647
43555
REGALA
ADONIS
4065 WHITTIER BLVD NO. 201
LOS ANGELES
(323) 268-3877
6, 26, 27
117808
154691
REYES-VASQUEZ
BELINDA
3945 WHITTIER BLVD
LOS ANGELES
(323) 265-1998
6, 26
QUEENS CARE FAMILY CLINIC
105680
107150
RITO
GUILBERTO
3242 W 8TH ST
LOS ANGELES
(213) 368-9779
6, 14, 26, 27
114894
114656
RODRIGUEZ
ARIEL
1704 COLORADO BLVD
LOS ANGELES
(323) 256-4116
2, 6, 26
BENJAMIN ROSENBERG, DDS, A PROFESSSIONAL
CORPORATION
11858
36871
ROSENBERG
BENJAMIN
8540 S SEPULVEDA BLVD NO. 1000
LOS ANGELES
(310) 649-2430
6, 9, 26
BRENTWOOD DENTAL GROUP
122587
42411
ROSTAMI
HAROUN
11980 SAN VICENTE BLVD NO. 660
LOS ANGELES
(310) 979-8345
6, 7, 26
VERMONT DENTAL GROUP AND IMPLANT CENTER
10131
38153
RYUMAN
DAVID
732 S VERMONT AVE
LOS ANGELES
(213) 386-3366
6, 14, 27
13248
171477
SAAD
AHMED
LOS ANGELES
(323) 753-1141
5, 6, 26
SABET DENTAL CORP
110735
38223
SABET
JOSEPH
5304 W CENTURY BLVD
LOS ANGELES
(310) 215-1455
6, 7, 26
163993
124082
SADJADI
AMIR
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
Page 26
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
164001
124082
AMIR
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
SADJADI
PERSONAL DENTAL OFFICE
123289
116134
SALO
VADIM
LOS ANGELES
(323) 933-4444
6, 23, 26
ADRIAN SANCHEZ, DDS
15569
48372
SANCHEZ
ADRIAN
6114 YORK BLVD NO. C
LOS ANGELES
(323) 255-6698
6
HAPPY DENTAL CARE
117058
119786
SARGISSIAN
SOPHIA
5534 YORK BLVD
LOS ANGELES
(323) 344-0444
2, 6, 7, 18, 26
HAPPY DENTAL CARE
117058
119787
SARIAN
RAFFIE
5534 YORK BLVD
LOS ANGELES
(323) 344-0444
2, 6, 7, 18, 26
12059
157784
SARVER
SHERRY
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
SHAHRAM SAYEDNA, DDS, INC
114727
117186
SAYEDNA
SHAHRAM
1700 WESTWOOD BLVD
LOS ANGELES
(310) 470-3095
6, 7, 26
MICHAEL SCHNEIDER, DMD & ASSOC
165898
174125
SCHNEIDER
MICHAEL
LOS ANGELES
(310) 208-6813
6, 26
12059
121871
SHAMSA
RASHEL
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
148740
34419
SHAYANI
ROYA
2527 W PICO BLVD
LOS ANGELES
(213) 380-2426
6, 26
FOREVER SMILE
150172
155425
SHELYAN
MEHRSHAD
LOS ANGELES
(323) 634-9004
6, 7, 26
TOTAL CARE DENTAL & ORTHODONTICS
149732
129173
SHIM
CHARLES
5703 S VERMONT AVE
LOS ANGELES
(323) 751-5600
6, 26
110419
168963
SIFAKIS
DEMETRA
5701 S HOOVER
LOS ANGELES
(323) 541-1400
8, 18, 26
112346
168963
SIFAKIS
DEMETRA
2512 ALTA ST
LOS ANGELES
(323) 441-2139
6
DENTAL CENTER OF WEST LOS ANGELES
121112
40311
SLUTSKY
JACOB
1964 WESTWOOD BLVD NO. 145
LOS ANGELES
(310) 474-5575
6, 7, 23, 26
12059
154983
SOLIMAN
MACARIO
1530 S OLIVE ST
LOS ANGELES
(213) 747-5542
5, 6, 14, 26
MICHAEL SCHNEIDER, DMD & ASSOC
165898
174776
SOLIS
KARLA
LOS ANGELES
(310) 208-6813
6, 26
SAN FERNANDO FAMILY DENTAL GROUP
10110
25630
SONG
DAE
LOS ANGELES
(323) 257-7744
6, 26
12069
43249
SOUCHITSKI
ANDREI
LOS ANGELES
(213) 749-3934
6, 23
163993
172217
STERMER
DAVID
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
172217
STERMER
DAVID
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
DENTAL CENTER OF SAN MIGUEL
167254
24875
STUART
FREDRICK
LOS ANGELES
(213) 234-5530
6, 26
DR. YEGIYA TAGYAN
11772
31400
TAGLYAN
YEGIYA
5106 HOLLYWOOD BLVD NO. 200
LOS ANGELES
(323) 667-9127
2, 6, 23
WESTWOOD SMILE DESIGN
167718
43661
TALAIE
MARYAM
LOS ANGELES
(310) 207-0606
6, 7
GEORGE TAY FAMILY DENTISTRY
14995
45032
TAY
GEORGE
4607 NORTH HUNTINGTON DR
LOS ANGELES
(323) 227-9885
6
PICO DENTAL GROUP
10106
40499
TOFIGH
FARNAZ
1561 W PICO BLVD
LOS ANGELES
(213) 251-9994
6, 7, 23, 26
RAMIN TOUR, DDS, INC
109357
111183
TOUR
RAMIN
907 N VIRGIL AVE
LOS ANGELES
(323) 661-8384
6, 7, 8, 26, 27
163993
156827
TRAN
MAI
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
156827
TRAN
MAI
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
163993
49013
TRAN
THE-HAO
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
49013
TRAN
THE-HAO
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
163993
172218
TREDENNICK
SILVANA
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
172218
TREDENNICK
SILVANA
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
COBB DENTAL CORP
148880
173959
TRUTANIC
FANICA
5830 OVERHILL DR NO. 1
LOS ANGELES
(323) 294-5149
6, 26
163993
126200
TSAI
MATTHEW
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
126200
TSAI
MATTHEW
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
ARAM TSOLAKYAN, DDS, PC
11180
42438
TSOLAKYAN
ARAM
3161 LOS FELIZ BLVD
LOS ANGELES
(323) 663-2606
2, 6, 23
GMV DENTAL CORPORATION
113323
115538
VELENA
GERTRUDES
1925 W TEMPLE ST NO. 214
LOS ANGELES
(213) 413-3910
6, 27
VILLACIS DENTAL CORP
124463
127354
VILLACIS
SASKIA
12027 VENICE BLVD NO. A
LOS ANGELES
(310) 313-5150
6, 26
HOLLYWOOD-VINE DENTAL OFFICE
10144
29516
VILSHANSKY
GARY
5280 HOLLYWOOD BLVD
LOS ANGELES
(323) 469-9169
6, 23, 26
163993
124136
VO
HANH
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
124136
VO
HANH
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
163993
120427
VO
HANHNGOC
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
Page 27
Provider Directory
Los Angeles

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
164001
120427
VO
HANHNGOC
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
Languages
6, 26, 30
163993
120558
VO
LETHY
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
120558
VO
LETHY
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
163993
120425
VO
THACH
1111 W 6TH ST NO. 120
LOS ANGELES
(213) 895-0009
6
164001
120425
VO
THACH
2839 N EASTERN AVE
LOS ANGELES
(323) 987-1020
6, 26, 30
10206
44554
VU
ANH
LOS ANGELES
(323) 731-3333
6, 26
119514
44554
VU
ANH
LOS ANGELES
(323) 415-6161
6, 26
NELSON E WALKER ILL
12598
36446
WALKER
NELSON
3756 SANTA ROSALIA DR NO. 317
LOS ANGELES
(323) 290-5340
6, 26
10206
111883
WANG
WEN-SHENG
LOS ANGELES
(323) 731-3333
6, 26
WEST COAST DENTAL GROUP OF GAGE
115308
111883
WANG
WEN-SHENG
1423 E GAGE AVE NO. A
LOS ANGELES
(323) 983-4000
6, 26
WEST COAST DENTAL GROUP OF 6TH STREET
120351
111883
WANG
WEN-SHENG
1725 W 6TH ST
LOS ANGELES
(213) 413-5151
6, 26
148740
35570
YEBRI
FEREYDOUN
2527 W PICO BLVD
LOS ANGELES
(213) 380-2426
6, 26
JOHNATHAN C YEUNG, DDS, A PROFESSIONAL
CORPORATION
161419
47588
YEUNG
JONATHAN
1148 S ROWAN AVE NO. 1
LOS ANGELES
(323) 267-1622
5, 6, 26, 30
6, 26
WHITTER KERN DENTAL CLINIC
11986
41810
ZAMBONI
MARLON
4762 WHITTIER BLVD
LOS ANGELES
(323) 269-9984
13248
123776
ZHANG
CHU
LOS ANGELES
(323) 753-1141
5, 6, 26
164004
154093
ASUNCION
MARIA
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
156826
CO
MARIA LUISA
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
46176
DAO
TU
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
PACIFIC SMILES DENTAL CENTER
125674
40804
DEIRMENJIAN
BAROUIR
LYNWOOD
(310) 608-7777
6, 26
SOUTH CALIFORNIA DENTAL SPECIALTY GROUP
125920
40804
DEIRMENJIAN
BAROUIR
LYNWOOD
(310) 667-4444
6, 26
164004
112197
DUONG
VICKY
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
47074
ELMASRI
MAHA
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
35496
GARABEDIAN
JAMES
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
157267
JOSON
GLENDA
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
SATYA KACHGAL
12347
33204
KACHGAL
SATYA
3625 E MARTIN LUTHER KING JR. BLVD NO. 8
LYNWOOD
(310) 603-1371
6, 26
164004
42280
KAMPPILA
ARLENE
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
154360
LAURENTE
REX
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
116170
LE
MAI
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
46402
LE
VINH
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
117082
LOZADA
LAWRENCE
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
113567
LUNA
AILEEN
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
37464
LUNA
CELLINI
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
109566
LY
HOA
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
125838
NGUYEN
BINH
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
114005
NGUYEN
MINH TRI
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
WEST COAST DENTAL GROUP OF LYNWOOD
105623
39862
PAKRAVAN
FARID
9910 LONG BEACH BLVD NO. A
LYNWOOD
(323) 563-8900
6, 26
164004
42211
PATEL-MEHTA
ROSHANI
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
154370
PHAM
KIM
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
110232
POBLETE
EDITHA
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
124082
SADJADI
AMIR
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
172217
STERMER
DAVID
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
156827
TRAN
MAI
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
Page 28
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
164004
49013
TRAN
THE-HAO
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
172218
TREDENNICK
SILVANA
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
126200
TSAI
MATTHEW
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
124136
VO
HANH
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
120427
VO
HANHNGOC
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
120558
VO
LETHY
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
164004
120425
VO
THACH
LYNWOOD
(310) 761-8100
5, 7, 18, 26, 30
MARINA DENTISTRY, INC
125962
110225
AL JANEDI
MOHDSAMEER
4292 LINCOLN BLVD
MARINA DEL REY
(310) 578-5000
6, 18, 26, 27
125962
154081
COSTESCU
RUXANDRA
4292 LINCOLN BLVD
MARINA DEL REY
(310) 578-5000
6, 18, 26, 27
MARINA DENTAL CENTER
13048
40241
GINZBURG
WILLIAM
13155 MINDANAO WAY
MARINA DEL REY
(310) 821-2611
6, 7, 23, 26, 27
MAXELLA DENTAL GROUP
10305
37892
PARTOVY
RAMIN
13450 MAXELLA AVE NO. 220
MARINA DEL REY
(310) 822-3833
6, 7, 9, 23, 26, 27
125962
176530
SHRESTHA
ROSI
4292 LINCOLN BLVD
MARINA DEL REY
(310) 578-5000
6, 18, 26, 27
125962
31396
STOLNITZ
SCOTT
4292 LINCOLN BLVD
MARINA DEL REY
(310) 578-5000
6, 18, 26, 27
125962
111964
TURKMANI
WASIM
4292 LINCOLN BLVD
MARINA DEL REY
(310) 578-5000
6, 18, 26, 27
ARNOLD K TICHIAN, DDS, INC
168660
176430
OKUYAMA
JOHNNY
15336 DEVONSHIRE ST NO. 5
MISSION HILLS
(818) 894-5777
6, 26
ARNOLD K TICHIAN, DDS, INC
168660
176429
TICHIAN
ARNOLD
15336 DEVONSHIRE ST NO. 5
MISSION HILLS
(818) 894-5777
6, 26
13239
175455
AMJADI
NAHID
1451 N MONTEBELLO BLVD
MONTEBELLO
(323) 724-9955
6, 26, 27
13239
113961
BERGER
IVAN
MONTEBELLO
(323) 724-9955
6, 26, 27
6
LEONID M GLOSMAN, DDS, INC
107074
108734
GLOSMAN
LEONID
833 W WHITTIER BLVD
MONTEBELLO
(323) 266-1000
DR GREGORY ROBINS FAMILY DENTAL CENTER
12186
34720
JOE
JEFFREY
604 N MONTEBELLO BLVD NO. B
MONTEBELLO
(323) 721-0799
6, 18, 25, 26
LEONID M GLOSMAN, DDS, INC
107074
41631
KIM
RICHARD
833 W WHITTIER BLVD
MONTEBELLO
(323) 266-1000
6
13239
155406
KWON
JAE
MONTEBELLO
(323) 724-9955
6, 26, 27
DR. DAVID'S FAMILY DENTISTRY & ORTHODONTICS, INC
10201
34386
MOGHIMI
DAVID
2100 W BEVERLY BLVD
MONTEBELLO
(323) 724-9536
5, 6, 16, 26, 30
12186
26699
ROBINS
GREGORY
604 N MONTEBELLO BLVD NO. B
MONTEBELLO
(323) 721-0799
6, 18, 25, 26
13239
43654
ROUHANI
MORVARID
MONTEBELLO
(323) 724-9955
6, 26, 27
13239
171477
SAAD
AHMED
MONTEBELLO
(323) 724-9955
6, 26, 27
13239
45190
SHARIFI
MINA
MONTEBELLO
(323) 724-9955
6, 26, 27
MONTEBELLO DENTAL ASSOCIATES
108180
109965
SHENAVAD
RAMIN
711 W WHITTER BLVD
MONTEBELLO
(323) 278-0170
6, 7, 26
13239
114170
THAI
MICHAEL
MONTEBELLO
(323) 724-9955
6, 26, 27
HAN-CHIEH CHEN
10707
43916
CHEN
HAN-CHIEH
914 E GARVEY AVE
MONTEREY PARK
(626) 280-5280
6, 13, 16, 18, 30
ISAAC CHEN, DDS, INC
10114
36069
CHEN
ISAAC
2071 S ATLANTIC BLVD NO. F-G
MONTEREY PARK
(323) 260-7878
6, 14, 16, 26
PACIFIC DENTAL GROUP
10202
41394
DERHARTOUNIAN
HARMIK
2016 S ATLANTIC BLVD
MONTEREY PARK
(323) 725-6797
2, 6, 18, 26
SMILEMAKER DENTAL
10119
39814
IBARRA
LILIANA
2063 S ATLANTIC BLVD NO. D
MONTEREY PARK
(323) 265-4373
6, 26
GOLDEN DRAGON FAMILY DENTISTRY
120065
123255
LATT
HLA
871 S ATLANTIC BLVD
MONTEREY PARK
(626) 284-4200
5, 6, 18, 26
GOLDEN DRAGON FAMILY DENTISTRY
120065
105308
LATT
TIN
871 S ATLANTIC BLVD
MONTEREY PARK
(626) 284-4200
5, 6, 18, 26
ALICE TSENG
10706
32996
TSENG
ALICE
210 S GARFIELD AVE
MONTEREY PARK
(626) 280-2113
5, 6, 30
DR GABRIEL HENAO DENTAL OFFICE
149922
155872
HENAO
GABRIEL
25044 PEACHLAND AVE NO. 100
NEWHALL
(661) 287-4352
6, 26
MITRA E SIMANIAN, DDS, INC
125893
43562
SIMANIAN
MITRA
23206 LYONS AVE NO. 212
NEWHALL
(661) 255-7338
6
WEST COAST DENTAL GROUP OF NORTH HILLS
122997
38979
COHEN SEDGH
SOLEYMAN
15350 NORDHOFF ST NO. A & B
NORTH HILLS
(818) 672-8228
6, 7, 26
WEST COAST DENTAL GROUP OF NORTH HILLS
122997
171958
MALEKZADEH
REZA
15350 NORDHOFF ST NO. A & B
NORTH HILLS
(818) 672-8228
DR AFAR NOTTO DENTAL GROUP
165808
34457
AFAR
BIJAN
11126 CHANDLER BLVD
NORTH HOLLYWOOD (818) 432-8300
6, 7, 23, 26
SPECTRUM DENTAL CARE
126222
129192
AMINOV
DMITRITY
13112 SHERMAN WAY
6, 23, 26
ANGELES DENTAL CORPORATION
15523
46734
ANGELES
GODOFREDO
8025 N WEBB AVE NO. B
6, 26, 27
6, 7, 26
Page 29
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
ANGELES DENTAL CORPORATION
15523
47840
ANGELES
MAY-LEONILA
8025 N WEBB AVE NO. B
Phone
6, 26, 27
Languages
PREMIER DENTAL CLINIC
123334
126679
ASSATOURIAN
KARINEH
4648 LANKERSHIM BLVD
2, 6, 26
DANIEL BOUDAIE FAMILY DENTISTRY
100396
30633
BOUDAIE
DANIEL
10941 VICTORY BLVD
2, 6, 18, 26
DENTAL PLUS CALIFORNIA
157829
127391
DROSDIK
KAREN
6512 LAUREL CANYON BLVD
6, 26
CANYON FAMILY DENTAL
11193
126556
ELYASPOOR
SEVAK
12926 SHERMAN WAY
6, 7, 26
NORTH HOLLYWOOD DENTAL GROUP
123153
126556
ELYASPOOR
SEVAK
12125 VANOWEN ST NO. 2
2, 6, 7, 26, 29
SANTO TOMAS DENTAL GROUP
157921
125476
FARR
EVAN
12115 SATICOY ST
6, 7, 26
DR AFAR NOTTO DENTAL GROUP
165808
109160
GHASRI
PONEH
11126 CHANDLER BLVD
6, 7, 23, 26
1, 2, 6, 7, 26
HAMLIN DENTAL GROUP
107048
108848
GHAVI BONIHE
ALI
12509 OXNARD ST NO.201
157829
165570
GONZALEZ
ARNALDO
6, 26
157829
110519
GRAY
NINA
6, 26
UNIQUE SMILE DENTAL, INC
157654
123860
GRIGORIAN
FREDRICK
4789 VINELAND AVE NO. 202
2, 6, 7
11193
41918
HANASAB
HERSEL
12926 SHERMAN WAY
6, 7, 26
MELISA HERNANDEZ, DDS, INC
112975
48288
HERNANDEZ
MELISA
12120 SATICOY ST NO. C
6, 26, 27
DANIEL W HWANG
112438
114608
HWANG
DANIEL
7462 LANKERSHIM BLVD
6, 14, 26
HAMLIN DENTAL GROUP
107048
108847
KOHANDARVISH
NEGAR
1, 2, 6, 7, 26
SPECTRUM DENTAL CARE
126222
36127
LEONOV
ALEXANDER
13112 SHERMAN WAY
6, 23, 26
2, 6, 7, 23, 26
ASMIK MADOULIAN, DDS, INC
108768
110587
MADOULIAN
ASMIK
10903 MAGNOLIA BLVD
ABEN VEINBERG
11174
120479
MKHEYAN
NUNE
11436 VANOWEN ST
2, 6, 23, 26
157921
174029
POSSO
CLAUDIA
12115 SATICOY ST
6, 7, 26
HAMLIN DENTAL GROUP
107048
41307
REZA
HAMID
1, 2, 6, 7, 26
11193
46216
SAADAT
SHOHREH
12926 SHERMAN WAY
6, 7, 26
HOLLYWOOD SMILE DENTAL GROUP
148274
154171
TAMADDON
MOJGAN
12903 VICTORY BLVD
6, 7, 18, 26
ABEN VEINBERG
11174
41566
VEINBERG
ABEN
11436 VANOWEN ST
2, 6, 23, 26
HAMLIN DENTAL GROUP
107048
125656
YESSAIAN
ANOUSH
1, 2, 6, 7, 26
157921
22433
YOUNG
CHARLES
12115 SATICOY ST
6, 7, 26
103094
127980
ASATRYAN
MHER
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
103094
113961
BERGER
IVAN
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
103094
154157
DERKEJIAN
ARA
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
103094
43987
KHABBAZ
LILIANA
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
103094
169135
MATIAN
SHAHROOZ
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
NUNE MKHEYAN
151478
120479
MKHEYAN
NUNE
8676 LINDLEY AVE
NORTHRIDGE
(818) 700-0000
2, 6, 23
103094
113553
NGUYEN
MICHELLE
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
HAMLIN DENTAL GROUP
11185
41307
REZA
HAMID
8540 RESEDA BLVD NO. 101
NORTHRIDGE
(818) 701-6667
1, 2, 6, 7, 26, 27
103094
43654
ROUHANI
MORVARID
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
103094
156426
TCHABOUKIAN
OHANNES
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
HAMLIN DENTAL GROUP
11185
125656
YESSAIAN
ANOUSH
NORTHRIDGE
(818) 701-6667
1, 2, 6, 7, 26, 27
103094
122860
ZEKAVAT
PARVIN
17017 DEVONSHIRE ST
NORTHRIDGE
(818) 360-2216
6, 7, 26, 30
PADDISON DENTAL GROUP
10598
174817
ABADI
SANAZ
12501 S NORWALK BLVD
NORWALK
(562) 929-0880
6, 7, 26
PIONEER DENTAL, INC
10578
37388
BINAFARD
BEHZAD
14034 S PIONEER BLVD
NORWALK
(562) 863-8779
2, 6, 7, 26
10598
175000
GROSLEIB
MICHELLE
NORWALK
(562) 929-0880
6, 7, 26
GILBERT KHIN LAY
14525
102866
HLAING
SUE
12319 IMPERIAL HWY
NORWALK
(562) 868-7955
6, 18, 26
GILBERT KHIN LAY
14525
40648
LAY
GILBERT
12319 IMPERIAL HWY
NORWALK
(562) 868-7955
6, 18, 26
Page 30
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
10598
157365
MINAS
ARIS
NORWALK
(562) 929-0880
Languages
6, 7, 26
GILBERT KHIN LAY
14525
174238
MOE
THOMAS
12319 IMPERIAL HWY
NORWALK
(562) 868-7955
6, 18, 26
10598
123848
SAZGAR
NEGAR
NORWALK
(562) 929-0880
6, 7, 26
10598
37368
SHIRAZI-ARDESTANI
BEHZAD
NORWALK
(562) 929-0880
6, 7, 26
NOEMI TAGUINOD DENTAL CORPORATION
14549
45029
TAGUINOD
NOEMI
15617 STUDEBAKER RD NO. 5
NORWALK
(562) 484-3936
6, 18, 26
10598
164766
YOUSEFI
SALLY
NORWALK
(562) 929-0880
6, 7, 26
MEHRAN FAKHERI, DMD, A PROFESSIONAL DENTAL CORP
122379
126075
FAKHERI
MEHRAN
PACOIMA
(818) 897-1234
6, 7, 26
SAN FERNANDO PACOIMA DENTAL
11226
36998
PATEL
ASHOK
11208 GLENOAKS BLVD
PACOIMA
(818) 890-1000
6, 18, 23, 26
6, 7, 26
EAZY CARE DENTAL
112312
41988
RAVAEI
RAMIN
13003 VAN NUYS BLVD NO. H
PACOIMA
(818) 834-0011
LATIN DENTAL CENTER
11233
30003
SHAH
KISHORE
13279 VAN NUYS BLVD
PACOIMA
(818) 899-2505
6
SHULZHENKO DENTAL
151751
157936
SHULZHENKO
LARYSA
10975 GLENOAKS BLVD
PACOIMA
(818) 890-9990
6, 18, 23, 26
SONRISAS LATINAS
122888
17806
YOUNG
STEVEN
8648 WOODMAN AVE NO. 106
PACOIMA
(818) 830-2866
6, 26
103095
117524
ALEXANIANS
DERIK
38745 TIERRA SUBIDA AVE NO. 150
PALMDALE
(661) 272-9091
6, 7, 26, 30
103095
113961
BERGER
IVAN
PALMDALE
(661) 272-9091
6, 7, 26, 30
103095
154157
DERKEJIAN
ARA
PALMDALE
(661) 272-9091
6, 7, 26, 30
SIERRA COMMONS DENTAL GROUP
123547
126785
EASLEY
YASMIN
755 W RANCHO VISTA BLVD
PALMDALE
(661) 265-7800
6
SIERRA COMMONS DENTAL GROUP
123547
126551
GILL
RITTU
755 W RANCHO VISTA BLVD
PALMDALE
(661) 265-7800
6
11069
43622
KOHANOFF
SHARONA
2205 E PALMDALE BLVD
PALMDALE
(661) 273-1333
6, 7, 23, 26, 27
2, 6, 26
PALMDALE PREMIER DENTAL CARE
111033
113064
MATOSSIAN
NISHAN
3005 E PALMDALE BLVD NO.22
PALMDALE
(661) 273-5221
OASIS DENTAL CARE
150496
114913
MOKHTAR
PEJMAN
40008 10TH ST W NO. F
PALMDALE
(661) 947-2727
6, 7, 26
103095
113553
NGUYEN
MICHELLE
PALMDALE
(661) 272-9091
6, 7, 26, 30
103095
43654
ROUHANI
MORVARID
PALMDALE
(661) 272-9091
6, 7, 26, 30
103095
49227
THAI
BRANDON
PALMDALE
(661) 272-9091
6, 7, 26, 30
BLUE HILLS DENTAL GROUP
168715
37620
ABBASZADEH
REZA
7942 VAN NUYS BLVD
PANORAMA CITY
(818) 988-3100
6, 26
168715
174375
BECERRA
FERNANDO
7942 VAN NUYS BLVD
PANORAMA CITY
(818) 988-3100
6, 26
PANORAMA FAMILY DENTISTRY
11231
40210
CASTELLON
SONIA
9523 VAN NUYS BLVD
PANORAMA CITY
(818) 895-2328
6, 26, 27
KOO DDS INC
11200
35421
CHO
GRACE
8215 VAN NUYS NO. 220
PANORAMA CITY
(818) 782-8261
5, 6, 14, 26
HAMLET DAVARI, DDS, INC
107236
42816
DAVARI
HAMLET
8121 VAN NUYS BLVD NO 310
PANORAMA CITY
(818) 782-8120
2, 6, 7, 26
SANDRA W DEIRMENJIAN DDS
119826
122043
DEIRMENJIAN
SANDRA
8761 VAN NUYS BOULEVARD
PANORAMA CITY
(818) 891-1600
1, 2, 6, 8, 26
157847
127391
DROSDIK
KAREN
14415 CHASE ST
PANORAMA CITY
(818) 830-9050
6, 26
VAN NUYS PANORAMA DENTAL CENTER
11248
27432
GEREIS
MAHFOUZ
8227 VAN NUYS BLVD
PANORAMA CITY
(818) 989-3074
1, 6, 7, 23, 26
DENTALVILLE
168555
108734
GLOSMAN
LEONID
7864 VAN NUYS BLVD
PANORAMA CITY
(818) 989-2400
2, 23, 26, 27
6, 26
157847
110519
GRAY
NINA
14415 CHASE ST
PANORAMA CITY
(818) 830-9050
FAMILY CREDIT DENTISTRY
13941
28731
KARSH
GARY
8614 VAN NUYS BLVD
PANORAMA CITY
(818) 895-1321
6, 23, 26
LATIN DENTAL GROUP
162652
165815
LOURENCO
AURY
8111 VAN NUYS BLVD NO. 107
PANORAMA CITY
(818) 994-6080
6, 26
DENTALVILLE
168555
109351
MANZANA
MARY ROSE
7864 VAN NUYS BLVD
PANORAMA CITY
(818) 989-2400
2, 23, 26, 27
9 TO 7 DENTAL FAMILY CENTER
11229
32373
NOURIAN
SHAHRAM
8424 VAN NUYS BLVD
PANORAMA CITY
(818) 893-4222
6, 7, 26
DR. EUGENIA T. PANGANIBAN
13600
26501
PANGANIBAN
EUGENIA
14640 PARTHENIA ST
PANORAMA CITY
(818) 892-3660
6, 18, 26, 27
GENTLE DENTAL CENTER
15921
111393
PARTOVI
LADAN
14526 ROSCOE BLVD
PANORAMA CITY
(818) 893-7858
5, 6, 7, 26
DR SHIMON RABBANI, DMD, INC
107030
108690
RABBANI
SHIMON
14554 NORDHOFF ST
PANORAMA CITY
(818) 891-2345
6, 7, 18, 26
9 TO 7 DENTAL FAMILY CENTER
11229
38742
ROSEN
DAN
8424 VAN NUYS BLVD
PANORAMA CITY
(818) 893-4222
6, 7, 26
GENTLE DENTAL CENTER
15921
164108
SAHIBZADA
NAUREEN
14526 ROSCOE BLVD
PANORAMA CITY
(818) 893-7858
5, 6, 7, 26
DENTALVILLE
168555
176276
SARASYAN
RUZAN
7864 VAN NUYS BLVD
PANORAMA CITY
(818) 989-2400
2, 23, 26, 27
Page 31
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
NADINE SHASHATY, DDS, INC
124136
127138
SHASHATY
NADINE
14860 ROSCO BLVD NO. 207
PANORAMA CITY
(818) 904-0008
Languages
1, 6, 26
DENTAL CENTER OF SAN MIGUEL
167252
24875
STUART
FREDRICK
8781 VAN NUYS BLVD 2ND FL
PANORAMA CITY
(818) 893-2716
6, 26
DENTALVILLE
168555
176275
TAROJAN
HAMLET
7864 VAN NUYS BLVD
PANORAMA CITY
(818) 989-2400
2, 23, 26, 27
PANORAMA FAMILY DENTISTRY
11231
36639
TORRES
CARLOS
9523 VAN NUYS BLVD
PANORAMA CITY
(818) 895-2328
6, 26, 27
WEST COAST DENTAL GROUP OF PARAMOUNT
10530
38979
COHEN SEDGH
SOLEYMAN
PARAMOUNT
(562) 272-0000
6, 7, 26
10530
40604
HAKIMIAN
HERTSEL
PARAMOUNT
(562) 272-0000
6, 7, 26
10530
42401
HONDA
MEKARSARI
PARAMOUNT
(562) 272-0000
6, 7, 26
10530
122622
JAVID
NIKZAD
PARAMOUNT
(562) 272-0000
6, 7, 26
10530
114388
LEE
MI-A
PARAMOUNT
(562) 272-0000
6, 7, 26
PARAMOUNT FAMILY DENTAL CENTER
10561
28605
PATEL
JAYANTILAL
8131 E ROSECRANS AVE NO. 101
PARAMOUNT
(562) 634-2984
6, 10, 18, 26
MAHESH A SEJPAL
10559
29661
SEJPAL
MAHESH
8040 ALONDRA BLVD NO. E
PARAMOUNT
(562) 633-1213
6, 10, 26, 27
10530
44554
VU
ANH
PARAMOUNT
(562) 272-0000
6, 7, 26
NEW MILLENIUM DENTAL
114670
117108
ARAKELYAN
ARAM
720 N LAKE AVE NO. 7
PASADENA
(626) 791-0100
2, 6, 23, 26
ALEN BAKHTAMIAN DMD CORP
10733
39753
BAKHTAMIAN
ALEN
301 S FAIR OAKS NO. 208
PASADENA
(626) 431-2654
6, 26
WASHINGTON DENTAL GROUP
10719
44744
NADIR-MOHAMMADI
SHAHLA
2554 EAST WASHINGTON BLVD
PASADENA
(626) 296-0056
2, 6, 7, 23, 26, 27
IBRAHIM RABADI
10755
26278
RABADI
IBRAHIM
PASADENA
(626) 794-2606
1, 2, 6, 23, 29
HASTINGS RANCH DENTAL GROUP
123329
126674
RAHIMI
NOOR
255 N ROSEMEAD BLVD
PASADENA
(626) 351-0195
6
10719
44282
YAZDANI
SOHRAB
2554 EAST WASHINGTON BLVD
PASADENA
(626) 296-0056
2, 6, 7, 23, 26, 27
DR LENA'S FAMILY DENTISTRY
14820
42627
ZEROUNIAN
LENA
65 N MADISON AVE NO. 701
PASADENA
(626) 795-2900
6, 26
PASADENA DENTAL FAMILY DENTAL CENTER
11934
47218
ZUNIGA
GABRIEL
950 E COLORADO BLVD NO. 201
PASADENA
(626) 431-2930
6, 7, 9, 18, 26
AMADOR DENTAL CENTER
110653
44815
AMADOR
ANN ROSELLE
9444 E SLAUSON AVE
PICO RIVERA
(562) 949-9598
6, 26, 27
PICO RIVERA FAMILY DENTISTRY
157322
36069
CHEN
ISAAC
9401 SLAUSON AVE
PICO RIVERA
(562) 949-9500
6
RIVERA FAMILY DENTAL
150015
155960
DOUMANIAN
GREGORY
9050 WHITTIER BLVD
PICO RIVERA
(562) 942-8900
6
MUDITAJAYA DENTAL CORP.
10609
31264
GANDIPURWO
FIONA
9123 SLAUSON AVE
PICO RIVERA
(562) 949-0177
6, 26
10609
30419
MUDITAJAYA
DANNY
9123 SLAUSON AVE
PICO RIVERA
(562) 949-0177
6, 26
10609
44515
MUDITAJAYA
WINSTON
9123 SLAUSON AVE
PICO RIVERA
(562) 949-0177
6, 26
FAMILY DENTISTRY
10567
29753
RANGNATH
ADINARAYANAPPA
4400 ROSEMEAD BLVD NO. 2
PICO RIVERA
(562) 695-5251
6, 18, 26
T & T DENTAL PRACTICE
112179
114405
TENA
ERNERSTO
6654 ROSEMEAD BLVD
PICO RIVERA
(562) 222-2833
6, 26
T & T DENTAL PRACTICE
112179
174279
TENA
MARTHA
6654 ROSEMEAD BLVD
PICO RIVERA
(562) 222-2833
6, 26
DENTAL MASTERS
12253
22433
YOUNG
CHARLES
8982 WASHINGTON BLVD
PICO RIVERA
(562) 222-1551
6, 26
DEL DENTAL GROUP
151090
41913
ZARRINNAM
SHAHRZAD
8035 W MANCHESTER AVE NO. B
PLAYA DEL REY
(310) 822-8118
6, 7, 8, 26
GROVE FAMILY DENTAL OFFICE
124265
30194
BONDADE
DEEPAK
3167 N GAREY AVE
POMONA
(909) 596-7700
6, 10, 18, 26
SHAILESH BUTALA
11286
42281
BUTALA
SHAILESH
744 E HOLT BLVD NO. A
POMONA
(909) 469-2230
6, 18, 26
FAMILY DENTAL GROUP
100118
106812
CAMBERO
LUIS
2280 S GAREY AVE
POMONA
(909) 364-0633
6, 26
PEARL DENTAL CARE
113938
114518
CHANGELA
BHAVIN
2407 VALLEY BLVD NO. C1
POMONA
(909) 839-1004
6, 10, 18, 26
6, 18, 26, 27, 30
DR. GILL'S FAMILY DENTISTRY
12404
34845
GILL
HARPREET
722 E ARROW HWY
POMONA
(909) 621-9177
ST MOISES DENTAL
169359
117599
GOMEZ
UBLESTER
12 RANCHO CAMINO DR NO. 102
POMONA
(909) 865-8500
6, 26
LARISSA GUSHANSKY, DDS, INC
11365
36156
GUSHANSKY
LARISSA
887 E SECOND ST NO. D
POMONA
(909) 865-8595
6, 23, 26
1, 6, 26
SAHARA DENTAL
13166
177829
HADI
NADA
2005 W HOLT AVE
POMONA
(909) 623-9590
SAHARA DENTAL
13166
100132
JAMAL
MANAR
2005 W HOLT AVE
POMONA
(909) 623-9590
1, 6, 26
POMONA DENTAL GROUP
11304
32574
LEE
STEVE
850 N INDIAN HILL BLVD
POMONA
(909) 626-3541
5, 6, 14, 26
BELLA C MANCHANDIA
15497
36877
MANCHANDIA
BELLA
551 E HOLT AVE
POMONA
(909) 622-8600
6, 10, 26
GROVE FAMILY DENTAL OFFICE
124265
28597
MEHTA
MAHENDRA
3167 N GAREY AVE
POMONA
(909) 596-7700
6, 10, 18, 26
Page 32
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
FAMILY DENTAL GROUP
100118
42374
MUSTAFA
ABRAHIM
2280 S GAREY AVE
POMONA
(909) 364-0633
Languages
6, 26
ZAHRA DENTAL GROUP
151531
157714
NADJI
ZAHRA
180 E MISSION BLVD
POMONA
(909) 623-5278
6, 7, 18, 26, 29
DR. GILL'S FAMILY DENTISTRY
12404
105902
PHAM
MINH-DUC
722 E ARROW HWY
POMONA
(909) 621-9177
6, 18, 26, 27, 30
FAMILY DENTAL GROUP
100118
113534
SUAREZ
HERNANDO
2280 S GAREY AVE
POMONA
(909) 364-0633
6, 26
DENTAL CENTER OF REDONDO BEACH
166121
127312
GHARIBIAN
ALEN
1959 KINGSDALE AVE NO. D
REDONDO BEACH
(310) 921-3938
1, 2, 6, 7, 26
CUTE SMILE
108415
104387
AKRAA
ILHAM
RESEDA
(818) 776-1236
1, 6, 26
HARVEY E DLUGATCH
11152
17825
DLUGATCH
HARVEY
18909 SHERMAN WAY
RESEDA
(818) 345-1343
6, 26
PREFERED DENTAL GROUP
115450
117911
ELIE
ARASH
18048 SATICOY ST
RESEDA
(818) 708-7046
6, 7, 26
JOHN FOROUTAN DDS, INC
11797
32956
FOROUTAN
JOHN
RESEDA
(818) 881-0404
6, 7, 26
INNA KAGAN, DDS, A PROFESSIONAL DENTAL
CORPORATION
121037
124288
KAGAN
INNA
17720 SHERMAN WAY
RESEDA
(818) 705-0111
6, 23, 26
LINDA KAPGAN DENTAL CORPORATION
11830
33300
KAPGAN
LINDA
19301 SATICOY ST NO. D
RESEDA
(818) 772-4222
6, 23, 26
WINDSOR DENTAL OFFICE
11973
39972
KATABAMNA
DHANESH
7550 TAMPA AVE NO. H
RESEDA
(818) 342-1894
6, 10, 18, 26
MOHSEN MIRSHOJAE
116837
119518
MIRSHOJAE
MOHSEN
18318 SHERMAN WAY BLVD
RESEDA
(818) 975-6884
6, 7, 26
SMILE MASTERS DENTAL CENTER
13659
38892
NOURISHAD
KHASHAYAR
17703 VANOWEN ST
RESEDA
(818) 609-0009
6, 8, 18, 26
ADULT & KID'S DENTAL CARE
149504
155448
OHANIAN
ARMINE
RESEDA
(818) 881-6761
2, 6, 23, 26, 29
RESEDA VILLAGE DENTAL STUDIO
157196
127729
PHAM
TU
RESEDA
(818) 757-7070
6, 26, 30
115450
117910
RAFI
KEVIN
18048 SATICOY ST
RESEDA
(818) 708-7046
6, 7, 26
115450
105796
SHIDMAND
SHAHRAM
18048 SATICOY ST
RESEDA
(818) 708-7046
6, 7, 26
RESEDA DENTAL OFFICE
148336
154240
YELIAZYAN
ARAM
18554 SHERMAN WAY
RESEDA
(818) 708-9919
2, 6, 23, 26
M DUANE HEDRICK
15902
17480
HEDRICK
DUANE
927 DEEP VALLEY DR NO. 205
ROLLING HILLS
ESTATE
(310) 544-4054
6, 26
13249
113961
BERGER
IVAN
4100 ROSEMEAD BLVD
ROSEMEAD
(626) 575-1161
6, 26, 27
ISAAC CHEN DENTAL CORPORATION
164620
36069
CHEN
ISAAC
7556 E GARVEY AVE
ROSEMEAD
(626) 573-2000
6
MIN LWIN
15614
43347
HTWE
TIN
8038 E GARVEY AVE NO. B
ROSEMEAD
(626) 571-7000
4, 6, 16, 18, 26
KANG DENTAL CORPORATION
165924
115274
KANG
KEVIN
3925 N ROSEMEAD BLVD NO. 203
ROSEMEAD
(626) 288-0080
5, 6
KANG DENTAL CORPORATION
165924
115275
LEE
JENNIFER
3925 N ROSEMEAD BLVD NO. 203
ROSEMEAD
(626) 288-0080
5, 6
MIN LWIN
15614
39985
LWIN
MIN
ROSEMEAD
(626) 571-7000
4, 6, 16, 18, 26
13249
44932
MAI
MICHAEL
4100 ROSEMEAD BLVD
ROSEMEAD
(626) 575-1161
6, 26, 27
MIN LWIN
15614
44217
MIN
DEREK
ROSEMEAD
(626) 571-7000
4, 6, 16, 18, 26
TOP DENTAL GROUP INC.
12223
35017
PENG
CHICH-KUANG
7615 E GARVEY AVE
ROSEMEAD
(626) 307-4078
4, 5, 6, 16, 18, 26,
30
13249
171477
SAAD
AHMED
4100 ROSEMEAD BLVD
ROSEMEAD
(626) 575-1161
6, 26, 27
DR. HARINDAR S SETNI
13205
31382
SETHI
HARINDAR
2111 N SAN GABRIEL BLVD NO. I
ROSEMEAD
(626) 280-4976
6, 18, 26
13249
114170
THAI
MICHAEL
4100 ROSEMEAD BLVD
ROSEMEAD
(626) 575-1161
6, 26, 27
13276
154676
ADOURIAN
EDWARD
18025 E GALE AVE
ROWLAND HEIGHTS
(626) 965-2500
6, 26
13276
113961
BERGER
IVAN
18025 E GALE AVE
ROWLAND HEIGHTS
(626) 965-2500
6, 26
GRACE DENTAL CARE CORP
122136
125554
CHA
YOUNG
17827 E COLIMA RD
ROWLAND HEIGHTS
(626) 965-7888
6, 26
13276
155406
KWON
JAE
18025 E GALE AVE
ROWLAND HEIGHTS
(626) 965-2500
6, 26
PLAZA DENTAL GROUP
10775
125091
LEE
KERRY
18156 COLIMA RD
ROWLAND HEIGHTS
(626) 965-0971
5, 6, 14, 26
PLAZA DENTAL GROUP
10775
24822
LEE
YOUNG
18156 COLIMA RD
ROWLAND HEIGHTS
(626) 965-0971
5, 6, 14, 26
13276
110965
PARK
STEPHEN
18025 E GALE AVE
ROWLAND HEIGHTS
(626) 965-2500
6, 26
PLAZA DENTAL GROUP
10775
174963
WU
JERRY
18156 COLIMA RD
ROWLAND HEIGHTS
(626) 965-0971
5, 6, 14, 26
COSMETIC LASER DENTISTRY
110659
46013
AL BOUZ
MAHER
639 E FOOTHILL BLVD NO. A
SAN DIMAS
(909) 599-2029
1, 6, 7, 26
Page 33
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
PLAZA DENTAL OFFICE
111329
33431
APOSTU
DORIN
1120 VIA VERDE
SAN DIMAS
(909) 599-2444
6, 8, 18, 26
SAN DIMAS DENTAL OFFICE
114536
29127
COMPEAN
CARLOS
923 W ARROW HWY
SAN DIMAS
(909) 592-5599
6
PLAZA DENTAL OFFICE
111329
34296
THOMAS
ADRIANA
1120 VIA VERDE
SAN DIMAS
(909) 599-2444
6, 8, 18, 26
ARMAN PETROSYAN, DDS, INC
123118
155643
AZNAVOUR
SARKIS
2040 GLENOAKS BLVD NO. F
SAN FERNANDO
(818) 361-3889
2, 6, 23, 26
NORTHEAST VALLEY HEALTH CORPORATION
11731
19887
GIEDRAITIS
DANUTE
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
11731
20351
GIEDRAITIS
ROLAND
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
11731
123460
GUTIERREZ
ALEXIS
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
11731
112195
HARDY
GRACE
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
11731
128711
HUANG
RYAN
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
TOOTH FAIRY DENTAL
11165
46831
ILAGAN
MARIA ELOISA
556 S BRAND BLVD
SAN FERNANDO
(818) 365-3004
6, 20, 26
LATINO DENTAL SPA
150633
120683
JARA
JAVIER
820 SAN FERNANDO RD NO. 203
SAN FERNANDO
(818) 898-0818
6, 26
11731
120526
KADAR
DAVID
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
6, 18, 26, 27
11731
166005
LOPEZ
ABREY
SAN FERNANDO
(818) 365-8086
SAN FERNANDO DENTAL CENTER
11166
24826
MALLEUS
JERRY
125 S BRAND BLVD
SAN FERNANDO
(818) 365-6321
2, 6, 7, 18, 23, 26
11731
176987
MELAMED
SHABNAM
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
6, 18, 26, 27
11731
129037
MISMAS
RACHEL
SAN FERNANDO
(818) 365-8086
HEAVENLY DENTAL
125706
128650
NAFFAS
SHAHRIAR
321 N MACLAY AVE NO. A
SAN FERNANDO
(818) 837-9744
6, 7, 8, 9, 26
HEAVENLY DENTAL
125706
128774
PARTOVI
ELHAM
321 N MACLAY AVE NO. A
SAN FERNANDO
(818) 837-9744
6, 7, 8, 9, 26
ARMAN PETROSYAN, DDS, INC
123118
126535
PETROSYAN
ARMAN
2040 GLENOAKS BLVD NO. F
SAN FERNANDO
(818) 361-3889
2, 6, 23, 26
11731
121871
SHAMSA
RASHEL
SAN FERNANDO
(818) 365-8086
6, 18, 26, 27
4, 6, 16, 26
LAS TUNAS FAMILY DENTAL
167188
36069
CHEN
ISAAC
1107 E LAS TUNAS DR
SAN GABRIEL
(626) 285-0031
MIN LWIN
15655
43347
HTWE
TIN
1739 SAN GABRIEL BLVD
SAN GABRIEL
(626) 288-5777
4, 6, 16, 18, 26
SUN DENTAL CORP
10716
37126
KOR
TZE (JOSEPH)
1720 S SAN GABRIEL BLVD NO. 101
SAN GABRIEL
(626) 288-9055
5, 6, 26
SAN GABRIEL FAMILY DENTISTRY
12518
41754
LI
CASSY
531 W LAS TUNAS DR NO. B
SAN GABRIEL
(626) 281-1628
5, 6, 26
MIN LWIN
15655
39985
LWIN
MIN
1739 SAN GABRIEL BLVD
SAN GABRIEL
(626) 288-5777
4, 6, 16, 18, 26
SAN GABRIEL FAMILY DENTISTRY
12518
126381
PHAN
QUY-PHUNG
531 W LAS TUNAS DR NO. B
SAN GABRIEL
(626) 281-1628
5, 6, 26
SAN GABRIEL VALLEY FAMILY DENTAL GROUP
12294
25621
ROSENBERG
JOSEPH
6503 N ROSEMEAD BLVD
SAN GABRIEL
(626) 286-2156
4, 6, 16, 22, 26
DEL MAR FAMILY DENTAL CENTER
10713
31987
TAYAB
GAMAL
702 S DEL MAR AVE NO. A
SAN GABRIEL
(626) 287-9781
1, 6, 23, 26
SAN GABRIEL VALLEY FAMILY DENTAL GROUP
12294
32632
WONG
HENRY
6503 N ROSEMEAD BLVD
SAN GABRIEL
(626) 286-2156
4, 6, 16, 22, 26
JING XU, DDS, FAMILY DENTISTRY
168572
155173
XU
JING
416 W LAS TUNAS DR NO. 107
SAN GABRIEL
(626) 282-2068
5, 6, 26
LAN YANG, DDS, INC
114799
117269
YANG
LAN
1045 E VALLEY BLVD NO. A209
SAN GABRIEL
(626) 572-7238
4, 6, 16
SAN PEDRO DENTAL
16428
20546
KAISER
ARTHUR
520 WEST 7TH ST
SAN PEDRO
(310) 832-5361
6, 26
BOUQUET SMILE DENTAL
123515
49227
THAI
BRANDON
28100 BOUQUET CANYON RD NO. 200
SANTA CLARITA
(661) 263-6923
6, 26
YOSI PAYAM BEHROOZAN, DDS, INC
109505
107753
BEHROOZAN
YOSI
2221 LINCOLN BLVD NO. 200
SANTA MONICA
(310) 399-1100
6, 7, 9, 26
SANTA MONICA SMILES
157024
115220
JOSHI
BIJAL
2021 SANTA MONICA BLVD NO. 500E
SANTA MONICA
(310) 828-3522
6
SANTA MONICA DENTAL
117500
38223
SABET
JOSEPH
1244 7TH ST NO. 101
SANTA MONICA
(310) 393-0743
6, 7, 26
SHEREZI OAKS COSMETIC & IMPLANTS DENTAL GROUP
123217
174817
ABADI
SANAZ
SHERMAN OAKS
(818) 990-4121
6, 7, 26
ANAIT ALABYAN, DDS, INC
123225
116542
ALABYAN
ANAIT
SHERMAN OAKS
(818) 788-2121
2, 6, 23, 26
ALEXI EYVAZI, DDS, APC
151457
123801
EYVAZI
ALEXI
4350 WOODMAN AVE
SHERMAN OAKS
(818) 981-4508
2, 6, 7, 26
123217
175000
GROSLEIB
MICHELLE
SHERMAN OAKS
(818) 990-4121
6, 7, 26
COMFORT CARE DENTAL
151281
115381
SHANAKIAN
TOM
5151 HAZELTINE AVE
SHERMAN OAKS
(818) 788-2023
2, 6, 23, 26
123217
37368
SHIRAZI-ARDESTANI
BEHZAD
SHERMAN OAKS
(818) 990-4121
6, 7, 26
COMFORT CARE DENTAL
151281
114175
TINGILIAN
ROBERT
5151 HAZELTINE AVE
SHERMAN OAKS
(818) 788-2023
2, 6, 23, 26
Page 34
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
LATA G BERI
111444
47451
BERI
LATA
10496 GARVEY AVE
SOUTH EL MONTE
(626) 442-5678
6, 10, 26
ATLAS DENTAL CORP
10737
172764
BERNAL
DANIEL
3131 SANTA ANITA AVE NO. 201
SOUTH EL MONTE
(626) 444-2605
6, 7, 14, 26
ATLAS DENTAL CORP
10737
47614
DU
LINH
3131 SANTA ANITA AVE NO. 201
SOUTH EL MONTE
(626) 444-2605
6, 7, 14, 26
BRIGHT SMILE DENTAL CARE
117632
120551
LOK
WHELAN
10050 GARVEY AVE NO. 105
SOUTH EL MONTE
(626) 444-4220
5, 6, 26
SIMON PAN , DDS
13057
29545
PAN
SIMON
9328 GARVEY AVE NO. A
SOUTH EL MONTE
(626) 350-0588
5, 6, 26
THET SWE, DDS, A PROFESSIONAL CORPORATION
122114
113448
SWE
THET
SOUTH EL MONTE
(626) 350-8366
6, 18, 26

CHILDREN'S DENTAL GROUP
10155
174299
ABRAHAM
PAMELA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
155460
ASHKAN
HAERI
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
111969
BARBU
OVIDIU
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
106112
BERGER
ROSANNE
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
156027
CHAPELLIN
CAROLINA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
36072
CHO
JAMES
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
RAJIV N DESAI DDS INC
10161
32294
DESAI
RAJIV
4355 TWEEDY BLVD
SOUTH GATE
(323) 567-9990
6, 26

10155
127391
DROSDIK
KAREN
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
47898
GUERRERO
JOSE
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
24464
JACKS
SCOTT
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
LETICIA J JACOBS
148548
154447
JACOBS
LETICIA
SOUTH GATE
(323) 581-0707
6, 26

10155
41630
KASPARIAN
EDUARDO
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
36869
LAZO
JULIE
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
WEST COAST DENTAL GROUP OF SOUTH GATE
10160
114388
LEE
MI-A
4149 TWEEDY BLVD NO. G
SOUTH GATE
(323) 567-3333
6, 7, 26

10155
123225
LIMA
MARIA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
36401
LUIS
MODESTO
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
31659
LUTSKY
JAY
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
10160
38558
MANAVI
FARHAD
SOUTH GATE
(323) 567-3333
6, 7, 26
DR NAZIRI'S DENTAL CLINIC, INC
11918
38888
NAZIRI
AMANOLLAH
4186 TWEEDY BLVD
SOUTH GATE
(323) 569-7131
6, 7, 8, 26

10155
155560
NGUYEN
ANH
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
117305
NGUYEN
LISA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
38111
PASION
ALICE
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
10584
31104
PRASAD
N.K.M
5814 IMPERIAL HWY
SOUTH GATE
(562) 869-2755
6, 26

10155
173133
ROBLES
ARMINDA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
176137
SALCEDO
GABRIELA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
154405
SANCHEZ
DEYANIRA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
HENRY SHAFAJOO, DDS, INC
120834
42607
SHAFAJOO
HENRY
2639 SANTA ANA ST
SOUTH GATE
(323) 583-1481
7, 26

10155
44086
SIAZON
ELEANOR
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
174365
SISSON
LLOYD
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
DR TADROS FAMILY DENTISTRY
10157
30287
TADROS
MAGDY
3173 TWEEDY BLVD
SOUTH GATE
(323) 564-4554
1, 6, 26

10155
116028
TAMAYO
ENRIQUE
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
30024
TARNAVSKY
IRINA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
157218
TELLO
JORGE
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
10160
44554
VU
ANH
SOUTH GATE
(323) 567-3333
6, 7, 26

10155
124008
WIEDERKEHR
SABINA
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27

10155
112995
ZARGARPOUR
SIAVASH
4444 TWEEDY BLVD
SOUTH GATE
(323) 564-2444
6, 7, 26, 27
KENNETH K CHAN DDS, A PROFESSIONAL CORPORATION
112499
114710
CHAN
KENNETH
1315 FAIR OAKS AVE NO. 103
SOUTH PASADENA
(626) 799-8068
5, 6, 26
Page 35
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
KENNETH K CHAN DDS, A PROFESSIONAL CORPORATION
112499
128280
CHAN
WAYMAN
1315 FAIR OAKS AVE NO. 103
SOUTH PASADENA
(626) 799-8068
5, 6, 26
SUSAN LEUNG
14016
25783
LEUNG
SUSAN
1506 HUNTINGTON DR
SOUTH PASADENA
(626) 799-1288
2, 6, 26
S C DENTAL CARE
100103
174817
ABADI
SANAZ
4366 TUJUNGA AVE
STUDIO CITY
(818) 985-5462
6, 7, 26
S C DENTAL CARE
100103
175000
GROSLEIB
MICHELLE
4366 TUJUNGA AVE
STUDIO CITY
(818) 985-5462
6, 7, 26
ROYAL DENTAL SPA
119736
112344
LIPKIN
ARTUR
11711 MOORPARK ST
STUDIO CITY
(818) 505-1211
2, 6, 7, 8, 23, 26
S C DENTAL CARE
100103
37368
SHIRAZI-ARDESTANI
BEHZAD
4366 TUJUNGA AVE
STUDIO CITY
(818) 985-5462
6, 7, 26
164000
154093
ASUNCION
MARIA
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
156826
CO
MARIA LUISA
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
46176
DAO
TU
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
FRESH SMILE DENTAL CENTER
149789
124160
DEHKORDI
KAMIAR
8215 SUNLAND BLVD
SUN VALLEY
(818) 252-7222
6, 7, 26
164000
112197
DUONG
VICKY
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
47074
ELMASRI
MAHA
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
35496
GARABEDIAN
JAMES
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
151953
19887
GIEDRAITIS
DANUTE
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
151953
20351
GIEDRAITIS
ROLAND
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
6, 26
151953
123460
GUTIERREZ
ALEXIS
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
151953
112195
HARDY
GRACE
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
151953
128711
HUANG
RYAN
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
164000
157267
JOSON
GLENDA
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
151953
120526
KADAR
DAVID
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
164000
42280
KAMPPILA
ARLENE
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
154360
LAURENTE
REX
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
116170
LE
MAI
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
46402
LE
VINH
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
151953
166005
LOPEZ
ABREY
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
164000
117082
LOZADA
LAWRENCE
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
113567
LUNA
AILEEN
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
37464
LUNA
CELLINI
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
109566
LY
HOA
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
151953
176987
MELAMED
SHABNAM
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
151953
129037
MISMAS
RACHEL
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
6, 26
164000
125838
NGUYEN
BINH
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
114005
NGUYEN
MINH TRI
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
42211
PATEL-MEHTA
ROSHANI
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
154370
PHAM
KIM
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
110232
POBLETE
EDITHA
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
124082
SADJADI
AMIR
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
6, 26
151953
121871
SHAMSA
RASHEL
7223 N FAIR AVE
SUN VALLEY
(818) 432-4400
164000
172217
STERMER
DAVID
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
156827
TRAN
MAI
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
49013
TRAN
THE-HAO
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
172218
TREDENNICK
SILVANA
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
126200
TSAI
MATTHEW
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
Page 36
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
164000
124136
VO
HANH
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
120427
VO
HANHNGOC
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
120558
VO
LETHY
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
164000
120425
VO
THACH
SUN VALLEY
(818) 504-9876
5, 7, 18, 26, 30
SUNLAND DENTAL CARE
11159
38049
EMAMI-SADAR
MAHVASH
7902 FOOTHILL BLVD
SUNLAND
(818) 353-5520
2, 6, 7, 26
SUNLAND DENTAL CARE
11159
38679
FIROOZEH
HOMEIRA
7902 FOOTHILL BLVD
SUNLAND
(818) 353-5520
2, 6, 7, 26
JAMES E MERTZEL
11837
15092
MERTZEL
JAMES
8120 FOOTHILL BLVD
SUNLAND
(818) 352-3174
6, 26
AMERICAN SMILE DENTAL CARE
165845
174075
ARSHADNIA
SHAWN
13203 GLADSTONE AVE
SYLMAR
(818) 833-0444
6, 7, 26
AMERICAN SMILE DENTAL CARE
165845
154611
SHAFA
FARID
13203 GLADSTONE AVE
SYLMAR
(818) 833-0444
6, 7, 26
SINAI DENTAL GROUP
122052
40309
SINAIRAD
JOSEPH
13060 GLENOAKS BLVD NO. 105
SYLMAR
(818) 899-1800
26
SINAI DENTAL GROUP
122052
124135
TABIBZADEH
NAVID
13060 GLENOAKS BLVD NO. 105
SYLMAR
(818) 899-1800
26
SAINTMINA FAMILY DENTAL
110655
112654
TADROS
FAWZY
12601 SAN FERNANDO RD NO. H
SYLMAR
(818) 364-1991
1, 6, 26
ANGELA HOFFMAN, DDS, INC
168720
117125
HOFFMAN
ANGELA
5620 WILBUR AVE NO. 316
TARZANA
(818) 345-7720
6, 18, 23, 26
TARZANA DENTAL
124477
37892
PARTOVY
RAMIN
TARZANA
(818) 774-2121
6, 7, 9, 26
SHAHIN SHAMSIAN, DDS, INC
107435
109133
SHAMSIAN
SHAHIN
5620 WILBUR AVE NO. 309
TARZANA
(818) 881-1559
6, 7, 23, 26, 27
TARZANA DENTAL
124477
13916
TOOVY
SAMUEL
TARZANA
(818) 774-2121
6, 7, 9, 26
FRIENDLY DENTAL CARE
148489
119705
MIKAELIAN
ARMEN
10455 LOWER AZUSA RD
TEMPLE CITY
(626) 444-3744
2, 6, 7, 8, 23, 26
HAPPY SMILE DENTAL
123243
116207
ZHONG
WEIQIANG
9600 LAS TUNAS DR
TEMPLE CITY
(626) 286-9600
4, 6, 16, 30
ESTEBAN D BONILLA, DDS, INC
11211
36135
BONILLA
ESTEBAN
10745 RIVERSIDE DR NO. B
TOLUCA LAKE
(818) 980-2887
6, 26
13246
175455
AMJADI
NAHID
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
163996
154093
ASUNCION
MARIA
1001 W CARSON ST NO. H
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
DENTAL ASSOCIATES OF TORRANCE
122999
114383
ASWANI
POOJA
21229 HAWTHORNE BLVD NO. A
TORRANCE
(310) 792-5600
6, 26
13246
22468
BANASKY
CHARLES
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
13246
113961
BERGER
IVAN
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
163996
156826
CO
MARIA LUISA
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
WEST COAST DENTAL GROUP
10254
38979
COHEN SEDGH
SOLEYMAN
1730 W SEPULVEDA BLVD NO. 1
TORRANCE
(310) 325-8888
6, 7, 26
163996
46176
DAO
TU
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
13246
154157
DERKEJIAN
ARA
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
163996
112197
DUONG
VICKY
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
47074
ELMASRI
MAHA
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
AB SMILE DENTAL CENTER
118735
174841
FAHR
JOSEPH
1431 W KNOX ST NO. 800
TORRANCE
(310) 320-1180
6, 18, 23, 26
13246
28687
FLACHNER
STEWART
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
DOWNTOWN FAMILY DENTAL
113811
174929
GANGEL
RENATE
2055 TORRANCE BLVD
TORRANCE
(310) 320-0707
6, 23, 26
163996
35496
GARABEDIAN
JAMES
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
157267
JOSON
GLENDA
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
42280
KAMPPILA
ARLENE
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
154360
LAURENTE
REX
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
116170
LE
MAI
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
46402
LE
VINH
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
ALL CARE DENTAL
160849
126524
LEE
IK-SUNG
19019 HAWTHORNE BLVD NO. 100B
TORRANCE
(310) 371-0113
6, 14, 26
10254
114388
LEE
MI-A
TORRANCE
(310) 325-8888
6, 7, 26
VILLAGE FAMILY DENTAL OFFICE
122666
176368
LIN
JENNY
1235 W SEPULVEDA BLVD
TORRANCE
(310) 530-9656
6, 16, 26, 30
163996
117082
LOZADA
LAWRENCE
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
Page 37
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
163996
113567
AILEEN
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
37464
LUNA
CELLINI
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
109566
LY
HOA
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
13246
44932
MAI
MICHAEL
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
BLUE SKY FAMILY DENTAL
121064
42169
MONDAVI
ROBERT
17311 YUKON AVE
TORRANCE
(310) 324-3333
6, 7, 26
TORRANCE DENTAL ASSOCIATES
12357
39189
MOVASSAGHI
ALIREZA
17305 CRENSHA BLVD NO. A
TORRANCE
(310) 327-4166
6, 26
163996
125838
NGUYEN
BINH
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
114005
NGUYEN
MINH TRI
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
LUNA
122666
119526
PAPADOPOULOS
MICHAEL
TORRANCE
(310) 530-9656
6, 16, 26, 30
163996
42211
PATEL-MEHTA
ROSHANI
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
154370
PHAM
KIM
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
110232
POBLETE
EDITHA
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
JOHN RICHARD A RETODO
123789
39072
RETODO
JOHN RICHARD
1640 W CARSON ST NO. E
TORRANCE
(310) 787-9172
6, 20, 26
13246
171477
SAAD
AHMED
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
163996
124082
SADJADI
AMIR
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
TORRANCE DENTAL ASSOCIATES
12357
44535
SAKO
DANIEL
17305 CRENSHA BLVD NO. A
TORRANCE
(310) 327-4166
6, 26
113811
116134
SALO
VADIM
2055 TORRANCE BLVD
TORRANCE
(310) 320-0707
6, 23, 26
13246
45190
SHARIFI
MINA
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
163996
172217
STERMER
DAVID
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
122666
158367
THUC
TRAN-VIET
TORRANCE
(310) 530-9656
6, 16, 26, 30
163996
156827
TRAN
MAI
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
49013
TRAN
THE-HAO
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
172218
TREDENNICK
SILVANA
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
126200
TSAI
MATTHEW
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
113811
126640
UY
LILLY
2055 TORRANCE BLVD
TORRANCE
(310) 320-0707
6, 23, 26
AB SMILE DENTAL CENTER
118735
41566
VEINBERG
ABEN
1431 W KNOX ST NO. 800
TORRANCE
(310) 320-1180
6, 18, 23, 26
13246
41983
VO
COLLEEN
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
163996
124136
VO
HANH
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
120427
VO
HANHNGOC
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
120558
VO
LETHY
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
163996
120425
VO
THACH
TORRANCE
(310) 618-1522
5, 7, 18, 26, 30
10254
44554
VU
ANH
TORRANCE
(310) 325-8888
6, 7, 26
WILLIAM G ZAKARIA, DDS
13294
31737
ZAKARIA
WILLIAM
4350 REDENDO BEACH BLVD
TORRANCE
(310) 370-2966
1, 6, 26
13246
173128
ZAKER
MEYSAM
923 W CARSON ST
TORRANCE
(310) 533-1300
6, 7, 26, 30
DAVID ABRI, DDS, INC
125989
126952
ABRI
DAVID
23333 CINEMA DR NO. 190
VALENCIA
(661) 254-9494
2, 6, 7, 23, 26, 27
VALENCIA DENTAL GROUP
111530
117911
ELIE
ARASH
24218 VALENCIA BLVD
VALENCIA
(661) 288-0288
6
VALENCIA DENTAL GROUP AT COPPER HILL
123507
117911
ELIE
ARASH
28134 NEWHALL RANCH RD
VALENCIA
(661) 607-0202
6
BAYWOOD DENTAL GROUP
124263
127227
LEZAMA
MARCELA
24121 BAYWOOD LN NO. A
VALENCIA
(661) 291-1200
6, 26
RAYMOND LOTUACO, DDS, INC
122238
125664
LOTUACO
RAYMOND
23501 CINEMA DR NO. 207
VALENCIA
(661) 753-9456
6, 26, 27
BAYWOOD DENTAL GROUP
124263
39189
MOVASSAGHI
ALIREZA
24121 BAYWOOD LN NO. A
VALENCIA
(661) 291-1200
6, 26
111530
126869
NGUYEN
MYLENE
24218 VALENCIA BLVD
VALENCIA
(661) 288-0288
6
CANYON DENTAL GROUP
119515
39862
PAKRAVAN
FARID
28237 NEWHALL RANCH RD NO. 101
VALENCIA
(661) 257-4242
6, 26
VALENCIA DENTAL GROUP AT COPPER HILL
123507
126763
PHAM
DAVID
28134 NEWHALL RANCH RD
VALENCIA
(661) 607-0202
6
Page 38
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
CANYON DENTAL GROUP
119515
123182
SLAVEN
JOEL
28237 NEWHALL RANCH RD NO. 101
VALENCIA
(661) 257-4242
Languages
6, 26
111530
43868
THORNE
JOHN (MICHAEL)
24218 VALENCIA BLVD
VALENCIA
(661) 288-0288
6
SAMVEL HUNANIAN
107167
36559
HUNANIAN
SAMVEL
5953 LAUREL CANYON BLVD NO.B
VALLEY VILLAGE
(818) 508-7200
2, 6, 23
LAUREL CHANDLER DENTAL CENTER
11176
40645
LALA
SANJAY
4717 LAUREL CANYON BLVD NO. 200
VALLEY VILLAGE
(818) 508-2250
6, 26, 27
LAUREL CHANDLER DENTAL CENTER
11176
28349
LASCOE
NEAL
4717 LAUREL CANYON BLVD NO. 200
VALLEY VILLAGE
(818) 508-2250
6, 26, 27
PLAZA DENTAL CLINIC
123612
126826
AHMADZADEH
FARIBA
7028 1/2 VAN NUYS BLVD
VAN NUYS
(818) 780-8555
6, 7, 26
CALIFORNIA WAVE DENTAL CENTER
12360
43413
AN
YOUNG
5658 SEPULVEDA BLVD NO. 204
VAN NUYS
(818) 988-9959
1, 6, 14, 26
13247
127980
ASATRYAN
MHER
VAN NUYS
(818) 786-2209
6, 7, 26, 30
163995
154093
ASUNCION
MARIA
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
ABDUL WALI BAYAZ, DDS, INC
123509
126765
BAYAZ
ABDUL
14435 HAMLIN ST NO. 104
VAN NUYS
(818) 781-0004
6, 18, 23, 26
13247
113961
BERGER
IVAN
VAN NUYS
(818) 786-2209
6, 7, 26, 30
GEVORK BOYADZHYAN
107695
109433
BOYADZHYAN
GEVORK
13521 SHERMAN WAY NO. H
VAN NUYS
(818) 786-8494
2, 6, 23
163995
156826
CO
MARIA LUISA
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
46176
DAO
TU
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
13247
154157
DERKEJIAN
ARA
VAN NUYS
(818) 786-2209
6, 7, 26, 30
163995
112197
DUONG
VICKY
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
47074
ELMASRI
MAHA
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
HANASAB DENTAL CORP
15232
126556
ELYASPOOR
SEVAK
VAN NUYS
(818) 785-2424
7, 26
ROBERT J FIELDS
11203
22346
FIELDS
ROBERT
6301 VAN NUYS BLVD
VAN NUYS
(818) 787-6400
2, 6, 7, 26
MEHRZAD FIROUZBAKHT DENTAL, INC
149920
155868
FIROUZBAKHT
MEHRZAD
14100 VICTORY BLVD
VAN NUYS
(818) 908-9199
6, 7, 26
163995
35496
GARABEDIAN
JAMES
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
MOHSEN HAGHIGHATPOUR, DDS, INC
113143
112079
HAGHIGHATPOUR
MOHSEN
14515 1/2 VICTORY BLVD
VAN NUYS
(818) 902-9999
2, 6, 7, 8, 26
HANASAB DENTAL CORP
15232
41918
HANASAB
HERSEL
VAN NUYS
(818) 785-2424
7, 26
GOHAR HOVSEPYAN, DDS, INC
112736
114930
HOVSEPYAN
GOHAR
15333 SHERMAN WAY NO. M
VAN NUYS
(818) 909-0200
2, 6, 23, 26
163995
157267
JOSON
GLENDA
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
5, 7, 18, 26, 30
163995
42280
KAMPPILA
ARLENE
VAN NUYS
(818) 756-6950
ROBERT J FIELDS
11203
39165
KHANIAN
ROBERT
6301 VAN NUYS BLVD
VAN NUYS
(818) 787-6400
2, 6, 7, 26
HAMLIN DENTAL GROUP CORPORATION/HAMLIN REZA
SHAHMO
11199
122588
KOSHKERIAN
HOVSEP
14401 HAMLIN ST NO. D
VAN NUYS
(818) 782-6919
1, 2, 6, 7, 26, 27
AFFORDABLE GENTLE DENTAL
11732
39432
KWONG
OWEN
6600-A VAN NUYS BLVD
VAN NUYS
(818) 782-5020
6, 26
163995
154360
LAURENTE
REX
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
116170
LE
MAI
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
46402
LE
VINH
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
11732
157346
LIZANA
JESSICA
VAN NUYS
(818) 782-5020
6, 26
163995
117082
LOZADA
LAWRENCE
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
113567
LUNA
AILEEN
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
37464
LUNA
CELLINI
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
5, 7, 18, 26, 30
163995
109566
LY
HOA
VAN NUYS
(818) 756-6950
WEST COAST DENTAL GROUP OF VAN NUYS
117438
38558
MANAVI
FARHAD
13716 SHERMAN WAY
VAN NUYS
(818) 988-2020
6, 26
13247
169135
MATIAN
SHAHROOZ
VAN NUYS
(818) 786-2209
6, 7, 26, 30
163995
125838
NGUYEN
BINH
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
13247
113553
NGUYEN
MICHELLE
VAN NUYS
(818) 786-2209
6, 7, 26, 30
163995
114005
NGUYEN
MINH TRI
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
Page 39
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
MIHAI NICOLAE, DDS, INC
11204
42688
MIHAI
VAN NUYS
(818) 787-6787
6, 18, 26
NICOLAE
GLOBAL DENTAL PRACTICE
11197
41121
OBOH
PHILOMENA
14434 HAMLIN ST NO. 2
VAN NUYS
(818) 781-5180
2, 6, 26
163995
42211
PATEL-MEHTA
ROSHANI
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
154370
PHAM
KIM
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
110232
POBLETE
EDITHA
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
GOLDEN CARE DENTISTRY
160962
126705
RASHTIAN
ROUZITA
6330-B VAN NUYS BLVD
VAN NUYS
(818) 785-9944
6, 7, 26
GOLDEN CARE DENTISTRY
160962
168922
RASHTIAN
ROYA
6330-B VAN NUYS BLVD
VAN NUYS
(818) 785-9944
6, 7, 26
SHAHMO
11199
41307
REZA
HAMID
VAN NUYS
(818) 782-6919
1, 2, 6, 7, 26, 27
13247
43654
ROUHANI
MORVARID
VAN NUYS
(818) 786-2209
6, 7, 26, 30
ST. ANTHONY DENTAL OFFICE
11241
35330
SAAD
THEODORA
16055 SHERMAN WAY
VAN NUYS
(818) 909-0500
1, 6, 8, 26
ST. ANTHONY DENTAL OFFICE
11241
31372
SAAD
VICTOR
16055 SHERMAN WAY
VAN NUYS
(818) 909-0500
1, 6, 8, 26
HANASAB DENTAL CORP
15232
46216
SAADAT
SHOHREH
VAN NUYS
(818) 785-2424
7, 26
163995
124082
SADJADI
AMIR
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
EMALYN SANGA-FORBES, DDS, INC
114891
117401
SANGA-FORBES
EMALYN
14649 VICTORY BLVD NO. 21
VAN NUYS
(818) 779-2120
6, 26, 27
11732
36834
SIMAN
EDDIE
VAN NUYS
(818) 782-5020
6, 26
SINAI DENTAL GROUP
11195
40309
SINAIRAD
JOSEPH
14550 HAYNES ST NO. 100
VAN NUYS
(818) 780-7555
6, 7, 26
SINAI DENTAL GROUP
149635
40309
SINAIRAD
JOSEPH
14523 SHERMAN WAY
VAN NUYS
(818) 787-7300
6, 26
163995
172217
STERMER
DAVID
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
SINAI DENTAL GROUP
11195
124135
TABIBZADEH
NAVID
14550 HAYNES ST NO. 100
VAN NUYS
(818) 780-7555
6, 7, 26
13247
156426
TCHABOUKIAN
OHANNES
VAN NUYS
(818) 786-2209
6, 7, 26, 30
163995
156827
TRAN
MAI
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
49013
TRAN
THE-HAO
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
172218
TREDENNICK
SILVANA
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
126200
TSAI
MATTHEW
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
124136
VO
HANH
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
120427
VO
HANHNGOC
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
120558
VO
LETHY
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
163995
120425
VO
THACH
VAN NUYS
(818) 756-6950
5, 7, 18, 26, 30
SHAHMO
11199
125656
YESSAIAN
ANOUSH
VAN NUYS
(818) 782-6919
1, 2, 6, 7, 26, 27
13247
173128
ZAKER
MEYSAM
VAN NUYS
(818) 786-2209
6, 7, 26, 30
13247
122860
ZEKAVAT
PARVIN
VAN NUYS
(818) 786-2209
6, 7, 26, 30
WALNUT HILLS FAMILY DENTISTRY
10764
39793
FAHMY
EMAD
18758 E AMAR RD
WALNUT
(626) 912-5599
1, 6, 8, 26
PEDRO P GONZALEZ, DDS, INC
157053
161385
GONZALEZ
PEDRO
20199 VALLEY BLVD NO. F
WALNUT
(909) 468-0091
6, 26
TIEN CHUN D WANG
10766
35179
WANG
TIEN CHUN
1309 N GRAND AVE
WALNUT
(909) 594-7899
4, 5, 6, 16, 18, 26
168716
37620
ABBASZADEH
REZA
1206 W FRANCISQUITO AVE NO. E
WEST COVINA
(626) 917-0900
6, 26
13274
154676
ADOURIAN
EDWARD
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
13274
175455
AMJADI
NAHID
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
168716
174375
BECERRA
FERNANDO
1206 W FRANCISQUITO AVE NO. E
WEST COVINA
(626) 917-0900
6, 26
13274
113961
BERGER
IVAN
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
13274
113532
BHAT
MUJTABA
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
WEST COVINA FAMILY DENTISTRY
11217
33550
BHATT
SHAILESHKUMAR
450 S GLENDORA AVE NO. 106
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
Page 40
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
11217
123729
FISCH
GERALD
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
QUEENS DENTAL GROUP
10729
37221
GALVEZ-LIM
SARAH
910 S SUNSET AVE NO. 4
WEST COVINA
(626) 337-6166
6
11217
157471
GROSLEIB
JAMES
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
13274
126449
HORIYAT
MARYAM
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
10772
22984
HORWITZ
FREDERICK
1129 S GLENDORA AVE
WEST COVINA
(626) 919-7707
6, 8, 14, 18, 25,
26, 27
11217
28166
HOUCHIN
ROBERT
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
11217
177141
JENSEN
SUZAZNNE
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
10772
34720
JOE
JEFFREY
1129 S GLENDORA AVE
WEST COVINA
(626) 919-7707
6, 8, 14, 18, 25,
26, 27
QUEENS DENTAL GROUP
10729
41748
LAI
CHENYU
WEST COVINA
(626) 337-6166
6
SOUTH CALIFORNIA DENTAL SERVICES
10771
36172
LIU
JOSEPH
1014 S GLENDORA AVE
WEST COVINA
(626) 918-2886
5, 6, 26
11217
176168
MARDIROSIAN
ARMEN
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
11217
115820
NGOW
KENVIS
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
11217
121796
PATEL
NIRAV
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
11217
165786
PHAN
DIEU
WEST COVINA
(626) 856-3317
5, 6, 10, 18, 26, 28
10772
26699
ROBINS
GREGORY
1129 S GLENDORA AVE
WEST COVINA
(626) 919-7707
6, 8, 14, 18, 25,
26, 27
13274
43654
ROUHANI
MORVARID
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
13274
123918
SALAMEH
HUSAM
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
13274
106214
SAMAAN
EHAB
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
13274
45190
SHARIFI
MINA
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
FAMILY DENTISTRY
10770
32993
SINGH
MANINDER
1312 W FRANCISQUITO AVE NO. D4
WEST COVINA
(626) 918-0171
6, 18, 26
QUEENS DENTAL GROUP
10729
36009
SUCHAK
ATUL
WEST COVINA
(626) 337-6166
6
13274
114170
THAI
MICHAEL
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
RAFIK YANNI, DDS, INC
11867
174793
TRAN
BAO
2413 S AZUSA AVE
WEST COVINA
(626) 913-1421
1, 6, 26, 30
RAFIK YANNI, DDS, INC
11867
33004
YANNI
RAFIK
2413 S AZUSA AVE
WEST COVINA
(626) 913-1421
1, 6, 26, 30
DENTAL MAX
150375
22433
YOUNG
CHARLES
2360 S AZUSA AVE NO. B
WEST COVINA
(626) 839-5010
6, 26
13274
173128
ZAKER
MEYSAM
1215 W COVINA PKWY
WEST COVINA
(626) 962-8911
6, 7, 26, 30
VALLEY CIRCLE FAMILY DENTAL
124261
113155
HATAMI
RAMIN
23727 ROSCOE BLVD
WEST HILLS
(818) 888-8824
6, 7, 23, 26
PLATT VILLAGE DENTAL GROUP
123142
156246
KHALILI
RAMIN
6446 PLATT AVE
WEST HILLS
(818) 716-7001
6, 26
PLATT VILLAGE DENTAL GROUP
123142
126550
SIMONIAN
BELINDA
6446 PLATT AVE
WEST HILLS
(818) 716-7001
6, 26
10564
35051
ABRAMOVICI
MOSHE
WHITTIER
(562) 693-8202
6, 7, 9, 12, 14, 26,
27
DARREL R DAGDIGIAN, DDS, INC
10565
116362
BAEK
SHERRY
WHITTIER
(562) 694-0396
2, 6, 14, 26
RODOLFO R BURQUEZ, DDS, INC
10571
41360
BURQUEZ
RODOLFO
11574 HADLEY ST
WHITTIER
(562) 699-3838
6, 26
BEVERLY FAMILY DENTAL
114772
117245
DADGARMOLLAMOHAMMAD
AREZOU
11822 E FLORAL DR UNIT D
WHITTIER
(562) 692-7870
6, 7, 18, 26
DARREL R DAGDIGIAN, DDS, INC
10565
27262
DAGDIGIAN
DARREL
WHITTIER
(562) 694-0396
2, 6, 14, 26
MARCELA I PEREZ DDS
10569
102340
HANNANI
BAHRAM
6711 S GREENLEAF AVE
WHITTIER
(562) 698-0054
6, 7, 10, 18, 26, 30
SOUTHERN CALIFORNIA FAMILY DENTISTRY
12265
43611
JAHANGIRI
HOSSEIN
WHITTIER
(562) 693-0788
6, 7, 26, 30
10571
155515
LARA
NANCY
11574 HADLEY ST
WHITTIER
(562) 699-3838
6, 26
ST MARY THEORAL HEALTH INS
151150
40864
NESSIM
MAGED
7743 S PAINTER AVE NO. B
WHITTIER
(562) 698-7113
6, 26
113605
110531
NGUYEN
PETER
WHITTIER
(562) 463-1111
6, 26
Page 41
Provider Directory
Los Angeles
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
113605
110530
NGUYEN
THOMAS
WHITTIER
(562) 463-1111
6, 26
10564
32373
NOURIAN
SHAHRAM
WHITTIER
(562) 693-8202
6, 7, 9, 12, 14, 26,
27
MARCELA I PEREZ DDS
10569
29979
PATEL
CHARU
WHITTIER
(562) 698-0054
6, 7, 10, 18, 26, 30
MARCELA I PEREZ DDS
10569
32163
PEREZ
MARCELA
WHITTIER
(562) 698-0054
6, 7, 10, 18, 26, 30
KRISHNA M REDDY, DDS, INC
13453
30106
REDDY
KRISHNA
7910 NORWALK BLVD
WHITTIER
(562) 699-0343
6, 18, 26
THE VILLAGE DENTAL CENTER
119529
45005
SALIB
MARLENE
6742 GREEN LEAF AVE NO. 300
WHITTIER
(562) 945-1684
1, 5, 6, 26
10571
29128
SAMANIEGO
JOSE
11574 HADLEY ST
WHITTIER
(562) 699-3838
6, 26
WILMINGTON DENTAL
113563
171315
AHDOOT
MAURICE
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
WILMINGTON DENTAL
113563
165999
BLASUCCI
MADELENA
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
WILMINGTON DENTAL
113563
126270
BORNA
MAHSHID
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
WILMINGTON DENTAL
113563
115642
FRATT
DENNIS
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
WILMINGTON DENTAL
113563
169245
KAHEN KASHANI
ISAAC
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
WILMINGTON DENTAL
113563
172914
MARTEL
ALEX
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
WILMINGTON DENTAL
113563
157387
MARTINEZ
KAREN
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
LOURDES UYSINGCO
14662
14662
PARMELEE
FRANCINE
934 N AVALON BLVD
WILMINGTON
(310) 513-1338
6, 26, 27
WILMINGTON DENTAL
113563
36435
SORAYA
SHAHPOUR
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
WILMINGTON DENTAL
113563
26133
TADYCH
ROBERT
1610 N AVALON BLVD
WILMINGTON
(310) 835-3131
6, 26
LOURDES UYSINGCO
14662
31410
UYSINGCO
LOURDES
934 N AVALON BLVD
WILMINGTON
(310) 513-1338
6, 26, 27
DR VIRK'S DENTAL OFFICE
119086
38940
VIRK
KANWAL
221 W ANAHEIM ST
WILMINGTON
(310) 233-7777
6, 10, 18, 26
HAN DON YOUN, DDS INC
10307
30285
YOUN
DONALD
851 W PACIFIC COAST HWY
WILMINGTON
(310) 830-3620
6, 14, 26
WINNETKA PLAZA DENTAL
11678
122871
BABAAN
ROZNEH
7616 WINNETKA AVE NO. 1, 2
WINNETKA
(818) 772-6222
2, 6, 7
SKY DENTAL GROUP
149207
108848
GHAVI BONIHE
ALI
19725 VANOWEN ST
WINNETKA
(818) 347-6060
6, 7, 26
WESTSIDE DENTAL CARE
151311
39963
HAZANY
ROBERT
20832 ROSCOE BLVD NO. 101
WINNETKA
(818) 998-7645
6, 7, 23, 26
WINNETKA PLAZA DENTAL
11678
42868
PAPAZIAN
EDWIN
7616 WINNETKA AVE NO. 1, 2
WINNETKA
(818) 772-6222
2, 6, 7
COSMETIC LASER DENTISTRY
125990
46013
AL BOUZ
MAHER
22062 VENTURA BLVD
WOODLAND HILLS
(818) 676-1485
1, 6, 7, 22, 23, 26
EDWARD L ROSEN AND ASSOCIATES
117069
40789
BAGHDASSARIAN
RUBEN
WOODLAND HILLS
(818) 999-6165
2, 5, 6, 7, 9, 13,
26, 27
117069
176373
BAY
MANOJ
WOODLAND HILLS
(818) 999-6165
2, 5, 6, 7, 9, 13,
26, 27
EBRAHIM MIKAIL
123339
126681
MIKAIL
EBRAHIM
22636 VENTURA BLVD
WOODLAND HILLS
(818) 591-0123
6, 8, 18
117069
119794
ROSEN
EDWARD
WOODLAND HILLS
(818) 999-6165
2, 5, 6, 7, 9, 13,
26, 27
117069
176374
YESSAYANTZ
RAFFI
WOODLAND HILLS
(818) 999-6165
2, 5, 6, 7, 9, 13,
26, 27
CORBIN GENTLE DENTAL
169353
154288
ZAND
POOLAK
19701 VENTURA BLVD
WOODLAND HILLS
(818) 758-1805
6
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
DARIN M CAMARENA HEALTH CENTER CHOWCHILLA
120901
157259
SUBIDO
ANDREW
401 TRINITY AVE
CHOWCHILLA
(559) 665-1400
26
DARIN M CAMARENA HEALTH CENTER CHOWCHILLA
120901
115995
VO
VIVAN
401 TRINITY AVE
CHOWCHILLA
(559) 665-1400
26
Madera
Page 42
Provider Directory
Madera
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
LESTER KENT LOWE
101418
102014
LOWE
LESTER
312 W OLIVE AVE
MADERA
(559) 673-5944
6, 26
DARIN M CAMARENA HEALTH CENTERS
15897
154417
MCFARLAND
JOSEPH
344 E 6TH ST
MADERA
(559) 664-4000
6, 26
15897
125044
PANATCH
KIRANDEEP
344 E 6TH ST
MADERA
(559) 664-4000
6, 26
15897
154252
REVILLA
MARIA
344 E 6TH ST
MADERA
(559) 664-4000
6, 26
KIMMER E YOUNG DENTAL CARE
114091
100384
YOUNG
KIMMER
2401 W CLEVELAND AVE
MADERA
(559) 673-4075
6, 26
Languages
Merced
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
CENTRAL CALIFORNIA DENTAL SURGICENTER
15018
122838
APPLETON
STANTON
3605 HOSPITAL RD NO. H
ATWATER
(209) 381-2047
6
15018
108420
AYSON
PAUL
ATWATER
(209) 381-2047
6
15018
174090
BLEAK
PHILLIP
ATWATER
(209) 381-2047
6
15018
105361
BROWN
DAVID
ATWATER
(209) 381-2047
6
15018
122647
CHAHAL
GURNEET
ATWATER
(209) 381-2047
6
15018
20615
CHURCH
LAWRENCE
ATWATER
(209) 381-2047
6
15018
111222
CLARK
DENNIS
ATWATER
(209) 381-2047
6
15018
174088
FULLER
CAMERON
ATWATER
(209) 381-2047
6
15018
39410
HAGELE
MARK
ATWATER
(209) 381-2047
6
APPLEGATE FAMILY DENTIST
167223
126375
KANG
HYUN-SUN
1316 COMMERCE AVE
ATWATER
(209) 358-2838
6, 14, 26
APPLEGATE FAMILY DENTIST
167223
125194
KWON
JIN
1316 COMMERCE AVE
ATWATER
(209) 358-2838
6, 14, 26
15018
111223
LEE
DANNY
ATWATER
(209) 381-2047
6
15018
111224
MATSUI
KATSUKO
ATWATER
(209) 381-2047
6
15018
107519
SPENCER
RICHARD
ATWATER
(209) 381-2047
6
15018
41582
VAHAKEN
ARSLANIAN
ATWATER
(209) 381-2047
6
10018
37620
ABBASZADEH
REZA
12 W 20TH ST
MERCED
(209) 388-1000
6, 26
MERCED FAMILY DENTAL CARE
115048
45811
AMRO
ABDUL
548 W 25TH ST
MERCED
(209) 383-6200
1, 6, 8, 26
10018
128438
FERNANDEZ
PABLO
12 W 20TH ST
MERCED
(209) 388-1000
6, 26
10018
158284
PORTILLO
PATRICIA
12 W 20TH ST
MERCED
(209) 388-1000
6, 26
YASSER SADEK, DDS INC
14046
43293
SADEK
YASSER
645 W OLIVE AVE NO. 220
MERCED
(209) 383-6133
6, 18, 26
Monterey
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
CLINICA DE SALUD DEL VALLE DE SALINAS
15034
128443
GARDEZY
NAJIA
10561 MERRITT ST
CASTROVILLE
(831) 633-1514
6, 26
15034
121336
PHAN
TINH
10561 MERRITT ST
CASTROVILLE
(831) 633-1514
6, 26
15034
124942
ZHANG
DING
10561 MERRITT ST
CASTROVILLE
(831) 633-1514
6, 26
COMMUNITY ORAL HEALTH SERVICES
15054
39955
DUNNE
MARTIN
600 ELKO ST
GONZALES
(831) 674-1570
6, 26
15054
117800
HALL
DAVID
600 ELKO ST
GONZALES
(831) 674-1570
6, 26
Page 43
Provider Directory
Monterey
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
GONZALES DENTAL
111302
112667
RAMIREZ
DAVID
421 CTR ST
GONZALES
(831) 675-3354
6, 26
15839
128443
GARDEZY
NAJIA
808 OAK ST
GREENFIELD
(831) 674-5344
5, 6
15839
124942
ZHANG
DING
808 OAK ST
GREENFIELD
(831) 674-5344
5, 6
JOSE CADENAS
117997
37636
CARDENAS
JOSE
105 B BROADWAY
KING CITY
(831) 386-0148
6, 26
CLINICA DE SALUD DE VALLE DE SALINAS
15766
128443
GARDEZY
NAJIA
223 BASSETT ST
KING CITY
(831) 385-5945
6, 26
DAVID M PHILLIPS
12409
27185
PHILLIPS
DAVID
222 S RUSS ST
KING CITY
(831) 385-5616
6, 26
15766
21417
WILLIAMS
BRUCE
223 BASSETT ST
KING CITY
(831) 385-5945
6, 26
15766
124942
ZHANG
DING
223 BASSETT ST
KING CITY
(831) 385-5945
6, 26
S ALEXANDER, DDS, INC, A PROFESSIONAL DENTAL
CORPORATION
14240
42361
ALEXANDER
SASHA
1010 CASS ST NO. C1
MONTEREY
(831) 333-9111
6, 26
MATTHEW C DO, DDS, INC
148272
105286
DO
MATTHEW
100 PARK AVE
MONTEREY
(831) 373-4116
6, 14, 26
15325
37636
CARDENAS
JOSE
620 E ALVIN DR. NO. G
SALINAS
(831) 444-9722
6, 10, 26
CENTRAL COAST PEDIATRIC DENTAL GROUP
14642
154163
CHAN
JOHN
633 E ALVIN DR NO. B
SALINAS
(831) 443-1177
4, 6, 13, 26
15325
165674
CHEN
JOEY
SALINAS
(831) 444-9722
6, 10, 26
15325
128443
GARDEZY
NAJIA
SALINAS
(831) 444-9722
6, 10, 26
106846
117800
HALL
DAVID
128 E ALISAL ST
SALINAS
(831) 422-6889
6, 26
FRANK C JOYCE, DDS, INC
14517
22509
JOYCE
FRANCIS
770 E ROMIE LN NO. B
SALINAS
(831) 422-5942
6
CITY DENTAL
14844
157204
KIM
YOUNGJOO
1137 N MAIN ST NO. A
SALINAS
(831) 753-9505
6, 14, 26, 27
CITY DENTAL
14844
45127
KIM
YOUNGRIM
1137 N MAIN ST NO. A
SALINAS
(831) 753-9505
6, 14, 26, 27
106846
103724
MEZENTSEV
SVETLANA
128 E ALISAL ST
SALINAS
(831) 422-6889
6, 26
106846
124111
MODJESKI
CATHERINE
128 E ALISAL ST
SALINAS
(831) 422-6889
6, 26
CHATTAN M PATEL
148577
108845
PATEL
CHATTAN
652 E LAUREL DR NO. C
SALINAS
(831) 775-0280
6, 10, 18, 26
15325
121336
PHAN
TINH
SALINAS
(831) 444-9722
6, 10, 26
6, 20, 27
FRANCISCA LIDA D ROSALES, DMD, INC
167738
175454
ROSALES
FRANCISCA LIDA
1209 N DAVIS RD
SALINAS
(831) 424-4111
14642
116529
SAISHO
KENJI
633 E ALVIN DR NO. B
SALINAS
(831) 443-1177
4, 6, 13, 26
14870
116529
SAISHO
KENJI
945 BLANCO CR NO. D
SALINAS
(831) 424-0641
4, 6, 13, 26
106846
154983
SOLIMAN
MACARIO
128 E ALISAL ST
SALINAS
(831) 422-6889
6, 26
JULIO C SORIA, DMD, DENTAL CORP
15944
118003
SORIA
ANTONIETTA
1004 N DAVIS RD
SALINAS
(831) 753-7606
6, 27
JULIO C SORIA, DMD, DENTAL CORP
15944
42613
SORIA
JULIO
1004 N DAVIS RD
SALINAS
(831) 753-7606
6, 27
PETER YANG, DDS, INC
117454
106328
YANG
PETER
11 MAPLE ST NO. E
SALINAS
(831) 753-6598
6, 26
15325
124942
ZHANG
DING
SALINAS
(831) 444-9722
6, 10, 26
15884
128443
GARDEZY
NAJIA
799 FRONT ST
SOLEDAD
(831) 678-0881
6
MISSION DENTAL
115022
123375
JANG
AMY
2530 H DE LA ROSA SR ST
SOLEDAD
(831) 678-9352
6, 26, 30
15884
117467
NGUYEN
NGOC TRINH
799 FRONT ST
SOLEDAD
(831) 678-0881
6
MISSION DENTAL
115022
117551
TRAN
QUOCBAO
2530 H DE LA ROSA SR ST
SOLEDAD
(831) 678-9352
6, 26, 30
15884
124942
ZHANG
DING
799 FRONT ST
SOLEDAD
(831) 678-0881
6
Page 44
Provider Directory
Napa
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
TRANCAS DENTAL GROUP
164773
174052
KIM
YOO
935 TRANCAS ST NO. 4E
NAPA
(707) 257-6277
Languages
5, 6, 7, 26
164773
103630
LAO
JOO-ANN
NAPA
(707) 257-6277
5, 6, 7, 26
164773
119785
LEE
HYUKMIN
NAPA
(707) 257-6277
5, 6, 7, 26
164773
113185
MOHEB
ALIREZA
NAPA
(707) 257-6277
5, 6, 7, 26
Nevada
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
MARK J HAGELE, DDS, INC
149857
39410
MARK
101 PROVIDENCE MINE RD NO. 106C
NEVADA CITY
(530) 265-6656
6
Languages
HAGELE
Orange

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
ALISO VIEJO FAMILY DENTAL GROUP
14057
38259
BIRJANDI
REZA
27066 LA PAZ RD
ALISO VIEJO
(949) 360-9700
6
PACIFIC PARK DENTAL CARE
152414
47331
TRUONG
HOA VU
27131 ALISO CREEK RD NO. 120
ALISO VIEJO
(949) 362-3668
6, 7, 26, 30
163986
154093
ASUNCION
MARIA
710 S BROOKHURST ST NO. O
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
102991
113961
BERGER
IVAN
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
ANAHEIM OPEN 7 DAYS DENTAL
14136
46032
CAPIRAL
MARIA
637 N EUCLID ST
ANAHEIM
(714) 772-2893
1, 5, 6, 7, 26, 27,
30
125821
CHE
DAVID
101 E LINCOLN AVE NO. 150
ANAHEIM
(714) 772-5590
6, 8, 26, 30
ACCLAIM DENTISTRY, DENTAL OFFICE OF DAVID CHE, DDS, 122392
INC
163986
156826
CO
MARIA LUISA
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
102991
174877
DANG
VAN
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
163986
46176
DAO
TU
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
DENTAL CARE OF ANAHEIM
10934
27982
DHOLAKIYA
PRAGNESH
815 N EUCLID ST
ANAHEIM
(714) 758-0791
6, 10, 18, 26
MINH DINH, DDS INC
12864
37210
DINH
MINH
2400 W LINCOLN AVE
ANAHEIM
(714) 826-8942
6, 26, 30
YOUNG CALIFORNIA DENTISTRY-KIM
13388
125754
DO
TONY
1721 W KATELLA AVE NO. A
ANAHEIM
(714) 772-5656
6, 14, 26, 27
163986
112197
DUONG
VICKY
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
47074
ELMASRI
MAHA
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
35496
GARABEDIAN
JAMES
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
102991
103612
HAJ-YOUSEF
HAZEM
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
RODGERS PROFESSIONAL DENTAL CORPORATION
113551
124016
HOU
ROBERT
5731 E SANTA ANA CANYON RD NO. A
ANAHEIM
(714) 998-2956
6
102991
129365
IJO
ESTHER
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
163986
157267
JOSON
GLENDA
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
42280
KAMPPILA
ARLENE
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
JANGSOOK KIM
160957
168912
KIM
JANGSOOK
937 N LEMON ST
ANAHEIM
(714) 776-1202
6, 14, 26
13388
47919
KIM
KEON
ANAHEIM
(714) 772-5656
6, 14, 26, 27
13388
31939
KIM
YOUNG
ANAHEIM
(714) 772-5656
6, 14, 26, 27
FIRST DENTAL CARE
121272
31939
KIM
YOUNG
2801 W BALL RD NO. 10
ANAHEIM
(714) 527-5656
6, 14, 26, 30
Page 45
Provider Directory
Orange
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
163986
154360
LAURENTE
REX
ANAHEIM
(714) 780-5665
Languages
5, 6, 18, 26, 27, 30
14136
37342
LE
CHUCK TRUC
637 N EUCLID ST
ANAHEIM
(714) 772-2893
1, 5, 6, 7, 26, 27,
30
ANAHIEM DENTAL SPECIALISTS
14143
37342
LE
CHUCK TRUC
633 N EUCLID ST
ANAHEIM
(714) 687-0724
6, 8, 26, 30
7 DAY DENTAL OFFICE OF DR LE
113154
37342
LE
CHUCK TRUC
2261 W LINCOLN AVE
ANAHEIM
(714) 491-8668
5, 6, 7, 15, 26, 27,
30
5, 6, 18, 26, 27, 30
163986
116170
LE
MAI
ANAHEIM
(714) 780-5665
163986
46402
LE
VINH
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
14136
158562
LEM
PETER
637 N EUCLID ST
ANAHEIM
(714) 772-2893
1, 5, 6, 7, 26, 27,
30
LIN DENTAL
10935
35140
LIN
JAMES
10600 KATELLA AVENUE
ANAHEIM
(714) 758-7777
5, 6, 26, 30
163986
117082
LOZADA
LAWRENCE
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
113567
LUNA
AILEEN
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
37464
LUNA
CELLINI
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
109566
LY
HOA
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
102991
44932
MAI
MICHAEL
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
CALIFORNIA DENTAL GROUP OF SOUTH ANAHEIM
164870
120586
MICHELSEN
RENU
2300 S HARBOR BLVD
ANAHEIM
(714) 750-3030
6, 26
WESTPORT DENTAL
10937
28045
MISTRY
MANHAR
420 S STATE COLLEGE BLVD
ANAHEIM
(714) 772-0770
6, 26
CALIFORNIA DENTAL GROUP OF NORTH ANAHEIM
13628
115164
MORGAN
JASON
1221 N EUCLID ST
ANAHEIM
(714) 491-2732
6, 26
CALIFORNIA DENTAL GROUP OF SOUTH ANAHEIM
164870
115164
MORGAN
JASON
2300 S HARBOR BLVD
ANAHEIM
(714) 750-3030
6, 26
NANDINI R MURTHY, DDS, INC
10940
38886
MURTHY
NANDINI
1801 W ROMNEYA DR NO. 201
ANAHEIM
(714) 774-2638
6, 18, 26
163986
125838
NGUYEN
BINH
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
102991
154292
NGUYEN
CLARA
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
163986
114005
NGUYEN
MINH TRI
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
14136
41970
NGUYEN
THINH
637 N EUCLID ST
ANAHEIM
(714) 772-2893
1, 5, 6, 7, 26, 27,
30
163986
42211
PATEL-MEHTA
ROSHANI
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
154370
PHAM
KIM
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
110232
POBLETE
EDITHA
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
10934
165416
QUAN
NORMAN
815 N EUCLID ST
ANAHEIM
(714) 758-0791
6, 10, 18, 26
102991
164671
REYHANI
HADIS
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
RODGERS PROFESSIONAL DENTAL CORPORATION
113551
35324
RODGERS
CHARLES
5731 E SANTA ANA CANYON RD NO. A
ANAHEIM
(714) 998-2956
6
163986
124082
SADJADI
AMIR
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
MAYSOON SAEED, DDS, INC
112896
111874
SAEED
MAYSOON
710 S BROOKHURST ST NO. K
ANAHEIM
(714) 758-0778
1, 6, 26
14136
114698
SHEN
CHING-MING
637 N EUCLID ST
ANAHEIM
(714) 772-2893
1, 5, 6, 7, 26, 27,
30
ANAHIEM DENTAL SPECIALISTS
14143
114698
SHEN
CHING-MING
633 N EUCLID ST
ANAHEIM
(714) 687-0724
6, 8, 26, 30
102991
128744
SHI
ANDREW
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
GRAND DENTAL
13043
37923
SOLIMAN
ASHRAF
3070 W LINCOLN AVE NO. O
ANAHEIM
(714) 828-3028
1, 6, 26
10934
174927
SONI
NEETA
815 N EUCLID ST
ANAHEIM
(714) 758-0791
6, 10, 18, 26
163986
172217
STERMER
DAVID
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
102991
125728
TRAN
JOHNNY
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
163986
156827
TRAN
MAI
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
ALL BRITE DENTAL PRACTICE
115268
102440
TRAN
NOREEN
1825 W LINCOLN AVE
ANAHEIM
(714) 999-2700
6, 26, 30
Page 46
Provider Directory
Orange
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
163986
49013
TRAN
THE-HAO
ANAHEIM
(714) 780-5665
Languages
5, 6, 18, 26, 27, 30
163986
172218
TREDENNICK
SILVANA
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
DENTAL AESTHETICS PROFESSIONALS-EUCLID DENTAL
CENTER
161260
169212
TRENT
JANNETTE
1751 W ROMNEYA DR NO. D
ANAHEIM
(714) 772-3538
6, 26, 27
163986
126200
TSAI
MATTHEW
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
102991
158454
VARGAS
PABLO
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
102991
158483
VIRK
GEETIKA
1112 N MAGNOLIA AVE
ANAHEIM
(714) 828-1211
6, 7, 26, 30
163986
124136
VO
HANH
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
120427
VO
HANHNGOC
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
120558
VO
LETHY
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
163986
120425
VO
THACH
ANAHEIM
(714) 780-5665
5, 6, 18, 26, 27, 30
ELITE DENTAL CARE
112780
114987
YAU
LUCIA
1732 MEDICAL CENTER DR
ANAHEIM
(714) 533-2117
5, 6, 26
ALLIED FAMILY DENTISTRY
10833
40798
CHUA CHING
BRENDALYN
805 W IMPERIAL HWY
BREA
(714) 255-0168
5, 6, 26, 27
BREA DENTISTRY
148181
157080
DESAI
DIMPLE
782 N BREA BLVD
BREA
(714) 257-0330
6, 10, 26
BREA DENTAL ARTS
157956
121716
HUANG
RONY
710 N BREA BLVD NO. E
BREA
(714) 529-8558
5, 6
ALLIED FAMILY DENTISTRY
10833
40657
LIM
ANNIE
805 W IMPERIAL HWY
BREA
(714) 255-0168
5, 6, 26, 27
BREA DENTAL ARTS
157956
120551
LOK
WHELAN
710 N BREA BLVD NO. E
BREA
(714) 529-8558
5, 6
BREA DENTISTRY
148181
114293
PEMA
NILESH
782 N BREA BLVD
BREA
(714) 257-0330
6, 10, 26
FAMILY DENTAL CARE
125684
105883
SHODHAN
HARIN
936 E IMPERIAL HWY
BREA
(714) 990-4911
6, 10, 26
E-SARANG DENTAL OFFICE
121692
125070
CHOI
YUN
7700 ORANGETHORPE AVE NO. 2
BUENA PARK
(714) 994-1800
6, 14, 26
BUENA PARK DENTAL CENTER
100896
39358
FAHMY
MONA
8402 COMMONWEALTH AVE
BUENA PARK
(714) 739-2051
6, 7, 8, 26, 30
WEST COAST DENTAL GROUP OF BUENA PARK
117957
40604
HAKIMIAN
HERTSEL
8381 LA PALMA AVE NO. B & C
BUENA PARK
(714) 228-9990
6, 26
WEST COAST DENTAL GROUP OF BUENA PARK
117957
38558
MANAVI
FARHAD
8381 LA PALMA AVE NO. B & C
BUENA PARK
(714) 228-9990
6, 26
6, 26, 30
SANTA MARIA DENTISTRY
124259
112639
NGUYEN
PAULINE
6039 BEACH BLVD
BUENA PARK
(714) 994-1456
VALLEY VIEW DENTAL
148542
113448
SWE
THET
10102 VALLEY VIEW ST
BUENA PARK
(714) 229-4898
6, 18, 26
BUENA PARK DENTAL CENTER
100896
174387
ZAKHARY
PETER
8402 COMMONWEALTH AVE
BUENA PARK
(714) 739-2051
6, 7, 8, 26, 30
THE DENTAL PLAZA, INC
113609
107040
ALKHATEEB
HISHAM
1640 NEWPORT BLVD NO. 300
COSTA MESA
(949) 777-1000
1, 6, 7, 8, 26, 30
BRIGHT DENTAL CARE
14034
43754
BASSIRI
KOROUSH
320 BRISTOL ST NO. H
COSTA MESA
(714) 546-7595
6, 7, 18, 26
ADVAN DENTAL CARE
124789
104359
FU
JASON
1503 S COAST DR NO. 201
COSTA MESA
(714) 540-8547
5, 6, 26
113609
37825
GAD
MAGDY
COSTA MESA
(949) 777-1000
1, 6, 7, 8, 26, 30
113609
116141
HAERI-MAYBODI
MARYAM
COSTA MESA
(949) 777-1000
1, 6, 7, 8, 26, 30
113609
45262
HAJARIAN
HAMID
COSTA MESA
(949) 777-1000
1, 6, 7, 8, 26, 30
113609
40830
HETATA
MAHA
COSTA MESA
(949) 777-1000
1, 6, 7, 8, 26, 30
CALIFORNIA DENTISTRY & BRACES, INC
118168
125753
KIM
JAMES
570 W 19TH ST
COSTA MESA
(949) 642-4222
6, 14, 26, 30
CALIFORNIA DENTISTRY & BRACES, INC
118168
31939
KIM
YOUNG
570 W 19TH ST
COSTA MESA
(949) 642-4222
6, 14, 26, 30
BAY MESA DENTAL OFFICE
164821
48322
LY
TUANKIET
2023 HARBOR BLVD NO. D
COSTA MESA
(949) 646-9000
6, 26, 30
113609
116142
MAHMOOD
MOHSIN
COSTA MESA
(949) 777-1000
1, 6, 7, 8, 26, 30
NEWPORT DENTAL GROUP
169397
125756
SAGHATCHI
FARSHAD
1835 NEWPORT BLVD NO. E-267
COSTA MESA
(949) 574-0100
6, 7, 18, 26
5, 6, 26
ADVAN DENTAL CARE
124789
47682
YU
NINA
1503 S COAST DR NO. 201
COSTA MESA
(714) 540-8547
113609
31434
ZAKHARY
MAGED
COSTA MESA
(949) 777-1000
1, 6, 7, 8, 26, 30
CALIFORNIA DENTAL GROUP OF CYPRESS
113397
113536
DOBRESCU
NARCISA
11741 VALLEY VIEW ST NO. E
CYPRESS
(714) 826-3000
6, 18, 26
CALIFORNIA DENTAL GROUP OF CYPRESS
113397
115164
MORGAN
JASON
11741 VALLEY VIEW ST NO. E
CYPRESS
(714) 826-3000
6, 18, 26
CYPRESS DENTAL GROUP
124433
112485
SHAYAN
OMID
9922 WALKER ST NO. C
CYPRESS
(714) 220-0354
6, 7, 26
Page 47
Provider Directory
Orange
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
KATELLA DENTAL CENTER
10980
37610
TRAN
KIM-THANH
6929 KATELLA AVE
CYPRESS
(714) 952-3044
6, 26, 30
FOOTHILL FAMILY DENTAL
120690
123915
BAWA
RATANDEEP
26700 TOWNE CENTRE DRIVE SUITE 260
FOOTHILL RANCH
(949) 273-8600
6, 10, 18, 26
ARIA IRVANI, DDS, INC
164109
39161
IRVANI
ARIA
26700 TOWNE CTR DR NO. 210
FOOTHILL RANCH
(949) 458-5858
6, 7, 26
TOWNE CENTRE DENTAL GROUP
122288
113972
PANDHOH
SUMEET
45 AUTO CT DR NO. 110
FOOTHILL RANCH
(949) 588-5906
6
TOWNE CENTRE DENTAL GROUP
122288
34407
REAGAN
DARIN
45 AUTO CT DR NO. 110
FOOTHILL RANCH
(949) 588-5906
6
COSMETIC DENTISTRY CENTER
109493
111428
ALHAOUASLI
HASSAN
10810 WARNER AVE NO. 1
FOUNTAIN VALLEY
(714) 965-1093
1, 6, 26
JOE J CHEN, DDS, INC
10957
34943
CHEN
JOE
16297 HARBOR BLVD
FOUNTAIN VALLEY
(714) 839-8514
6, 16, 18, 26
FOUNTAIN VALLEY CHILDREN'S DENTISTRY
111435
42738
KIM
ANDREW
17220 NEWHOPE ST NO. 201
FOUNTAIN VALLEY
(714) 549-0911
2, 6, 14, 26, 30
FOUNTAIN VALLEY DENTAL ESTHETICS
119317
114293
PEMA
NILESH
17900 BROOKHURST ST NO. A
FOUNTAIN VALLEY
(714) 887-4337
6, 10, 26
DENTAL ARTS
108902
110741
PHAN
PAULINE
11703 EDINGER AVE
FOUNTAIN VALLEY
(714) 775-1934
5, 6, 26, 30
FOUNTAIN VALLEY DENTAL ESTHETICS
119317
127242
RASCHKOVSKY
ALESSANDRA
17900 BROOKHURST ST NO. A
FOUNTAIN VALLEY
(714) 887-4337
6, 10, 26
QUALITY DENTAL CARE
10842
40714
ROFAEL
MEDHAT
17150 EUCLID ST NO. 311
FOUNTAIN VALLEY
(714) 444-4224
1, 6, 7, 23, 26
BRITE SMILE DENTAL OFFICE
13177
41536
SAKR
SHAABAN
10130 WARNER AVE NO. F
FOUNTAIN VALLEY
(714) 378-5950
1, 6, 26
CHAPMAN DENTAL CARE OF FULLERTON
106664
108248
CHAKAR
JOSEPH
1120 EAST CHAPMAN AVE
FULLERTON
(714) 871-8200
1, 2, 6, 8, 26, 29
FULLERTON FAMILY DENTAL
165330
46096
LEE
SHIRLEY
906 W ORANGETHORPE AVE
FULLERTON
(714) 871-3900
6, 16, 26
FAMILY DENTAL
10859
40841
SALEEB
NADIA
2442 E CHAPMAN AVE
FULLERTON
(714) 525-4538
1, 6, 26
FAMILY DENTISTRY
10966
158061
SKUBEN
PETER
170 N RAYMOND AVE
FULLERTON
(714) 870-2000
6, 18, 26
NILAR THEIN, DDS, A PROF CORP
121735
46973
SOE
PYI
717 N PLACENTIA AVE
FULLERTON
(714) 577-0105
6, 26
PARSA BRITE DENTAL GROUP, PARSA INC
108217
110006
TAVAKOLI
ALI
1573 S HARBOR BLVD
FULLERTON
(714) 224-5255
6, 7, 26
121735
107884
THEIN
NILAR
717 N PLACENTIA AVE
FULLERTON
(714) 577-0105
6, 26

CARE DENTAL
117618
120528
BUI
KIM
12079 EUCLID ST
GARDEN GROVE
(714) 534-3415
26, 30

CARE DENTAL
117618
120527
BUI
THANH-HA
12079 EUCLID ST
GARDEN GROVE
(714) 534-3415
26, 30
SMILE DENTAL & IMPLANT CENTER
167707
175431
CHOI
IN
13031 KERRY ST
GARDEN GROVE
(714) 638-4042
6, 14, 26
163992
46176
DAO
TU
12828 HARBOR BLVD NO. 340
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
RAJIV N DESAI DDS INC
10912
32294
DESAI
RAJIV
13212 S HARBOR BLVD
GARDEN GROVE
(714) 638-9999
6, 26
CHRISTOPHER M DINH, DDS
12424
45680
DINH
CHRISTOPHER
9191 WESTMINSTER AVE NO. H
GARDEN GROVE
(714) 899-0037
6
163992
112197
DUONG
VICKY
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
163992
47074
ELMASRI
MAHA
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
CENTURY GROVE DENTAL CARE
119621
103507
HONG
JAMES
13011 CENTURY BLVD
GARDEN GROVE
(714) 534-7020
6, 14, 26
163992
42280
KAMPPILA
ARLENE
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
163992
109566
LY
HOA
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
FRANCIS E MCELDOWNEY
10861
36719
MCELDOWNEY
FRANCIS
13302 EUCLID ST
GARDEN GROVE
(714) 530-1039
6, 8, 26, 30
163992
42211
PATEL-MEHTA
ROSHANI
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
163992
124082
SADJADI
AMIR
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
163992
49013
TRAN
THE-HAO
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
EDUARDO VASQUEZ DDS
148519
154423
VASQUEZ
EDUARDO
12859 PALM STREET
GARDEN GROVE
(714) 534-1237
6, 26
163992
124136
VO
HANH
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
163992
120427
VO
HANHNGOC
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
163992
120558
VO
LETHY
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
163992
120425
VO
THACH
GARDEN GROVE
(714) 530-9801
5, 7, 18, 26, 30
BEACHSIDE DENTAL GROUP
10959
110225
AL JANEDI
MOHDSAMEER
18800 MAIN ST NO. 110
HUNTINGTON BEACH
(714) 842-6151
6, 18, 26, 27, 30
DENTAL ASSOCIATES OF HUNTINGTON BEACH
117117
110225
AL JANEDI
MOHDSAMEER
5942 EDINGER AVE NO. 101
HUNTINGTON BEACH
(714) 377-4449
6, 18, 26, 27, 30
PACIFICA DENTAL GROUP
124295
110225
AL JANEDI
MOHDSAMEER
18821 DELAWARE ST NO. 101
HUNTINGTON BEACH
(714) 848-8211
6, 18, 26, 27
Page 48
Provider Directory
Orange
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
BIG DENTAL GROUP
113709
116019
BIGDELI
FARANAK
18682 BEACH BLVD NO. 100
HUNTINGTON BEACH
(714) 968-3522
6, 7, 26, 29
BIG DENTAL GROUP
113709
46753
BIGDELI
FORUZAN
HUNTINGTON BEACH
(714) 968-3522
6, 7, 26, 29
COMMUNITY CARE DENTAL CENTER
102987
111093
CHANG
BARRY
HUNTINGTON BEACH
(714) 847-4222
6, 26
RONALD W THOMPSON, DDS & SCOTT D CHRISTENSEN,
DDS
10961
44661
CHRISTENSEN
SCOTT
6968 WARNER AVE
HUNTINGTON BEACH
(714) 842-5593
6, 26
PEARLY WHITE DENTAL
113708
116017
DANG
TITI
16474 BOLSA CHICA ST
HUNTINGTON BEACH
(714) 377-3736
6, 26, 30
COASTLINE DENTAL CARE
122500
108629
DONG
MICHAEL
16033 BOLSA CHICA ST NO. 110
HUNTINGTON BEACH
(714) 846-7700
6, 26, 30
6, 18, 26, 27
124295
120179
EFTEKHARI
TANDIS
HUNTINGTON BEACH
(714) 848-8211
BEACH DENTAL GROUP
109668
45709
HUSTON
PATRICK
19720 BEACH BLVD NO. A&B
HUNTINGTON BEACH
(714) 593-1010
6
BEACHSIDE DENTAL GROUP
10959
40279
MIELE
FRANCO
18800 MAIN ST NO. 110
HUNTINGTON BEACH
(714) 842-6151
6, 18, 26, 27, 30
6, 26
HUNTINGTON BEACH DENTISTRY
14013
37352
MUSLEH
LINA
19754 BEACH BLVD
HUNTINGTON BEACH
(714) 964-8830
COMMUNITY CARE DENTAL CENTER
102987
111694
PHAM
PETER
HUNTINGTON BEACH
(714) 847-4222
6, 26
SMART DENTAL
124003
127065
SAMUEL
AKRAM
HUNTINGTON BEACH
(714) 847-5100
1, 5, 6, 26, 27, 30
BEACH DENTAL GROUP
109668
164763
SHAPIRO
JONATHAN
HUNTINGTON BEACH
(714) 593-1010
6
BEACH DENTAL GROUP
109668
44540
SHARIFIAN
ALI
HUNTINGTON BEACH
(714) 593-1010
6
124295
156423
SHHEBAR
TAMMAM
HUNTINGTON BEACH
(714) 848-8211
6, 18, 26, 27
6, 26
SUBODH SWAROOP, DDS, INC
123556
126789
SWAROOP
SUBODH
10028 ADAMS AVE
HUNTINGTON BEACH
(714) 962-4070
GILDA TAVOUSSI, DMD
14764
44101
TAVOUSSI
GILDA
HUNTINGTON BEACH
(714) 596-9912
6
RONALD W THOMPSON, DDS & SCOTT D CHRISTENSEN,
DDS
10961
21412
THOMPSON
RONALD
6968 WARNER AVE
HUNTINGTON BEACH
(714) 842-5593
6, 26
OC SMILE DENTAL
148949
154869
AIROOD
BASEM
17931 MACARTHUR BLVD
IRVINE
(949) 862-0028
1, 5, 6, 18, 26
ALTON SQUARE DENTAL
14856
40784
ARIAEE
DEAN
5405 ALTON PKWY NO. F
IRVINE
(949) 552-7988
6
GREEN DENTAL
150106
120532
JAHANBANI
SAFAEDDIN
113 WATERWORKS WAY NO. 130
IRVINE
(949) 502-5100
6, 7, 8, 18, 26
KEON-JUNG KIM DENTAL CORP
108571
47919
KIM
KEON
2 OSBORN NO. 160
IRVINE
(949) 679-6000
6, 14, 27
DENTAL CARE OF IRVINE
108229
110012
LEE
JEE
4330 BARRANCA PKWY NO. 230
IRVINE
(949) 786-1234
6, 14, 26
GREEN DENTAL
150106
120533
MAHDAD
PARVIN
IRVINE
(949) 502-5100
6, 7, 8, 18, 26
UNITED FAMILY DENTAL
105443
39646
MAHMOOD
SUHAD
5321 UNIVERSITY DR NO. A
IRVINE
(949) 653-2244
1, 5, 6, 26
DENTAL MASTERS
120946
29971
MANSOUR
MALEK
16100 SAND CANYON AVE NO. 330
IRVINE
(949) 585-1515
1, 6, 8, 18, 26
1, 6, 8, 18, 26
DENTAL MASTERS
120946
165171
MANSOUR
YAHYA
16100 SAND CANYON AVE NO. 330
IRVINE
(949) 585-1515
OC DENTAL GROUP
149574
110325
RAJABI
ABBAS
14130 CULVER DR NO. C
IRVINE
(949) 653-8888
6, 7, 26
GREEN DENTAL
150106
121172
SHAHIDI
ALI
IRVINE
(949) 502-5100
6, 7, 8, 18, 26
COSMETIC AND GENERAL DENTISTRY
109688
43257
TOOMMARIAN
ROYA
33 CREEK RD NO. 130
IRVINE
(949) 786-0640
6, 7
DR. GEORGE ARAKELIAN
10568
34460
ARAKELIAN
GEORGE
111 N EUCLID ST
LA HABRA
(562) 697-1229
6, 18, 26
TINA CHO
151842
38821
CHO
TINA
1875 W LA HABRA BLVD
LA HABRA
(562) 266-0033
6, 14, 26
JULIET TAN CHUA DMD INC
12398
33674
CHUA
JULIET
1441 W WHITTIER BLVD
LA HABRA
(562) 691-7438
5, 6, 26, 27
HARBOR DENTAL
10562
36985
HOU
ANNA
971 N HARBOR BLVD
LA HABRA
(562) 690-3551
5, 6, 26
JEON PROF DENTAL CORPORATION
120376
123553
JEON
YEONG-ROK
116 W LA HABRA BLVD
LA HABRA
(562) 697-7678
6, 14, 26
HARBOR DENTAL
10562
109833
LIU
CHEINGLI
971 N HARBOR BLVD
LA HABRA
(562) 690-3551
5, 6, 26
THE GARY CENTER
105674
102455
OH
MICHAEL
341 HILLCREST ST
LA HABRA
(562) 691-3263
6, 26
AKSHAR DENTAL(APPLIED)
148080
153981
SHAH
JATIN
1281 E LA HABRA BLVD NO. 4
LA HABRA
(562) 697-3788
6, 10, 18, 26
WEST RIDGE PLAZA DENTAL GROUP
118320
121366
YU
KYUNG
1370 S BEACH BLVD NO. E
LA HABRA
(562) 694-5850
6, 14, 26
LA PALMA DENTAL CARE
105900
43483
PHAM
TAYLOR
7881 VALLEY VIEW ST
LA PALMA
(714) 739-2727
6
SERENE FAMILY DENTISTRY
164554
172742
EBRAHIMI
AZITA
25662 CROWN VALLEY PKWY NO. H-4
LADERA RANCH
(949) 276-2990
6, 18, 26
Page 49
Provider Directory
Orange
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
MONICA A BHANDARI, DDS, INC
160925
43521
BONIADI
MONICA
27051 MOULTON PKWY
LAGUNA HILLS
(949) 448-7065
Languages
6, 26
SC DENTAL CARE
107297
39760
BOYD
RODNEY
22972 MOULTON PKWY NO. 106
LAGUNA HILLS
(949) 770-3010
6, 26
FLORA STENGER
164032
172136
CHENG
LI-WEN
24022 CALLE DE LA PLATA NO. 450
LAGUNA HILLS
(949) 830-0074
5, 6, 7, 18, 26, 27
FLORA STENGER
164032
172137
DUENAS
CAROL
LAGUNA HILLS
(949) 830-0074
5, 6, 7, 18, 26, 27
DR. RUXANDA GHIBU, DDS, INC
107903
109670
FRANGOPOL
OREST
24401 RIDGE ROUTE DR NO. 107-A
LAGUNA HILLS
(949) 588-2112
6, 18, 26
DR. RUXANDA GHIBU, DDS, INC
107903
40821
GHIBU
RUXANDA
24401 RIDGE ROUTE DR NO. 107-A
LAGUNA HILLS
(949) 588-2112
6, 18, 26
LAGUNA SPA DENTISTRY
125360
128276
MADANY
REZA
25596 ALICIA PKWY
LAGUNA HILLS
(949) 951-7645
5, 6, 7, 26
LAGUNA SPA DENTISTRY
125360
127748
OLEX
ALLISON
25596 ALICIA PKWY
LAGUNA HILLS
(949) 951-7645
5, 6, 7, 26
OC DENTAL GROUP
158128
110325
RAJABI
ABBAS
25401 ALICA PKWY NO. J
LAGUNA HILLS
(949) 587-3010
6, 7, 26
LAGUNA HILLS DENTAL CARE
122320
125756
SAGHATCHI
FARSHAD
26534 MOULTON PKWY NO. D
LAGUNA HILLS
(949) 831-8100
6, 7, 18, 26, 29
FLORA STENGER
164032
127031
STENGER
FLORA
LAGUNA HILLS
(949) 830-0074
5, 6, 7, 18, 26, 27
LAGUNA HEIGHTS DENTAL OFFICE
13513
32022
BATNIJI
SOBHI
30231 GOLDEN LANTERN ST NO. D
LAGUNA NIGUEL
(949) 363-1200
1, 6, 8, 26
CHOICE DENTAL CARE
122473
125914
FARZIN
MATT
30262 CROWN VALLEY PKWY NO. E
LAGUNA NIGUEL
(949) 363-0018
6, 7, 26, 29
SEA COUNTRY DENTAL
107911
125597
LOWMAN
STACEY
32341 GOLDEN LANTERN NO. B
LAGUNA NIGUEL
(949) 496-7910
6, 26
RANCHO NIGUEL DENTAL GROUP
12997
37868
MAR
GARY
30140 TOWN CTR DR
LAGUNA NIGUEL
(949) 249-4180
6, 26, 30
12997
175017
MOSHREFI
SHIRIN
30140 TOWN CTR DR
LAGUNA NIGUEL
(949) 249-4180
6, 26, 30
SEA COUNTRY DENTAL
107911
24319
MURRAY
HUGH
32341 GOLDEN LANTERN NO. B
LAGUNA NIGUEL
(949) 496-7910
6, 26
LAGUNA NIGUEL DENTAL GROUP
118886
35975
RAMIREZ
JESUS
27901 LA PAZ RD NO. D
LAGUNA NIGUEL
(949) 389-9195
6
LAGUNA NIGUEL DENTAL GROUP
118886
44540
SHARIFIAN
ALI
27901 LA PAZ RD NO. D
LAGUNA NIGUEL
(949) 389-9195
6
12997
175016
STERN
KATIE
30140 TOWN CTR DR
LAGUNA NIGUEL
(949) 249-4180
6, 26, 30
7 DAYS DENTAL
14526
43474
CHUNG
CHRISTINE
24310 MOULTON PKWY NO. C1
LAGUNA WOODS
(949) 859-3988
6, 7, 26, 30
7 DAYS DENTAL
14526
175527
MAHMOUDIAN
MEHRAN
LAGUNA WOODS
(949) 859-3988
6, 7, 26, 30
7 DAYS DENTAL
14526
175459
VU
SOPHIA
LAGUNA WOODS
(949) 859-3988
6, 7, 26, 30
13237
127010
ASIL
ARASH
23622 ROCKFIELD BLVD
LAKE FOREST
(949) 837-2766
6, 7, 14, 26, 30
13237
113961
BERGER
IVAN
LAKE FOREST
(949) 837-2766
6, 7, 14, 26, 30
13237
116281
DE LUNA
JOSE EMMANUEL
LAKE FOREST
(949) 837-2766
6, 7, 14, 26, 30
LAKE FOREST DENTAL GROUP
13082
45888
ELHAM
MCMURRAY
23704 EL TORO RD NO. S5-A
LAKE FOREST
(949) 770-9355
6, 26
13237
103612
HAJ-YOUSEF
HAZEM
LAKE FOREST
(949) 837-2766
6, 7, 14, 26, 30
13237
168858
KIM
STEVE
LAKE FOREST
(949) 837-2766
6, 7, 14, 26, 30
13237
39178
LU
BEATRICE
LAKE FOREST
(949) 837-2766
6, 7, 14, 26, 30
PHILIP P NGUYEN
118830
122349
LY
OANH
23635 EL TORO RD NO. H-3
LAKE FOREST
(949) 951-4885
6
KATHY MAASOUMI, DDS, INC
113855
41949
MAASOUMI
KATHY
22706 ASPAN ST NO. 602
LAKE FOREST
(949) 716-7000
6, 7, 26
13082
40097
NEAL
JEFFREY
LAKE FOREST
(949) 770-9355
6, 26
BRIGHTCARE DENTAL GROUP
124752
46905
NGUYEN
DUY
23731 EL TORO RD NO. D
LAKE FOREST
(949) 581-8108
6, 26, 30
LAN Q NGUYEN, DDS, APDC
114333
116744
NGUYEN
LAN
23182 EL TORO FRONTAGE RD
LAKE FOREST
(949) 830-3730
6, 26, 30
PHILIP P NGUYEN
118830
116408
NGUYEN
PHILIP
23635 EL TORO RD NO. H-3
LAKE FOREST
(949) 951-4885
6
13082
126846
SAUK
ERIC
LAKE FOREST
(949) 770-9355
6, 26
MARINA DENTAL
161141
40018
SOLIMAN
AMANI
23591 EL TORO RD NO. 130
LAKE FOREST
(949) 597-8808
6, 26
13082
155149
SPATH
ANDREW
LAKE FOREST
(949) 770-9355
6, 26
13237
158483
VIRK
GEETIKA
LAKE FOREST
(949) 837-2766
6, 7, 14, 26, 30
DR ASHOK MEHTA, DDS, INC
12315
28761
MEHTA
ASHOKKUMAR
10900 LOS ALAMITOS BLVD NO. 133
LOS ALAMITOS
(562) 596-8888
2, 6, 18, 26
12315
126646
PATEL
RAJUL
LOS ALAMITOS
(562) 596-8888
2, 6, 18, 26
12315
157896
SARVAIYA
AVANI
LOS ALAMITOS
(562) 596-8888
2, 6, 18, 26
Page 50
Provider Directory
Orange

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
12315
172990
THOMAS
MARION
LOS ALAMITOS
(562) 596-8888
Languages
2, 6, 18, 26
TCH DENTAL CARE
100007
100392
HUYNH
TAN
8227 BOLSA AVE
MIDWAY CITY
(714) 895-5568
6, 30
GATEWAY DENTAL GROUP
114244
125764
BARONE
RICHARD
24000 ALICIA PKWY NO. 34
MISSION VIEJO
(949) 707-7000
6, 7
MARGVERITE DENTAL CARE
10963
41915
GHAEM-MAGHAMI
RAMA
27871 MEDICAL CENTER RD NO. 165
MISSION VIEJO
(949) 364-2529
6, 7, 8, 26
114244
116637
JADALI
SHADI
24000 ALICIA PKWY NO. 34
MISSION VIEJO
(949) 707-7000
6, 7
MARGVERITE DENTAL CARE
10963
43292
PARSANGI
NEGAH
27871 MEDICAL CENTER RD NO. 165
MISSION VIEJO
(949) 364-2529
6, 7, 8, 26
RICHARD E SPRAGUE, DDS, INC
119854
155515
LARA
NANCY
122 AGATE AVE
NEWPORT BEACH
(949) 675-3636
6, 26
LORI A BAGAI, DDS, INC
113760
48229
BAGAI
LORI
1110 E CHAPMAN AVE NO. 105
ORANGE
(714) 744-1242
6, 18, 26
MELISSA CHENG, DDS, INC
10836
35860
CHENG
MELISSA
1111 TOWN & COUNTRY RD NO. 33
ORANGE
(714) 285-0505
3, 5, 6, 26, 30
THANH THI DINH, DDS, APC
14646
46256
DINH
THANH
235 E KATELLA AVE
ORANGE
(714) 633-3336
6, 25, 26, 30
THANH THI DINH, DDS, APC
14646
46257
DO
LOC
235 E KATELLA AVE
ORANGE
(714) 633-3336
6, 25, 26, 30
OCEAN DENTAL CARE
13387
31252
ETEMADI
ABBAS
648 N TUSTIN AVE NO. H
ORANGE
(714) 771-0190
6, 7, 26
WEST COAST DENTAL GROUP OF ORANGE
109426
40604
HAKIMIAN
HERTSEL
179 N TUSTIN ST
ORANGE
(714) 288-1035
6, 7, 26
COMFORT SMILE FAMILY DENTISTRY
12535
43974
HUANG
PHILLIP
1920 E KATELLA
ORANGE
(714) 997-4133
6, 16, 26
10837
115164
MORGAN
JASON
1502 E COLLINS AVE
ORANGE
(714) 288-8464
6, 26
109426
114396
NGUYEN
KIMBERLY
179 N TUSTIN ST
ORANGE
(714) 288-1035
6, 7, 26
OC SMILE FACTORY
163974
48356
ORDUNA-COE
AMELIA
245 N GLASSELL ST
ORANGE
(714) 532-5600
6, 10, 26
109426
39862
PAKRAVAN
FARID
179 N TUSTIN ST
ORANGE
(714) 288-1035
6, 7, 26
ORANGE HILL DENTAL GROUP
13066
38223
SABET
JOSEPH
3138 E CHAPMAN AVE NO. A
ORANGE
(714) 639-2703
6, 7, 26
HOME OF ORANGE HILLS DENTISTRY
10838
39570
TRAN
ANN
4707 E CHAPMAN AVE
ORANGE
(714) 289-0333
6, 26, 30
ANAHITA MONTASER, DDS, INC
14527
43548
MONTASER
ANAHITA
1203 E YORBA LINDA BLVD
PLACENTIA
(714) 528-2833
6
ELITE DENTISTRY
116728
119370
FONMIN
MICHAEL
22391 ANTONIO PARKWAY NO. J200
RANCHO SANTA
MARGARITA
(949) 888-8989
5, 30
APPEALING DENTISTRY OF RANCHO SANTA MARGARITA
110136
37934
TAITZ
ORLY
29839 RANCHO SANTA MARGARITA PKWY
NO. 100
RANCHO SANTA
MARGARITA
(949) 766-7687
6
SMILE DESIGN DENTAL GROUP
123897
127010
ASIL
ARASH
390 CAMINO DE ESTRELLA
SAN CLEMENTE
(949) 481-2000
6, 7, 18, 26, 27
ARTISTIC DENTISTRY
111722
100657
NIKRAZ
AMIR
439 N EL CAMINO REAL NO. E
SAN CLEMENTE
(949) 366-1177
6, 18, 26
CAPISTRANO DENTAL GROUP
151431
34091
FAHMY
DIAA
31878 DEL OBISPO ST NO. 105
SAN JUAN
CAPISTRANO
(949) 487-3273
1, 6, 26
SAN JUAN DENTAL GROUP
107307
107416
LAM
ANDY
31897 DEL OBISPO ST NO.100
SAN JUAN
CAPISTRANO
(949) 487-0284
6, 26
RW IMPLANTS & COSMETIC DENTISTRY
150807
156882
RIBEROS
LUIS
31654 RANCHO VEIJO RD NO. I-1
SAN JUAN
CAPISTRANO
(949) 240-4337
6, 26
CAPISTRANO DENTAL GROUP
151431
157606
SOLIMAN
KHALED
31878 DEL OBISPO ST NO. 105
SAN JUAN
CAPISTRANO
(949) 487-3273
1, 6, 26
RW IMPLANTS & COSMETIC DENTISTRY
150807
156868
WILSON
ERIC
31654 RANCHO VEIJO RD NO. I-1
SAN JUAN
CAPISTRANO
(949) 240-4337
6, 26
MY DENTIST
168709
120373
AMINI
MOHAMMAD
2001 W 17TH ST
SANTA ANA
(714) 547-4444
6, 7, 26
13245
127010
ASIL
ARASH
3500 S BRISTOL ST NO. 100
SANTA ANA
(714) 957-6030
6, 7, 14, 26
163994
154093
ASUNCION
MARIA
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
UNITED DENTAL CARE
15423
46360
BAKAEN
KARMEN
1710 E 17TH ST NO. E
SANTA ANA
(714) 564-9000
6
RUBEN HORACIO BEGINO DDS INC
119757
122887
BEGINO
RUBEN
2618 S BRISTOL ST
SANTA ANA
(714) 540-7101
1, 6, 7, 26
13245
113961
BERGER
IVAN
SANTA ANA
(714) 957-6030
6, 7, 14, 26
13250
113961
BERGER
IVAN
1718 N MAIN ST
SANTA ANA
(714) 543-0600
6, 7, 26
LETICIA CAMACHO, DDS, INC
149970
154000
CAMACHO
LETICIA
516-A W 17TH ST
SANTA ANA
(714) 972-2506
6, 7, 26
Page 51
Provider Directory
Orange
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
SANTA ANA DENTISTRY
10922
35689
CHANG
CRISPIN
2327 W EDINGER AVE NO. C
SANTA ANA
(714) 668-1688
Languages
5, 6, 26
163994
156826
CO
MARIA LUISA
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
13245
174877
DANG
VAN
SANTA ANA
(714) 957-6030
6, 7, 14, 26
MAIN STREET DENTISTRY
107960
128002
DANIAL
MICHAEL
1509 N MAIN ST NO. I
SANTA ANA
(714) 542-2224
6, 7, 26
163994
46176
DAO
TU
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
13250
116281
DE LUNA
JOSE EMMANUEL
1718 N MAIN ST
SANTA ANA
(714) 543-0600
6, 7, 26
BRISTOL DENTAL GROUP
10964
32294
DESAI
RAJIV
1212 S BRISTOL ST NO. 17C
SANTA ANA
(714) 850-1211
6, 18, 26
SUNSHINE DENTAL CARE
12655
30642
DIAZ
DAVID
1109 W 17TH ST
SANTA ANA
(714) 835-2383
1, 6, 8, 26
LOC QUANG DO, DDS, A PROFESSIONAL CORPORATION
109407
46257
DO
LOC
2414 S FAIRVIEW ST NO. 101
SANTA ANA
(714) 662-2360
6
163994
112197
DUONG
VICKY
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
IRAJ EBRAMI, DDS, INC
152246
157444
EBRAMI
IRAJ
1125 E 17TH ST NO. E227
SANTA ANA
(714) 543-7770
6
163994
47074
ELMASRI
MAHA
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
35496
GARABEDIAN
JAMES
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
SAINT PAUL DENTAL
151433
126065
GENDY
SAMEH
1424 N BROADWAY AVE
SANTA ANA
(714) 550-6088
1, 6, 26
13245
103612
HAJ-YOUSEF
HAZEM
SANTA ANA
(714) 957-6030
6, 7, 14, 26
SOUTH COAST DENTAL GROUP
14396
37117
HEIDARINIA
AKBAR
2231 S BRISTOL
SANTA ANA
(714) 556-1001
6, 7, 26
6, 7, 14, 26
13245
126449
HORIYAT
MARYAM
SANTA ANA
(714) 957-6030
163994
157267
JOSON
GLENDA
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
42280
KAMPPILA
ARLENE
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
13245
168858
KIM
STEVE
SANTA ANA
(714) 957-6030
6, 7, 14, 26
KOH DENTAL CORPORATION
10956
37125
KOH
PHILIP
2509 W MCFADDEN AVE NO. E
SANTA ANA
(714) 835-8797
6, 14, 26
KOH DENTAL CORPORATION
10956
120462
KOH
SHANNA
2509 W MCFADDEN AVE NO. E
SANTA ANA
(714) 835-8797
6, 14, 26
163994
154360
LAURENTE
REX
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
TUAN Q LY DDS INC
10933
43630
LE
KHAM
3736 S BRISTOL ST
SANTA ANA
(714) 751-5538
6, 26, 30
163994
116170
LE
MAI
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
13245
119477
LE
THANH
SANTA ANA
(714) 957-6030
6, 7, 14, 26
163994
46402
LE
VINH
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
DAVID Y LEE DDS, INC
14598
36040
LEE
DAVID
2709 WESTMINSTER AVE NO. J
SANTA ANA
(714) 554-8441
6, 14, 26
163994
117082
LOZADA
LAWRENCE
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
113567
LUNA
AILEEN
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
37464
LUNA
CELLINI
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
109566
LY
HOA
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
6, 26, 30
TUAN Q LY DDS INC
10933
41948
LY
TUAN
3736 S BRISTOL ST
SANTA ANA
(714) 751-5538
BAY DENTAL
10883
43194
MAHALLATI
SHAHIN
SANTA ANA
(714) 540-2836
6, 7, 26, 30
13250
44932
MAI
MICHAEL
1718 N MAIN ST
SANTA ANA
(714) 543-0600
6, 7, 26
LAILA L MALEK DDS
13079
43195
MALEK
LAILA
801 N TUSTIN AVE NO. 504
SANTA ANA
(714) 550-0500
6, 26
CHANDRAKANT R MANCHANDIA
10887
36877
MANCHANDIA
BELLA
1111 N BRISTOL ST NO. K
SANTA ANA
(714) 542-2133
6, 18, 26
CHANDRAKANT R MANCHANDIA
10887
34156
MANCHANDIA
CHANDRAKANI
1111 N BRISTOL ST NO. K
SANTA ANA
(714) 542-2133
6, 18, 26
CRYSTAL DENTAL
165754
158030
MORADZADEH
ALEXANDER
1125 E 17TH ST NO. N-151
SANTA ANA
(714) 541-9203
6, 7, 26, 30
6, 7, 26
ORANGE COAST DENTAL
126049
154070
NAZERI
MARYAM
1717 OLD TUSTIN AVE
SANTA ANA
(714) 835-9188
VIET NGHIEM
10841
34175
NGHIEM
VIET
12345 WESTMINSTER AVE
SANTA ANA
(714) 554-2288
5, 6, 8, 18, 26, 30
163994
125838
NGUYEN
BINH
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
114005
NGUYEN
MINH TRI
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
Page 52
Provider Directory
Orange

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
SMILE STUDIO
112181
46311
NAM
3801 S HARBOR BLVD NO. D
SANTA ANA
(714) 444-2744
6, 26, 30
NGUYEN
JOSE LUIS OSORIA
101843
42389
OSORIA
JOSE
1155 W CENTRAL AVE NO. 201
SANTA ANA
(714) 546-6488
6, 26
163994
42211
PATEL-MEHTA
ROSHANI
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
JEROME N PETERSON
11766
23551
PETERSON
JEROME
SANTA ANA
(714) 557-7744
6, 26
GABRIELLA TN PHAM, DDS, INC
150501
156531
PHAM
GABRIELLA
1640 E 1ST ST NO. C
SANTA ANA
(714) 245-9888
6, 26, 30
163994
154370
PHAM
KIM
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
110232
POBLETE
EDITHA
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
13245
164671
REYHANI
HADIS
SANTA ANA
(714) 957-6030
6, 7, 14, 26
163994
124082
SADJADI
AMIR
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
13250
123918
SALAMEH
HUSAM
1718 N MAIN ST
SANTA ANA
(714) 543-0600
6, 7, 26
MAIN STREET DENTISTRY
107960
109728
SHAHOVEISI
HESAM
1509 N MAIN ST NO. I
SANTA ANA
(714) 542-2224
6, 7, 26
BRISTOL DENTAL AND ORTHODONTICS
167860
165550
SHALABY
TAMER
2502 S BRISTOL ST
SANTA ANA
(714) 754-1888
1, 6, 26
ANDREW SHIEH DDS, A PROF DENTAL CORP
115259
44084
SHIEH
CHANG
1028 W FIRST ST NO. E
SANTA ANA
(714) 542-5421
5, 6, 22, 26
JOHN SHUI
117582
107020
SHUI
JOHN
1702 S MAIN ST
SANTA ANA
(714) 796-9253
6, 26
163994
172217
STERMER
DAVID
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
FRIENDLY SMILE DENTAL
150012
155957
THAN
HUY
1521 N BROADWAY ST
SANTA ANA
(714) 972-2801
6, 18, 26, 30
JULIANNE M TON
117157
100994
TON
JULIANNE
2502 WESTMINSTER AVE NO. C
SANTA ANA
(714) 554-5553
6, 8, 26, 30
163994
156827
TRAN
MAI
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
PRO DENTAL
122350
125782
TRAN
PHUONG
1103 S HARBOR BLVD NO. D
SANTA ANA
(714) 839-3926
6, 26, 30
163994
49013
TRAN
THE-HAO
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
172218
TREDENNICK
SILVANA
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
126200
TSAI
MATTHEW
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
13250
158454
VARGAS
PABLO
1718 N MAIN ST
SANTA ANA
(714) 543-0600
6, 7, 26
13245
158483
VIRK
GEETIKA
SANTA ANA
(714) 957-6030
6, 7, 14, 26
DENTAL 4
116794
119449
VITAL
JORGE
102 E 4TH ST 2ND FL
SANTA ANA
(714) 558-1464
6, 26
163994
124136
VO
HANH
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
120427
VO
HANHNGOC
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
120558
VO
LETHY
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
163994
120425
VO
THACH
1400 N MAIN ST
SANTA ANA
(714) 541-7928
5, 7, 18, 26, 30
BRISTOL DENTAL CARE
10982
40321
WANG
JAMES
410 N BRISTOL ST NO. C
SANTA ANA
(714) 953-2198
5, 6, 26
SOUTH COAST DENTAL GROUP
14396
38780
ZADSHAM
MITRA
2231 S BRISTOL
SANTA ANA
(714) 556-1001
6, 7, 26
MAGED NESSIM, DDS, INC
151122
40864
NESSIM
MAGED
1058 BOLSA AVE
SEAL BEACH
(562) 594-4885
6, 26
SMILE FAMILY DENTAL
118537
102906
CHAO
DOROTHY
7757 KATELLA AVE NO. D
STANTON
(714) 209-7702
5, 6, 16, 26
THUY-LINH HOANG TRAN
108183
109968
TRAN
THUY-LINH
12099 BEACH BLVD
STANTON
(714) 892-8004
6, 26, 30
A A FAMILY DENTAL GROUP
118060
43903
BRAR
JASLEEN
18102 IRVINE BLVD NO. 205
TUSTIN
(714) 731-5656
6, 10, 26
B G BYRD
10903
14733
BYRD
BOBBY
130 EL CAMINO REAL NO. 100
TUSTIN
(714) 573-1111
6, 26
HEBA T GUIRGUIS
152469
120426
GUIRGUIS
HEBA
14151 NEWPORT AVE NO. 100
TUSTIN
(714) 505-1641
6, 18, 26
SAFAEDDIN JAHANBANI
117625
120532
JAHANBANI
SAFAEDDIN
661 W FIRST ST NO. A
TUSTIN
(714) 665-1175
6, 7, 26
SIMONA D KISS
15742
46399
KISS
SIMONA
18102 IRVINE BLVD NO. 201
TUSTIN
(714) 730-9656
6
SAFAEDDIN JAHANBANI
117625
120533
MAHDAD
PARVIN
661 W FIRST ST NO. A
TUSTIN
(714) 665-1175
6, 7, 26
SOUTHLAND DENTAL ARTS
126206
28761
MEHTA
ASHOKKUMAR
13771 NEWPOA AVE NO. 11
TUSTIN
(714) 838-3230
6, 10, 26
TUSTIN DENTAL OFFICE
15260
113972
PANDHOH
SUMEET
TUSTIN
(714) 368-1400
6, 7, 26
TUSTIN DENTAL OFFICE
15260
44540
SHARIFIAN
ALI
TUSTIN
(714) 368-1400
6, 7, 26
Page 53
Provider Directory
Orange
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
SMILE DENTAL CARE
126053
109588
VU
NATHAN
14001 NEWPORT AVE NO. C
TUSTIN
(714) 508-8500
6, 26, 30
ELMER YOSHIDA
122503
39222
YOSHIDA
ELMER
137 W 1ST ST NO. B2
TUSTIN
(714) 730-9900
6, 13, 26
ZAREH & ZAREH DENTAL INC
106914
108542
ZAREH
NEGAR
13830 RED HILL AVE
TUSTIN
(714) 832-1730
6, 7, 26
ACCLAIM DENTISTRY, DENTAL OFFICE OF DAVID CHE, DDS, 149417
INC
125821
CHE
DAVID
8481 HEIL AVE NO. B
WESTMINSTER
(714) 848-5340
6, 8, 26, 30

JENNIFER K NGUYEN, DDS, INC
14581
42532
CHIU
LIEN-SUK
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30

TIEN T M NGO DDS INC
14541
45247
DU
JULIE
10051 BOLSA AVE NO. A1
WESTMINSTER
(714) 839-6631
6, 16, 30

14581
45247
DU
JULIE
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30

14541
106324
HA
LINH
WESTMINSTER
(714) 839-6631
6, 16, 30

14581
45374
HSE
SHARON
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30
BOYD J JOYER JR, DDS, INC
12551
175045
HUFFMAN
KAREN
15310 GOLDENWEST ST
WESTMINSTER
(714) 893-2411
6
BOYD J JOYER JR, DDS, INC
12551
23327
JOYER
BOYD
15310 GOLDENWEST ST
WESTMINSTER
(714) 893-2411
6

14541
106322
KUO
TONY
WESTMINSTER
(714) 839-6631
6, 16, 30
KHA DANY LE
149048
41453
LE
KHA
9900 MCFADDEN AVE NO. 101
WESTMINSTER
(714) 531-5770
6, 8, 26, 30

14581
42357
LUU
LOAN
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30

BOLSA DENTAL CENTER, INC
14455
44933
MAI
HIEU
9550 BOLSA AVE NO. 218
WESTMINSTER
(714) 775-3699
6

14455
44934
MAI
TRUC
9550 BOLSA AVE NO. 218
WESTMINSTER
(714) 775-3699
6

14541
45300
NGO
THAN
WESTMINSTER
(714) 839-6631
6, 16, 30

14541
37144
NGO
TIEN
WESTMINSTER
(714) 839-6631
6, 16, 30

14541
46902
NGUYEN
GIANG
WESTMINSTER
(714) 839-6631
6, 16, 30

14581
46902
NGUYEN
GIANG
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30

14581
42380
NGUYEN
JENNIFER
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30

14541
42381
NGUYEN
KHIET
WESTMINSTER
(714) 839-6631
6, 16, 30

14581
42381
NGUYEN
KHIET
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30

14581
112601
NGUYEN
ROBERT
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30
TU-UYEN PHUOC NGUYEN, DDS, INC
123725
124580
NGUYEN
TU-UYEN
5871 WESTMINSTER BLVD NO. G
WESTMINSTER
(714) 373-5999
6, 26, 30

14581
43649
PHAM
HALEY
14035 GOLDENWEST ST
WESTMINSTER
(714) 895-6330
6, 30

14541
106326
QUANG
NGOC HAO
WESTMINSTER
(714) 839-6631
6, 16, 30
KHA DANY LE
149048
27923
SCHULTZ
NEIL
WESTMINSTER
(714) 531-5770
6, 8, 26, 30
KHA DANY LE
149048
47424
TRAN
MICHAEL
WESTMINSTER
(714) 531-5770
6, 8, 26, 30
6, 16, 30

14541
106325
TSOI
KELVIN
WESTMINSTER
(714) 839-6631
KHA DANY LE
149048
18949
WHEATLEY
RONALD
WESTMINSTER
(714) 531-5770
6, 8, 26, 30
14541
40326
YUNG
SAMMY
WESTMINSTER
(714) 839-6631
6, 16, 30
ALPEZ FAMILY DENTISTRY
13539
40911
ALPEZ
RICARDO
19751 ESPERANZA RD
YORBA LINDA
(714) 779-9870
6, 26, 27
YORBA LINDA DENTAL GROUP
123391
121773
DANG
NAM
18432 YORBA LINDA BLVD NO. D
YORBA LINDA
(714) 970-2801
6, 26
YAZDANI & NADIR DDS, INC
117915
44744
NADIR-MOHAMMADI
SHAHLA
20429 YORBA LINDA BLVD
YORBA LINDA
(714) 695-9530
6, 7, 26
YORBA LINDA FAMILY DENTISTRY
11878
30590
PATHAK
JITENDRA
19762 YORBA LINDA BLVD NO. A
YORBA LINDA
(714) 777-5737
6, 18, 26
YORBA LINDA DENTAL GROUP
123391
35324
RODGERS
CHARLES
18432 YORBA LINDA BLVD NO. D
YORBA LINDA
(714) 970-2801
6, 26
106328
46973
SOE
PYI
17540 YORBALINDA BLVD
YORBA LINDA
(714) 996-4057
6
106328
107884
THEIN
NILAR
17540 YORBALINDA BLVD
YORBA LINDA
(714) 996-4057
6
YAZDANI & NADIR DDS, INC
117915
44282
YAZDANI
SOHRAB
20429 YORBA LINDA BLVD
YORBA LINDA
(714) 695-9530
6, 7, 26
Page 54
Provider Directory
Placer
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
SIERRA SMILES DENTAL GROUP
157496
22349
FOULK
DONALD
2503 BELL RD
AUBURN
(530) 823-3803
6
AUBURN DENTAL CARE
107742
98658
MARONI
GREGORY
70 COLLEGE WAY
AUBURN
(530) 889-2828
6
AUBURN DENTAL CARE
107742
128548
MCADAMS
SUSAN
70 COLLEGE WAY
AUBURN
(530) 889-2828
6
AUBURN DENTAL CARE
107742
114687
RIVERA
NOEL
70 COLLEGE WAY
AUBURN
(530) 889-2828
6
CITADEL DENTAL
149362
46062
GOGANI
FARID
941 STERLING PKWY NO. 100
LINCOLN
(916) 408-8585
6, 7, 18, 23, 29
PARKWAY DENTAL GROUP
120461
171504
LACRAMPE
ETIENNE
781 STERLING PKWY
LINCOLN
(916) 543-7880
6, 26
120461
35324
RODGERS
CHARLES
781 STERLING PKWY
LINCOLN
(916) 543-7880
6, 26
120461
121096
SLATE
DARCE
781 STERLING PKWY
LINCOLN
(916) 543-7880
6, 26
ROCKLIN PLAZA DENTAL
149460
45801
AKKAS
ABDULLAH
ROCKLIN
(916) 787-4141
1, 6, 23, 26
HIGHLAND DENTAL GROUP
149112
124069
HUGHES
WILLIAM
3291 STANFORD RANCH RD NO. 102
ROCKLIN
(916) 435-1665
6, 26
149112
35324
RODGERS
CHARLES
3291 STANFORD RANCH RD NO. 102
ROCKLIN
(916) 435-1665
6, 26
ROCKLIN PLAZA DENTAL
149460
111389
SELIVERSTOVA
VIKTORIYA
ROCKLIN
(916) 787-4141
1, 6, 23, 26
6
PLEASANT GROVE DENTAL GROUP
124618
38166
BUEHLER
BRIAN
10357 FAIRWAY DR NO. 100
ROSEVILLE
(916) 782-4500
ROSEVILLE DENTAL
114830
100387
CUENCA
ERICK
960 SUNRISE AVE NO. 115
ROSEVILLE
(916) 772-9300
6, 26
ROSEVILLE DENTAL
114830
154111
DOROSHENKO
ALEXANDR
ROSEVILLE
(916) 772-9300
6, 26
124618
125373
DUSANAPUDI
SUDHA
ROSEVILLE
(916) 782-4500
6
AMERICAN FAMILY DENTISTRY
100300
46839
KAZEMI
HOSSEIN
901 SUNRISE AVE NO. A1
ROSEVILLE
(916) 789-8530
6, 23, 26
125139
46839
KAZEMI
HOSSEIN
1160 CIRBY WAY NO. 100
ROSEVILLE
(916) 772-1930
6, 23, 26
ROSEVILLE DENTAL
114830
125257
KING
CHARLENE
ROSEVILLE
(916) 772-9300
6, 26
GREAT SMILE DENTAL GROUP
120531
123733
LEE
WOO JUNG
311 OAK RIDGE DR NO. 4
ROSEVILLE
(916) 784-6510
6, 14, 23
ROSEVILLE DENTAL
114830
171424
PARK
DAVID
ROSEVILLE
(916) 772-9300
6, 26
124618
128550
PATEL
DHAVAL
ROSEVILLE
(916) 782-4500
6
100300
45184
SAFFARI
ATEFEH
901 SUNRISE AVE NO. A1
ROSEVILLE
(916) 789-8530
6, 23, 26
125139
45184
SAFFARI
ATEFEH
1160 CIRBY WAY NO. 100
ROSEVILLE
(916) 772-1930
6, 23, 26
Languages
Riverside
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
AMY BERHANU-DEMISSIE, DDS, PC
13302
40539
BERHANU
JALE
471 N SAN GORGONIO AVE
BANNING
(951) 849-2888
6, 18, 26
13302
30174
BERHANU-DEMISSIE
AMSALE
BANNING
(951) 849-2888
6, 18, 26
13302
113882
DALE
KIRKENDALL
BANNING
(951) 849-2888
6, 18, 26
STANLEY MILLER, DDS, APC
110482
104656
MILLER
STANLEY
6350 W RAMSEY NO. A
BANNING
(951) 769-0466
6, 26

BANNING FAMILY DENTISTRY
13158
36217
NAIK
SUNEAL
1035 W RAMSEY ST NO. B2
BANNING
(951) 922-2322
6, 26

BANNING FAMILY DENTISTRY
13158
154473
PATEL
SHEFALI
1035 W RAMSEY ST NO. B2
BANNING
(951) 922-2322
6, 26

LAWRENCE H. CHAR
11690
37970
CHAR
LAWRENCE
701 HIGHLAND SPRINGS RD NO. 10
BEAUMONT
(951) 845-2641
5, 6, 26
LAWRENCE H. CHAR
11690
110323
CHIN
JUDY
701 HIGHLAND SPRINGS RD NO. 10
BEAUMONT
(951) 845-2641
5, 6, 26
BEAUMONT DENTAL GROUP
117916
117372
DUCKWORTH
ANU
930 BEAUMONT AVE
BEAUMONT
(951) 845-2200
6, 18, 26
GILBERT M AMTHOR
170070
110335
AMTHOR
GILBERT
151 N BROADWAY
BLYTHE
(760) 922-7777
6
CATHEDRAL CITY DENTAL GROUP
112554
38682
GHAZAL
CAROLYN
68487 E PALM CANYON DR NO. 1
CATHEDRAL CITY
(760) 328-6208
6
Page 55
Provider Directory
Riverside

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
112554
154400
HOUMAN
CATHEDRAL CITY
(760) 328-6208
6
HIVAND
SANTO TOMAS DENTAL OFFICE
118790
121892
JUAREZ
ELVIA
69195 RAMON RD NO. C-3
CATHEDRAL CITY
(760) 202-7400
6, 26
GENTRY PLAZA DENTAL CARE
10997
45277
KIM
DONG
68-555 RAMON RD NO. D 102
CATHEDRAL CITY
(760) 202-1171
6, 26
118790
155205
LEMOS
LUIS
CATHEDRAL CITY
(760) 202-7400
6, 26
RUBEN MENDEZ, DDS, DENTAL OFFICE
169289
112648
MENDEZ
RUBEN
68100 RAMON RD NO. A-4
CATHEDRAL CITY
(760) 483-3344
6, 18, 23, 26
112554
129283
MURO
EMILIO
CATHEDRAL CITY
(760) 328-6208
6
118790
154887
NOSRATI-JAHROMI
MAHIN
CATHEDRAL CITY
(760) 202-7400
6, 26
DESERT FAMILY DENTAL OFFICE
13793
44366
SOBERO
ANA
34481 DATE PALM DR NO. E
CATHEDRAL CITY
(760) 324-5071
6, 26
GENTRY PLAZA DENTAL CARE
10997
121139
TAK
CYNTHIA
68-555 RAMON RD NO. D 102
CATHEDRAL CITY
(760) 202-1171
6, 26
SAN ANTONIO DENTAL OFFICE
148265
121892
JUAREZ
ELVIA
51-335 HARRISON ST NO. 107
COACHELLA
(760) 398-9848
6, 26
CORONA FAMILY DENTAL GROUP
149654
46718
ABDO
ABDO
1358 W 6TH ST NO. 101
CORONA
(951) 734-4620
1, 6, 26
CANYON DENTAL
125000
127910
BANERJEE
SHIKHA
1561 E ONTARIO AVE NO. 103A
CORONA
(951) 273-0555
6, 10, 26
PETER S BRIGHTMAN, DMD, INC
14871
33727
BRIGHTMAN
PETER
720 S RAMONA AVE NO. 204
CORONA
(951) 735-5588
6, 26
DR YABAR & DR FLORES DENTAL
14787
111041
CARLOS
RIVAS
675 E GRAND BLVD NO.104
CORONA
(951) 272-1233
6, 26
HAMNER SQUARE DENTAL
150398
108117
DINH
LAN
6987 HAMNER AVE NO. 5
CORONA
(951) 371-3464
6, 26, 30
HAMNER SQUARE DENTAL
150398
156628
DINH
VIET
6987 HAMNER AVE NO. 5
CORONA
(951) 371-3464
6, 26, 30
DENTAL HEALTH CORONA
150083
156063
DOWAIDARI
MOHAMED
4264 GREEN RIVER RD
CORONA
(951) 340-0200
6, 26
149654
101852
ELGENDI
HAITHAM
1358 W 6TH ST NO. 101
CORONA
(951) 734-4620
1, 6, 26
14787
44171
FLORES
SILVIA
CORONA
(951) 272-1233
6, 26
SOFT TOUCH DENTAL CARE
113010
115221
GALGALI
ANAND
1411 S RIMPAU AVE NO. 106
CORONA
(951) 280-0322
6, 10, 26
DENTAL HEALTH CORONA
150083
174337
HETSKO
MICHAEL
4264 GREEN RIVER RD
CORONA
(951) 340-0200
6, 26
149654
37338
HUANG
HUNG-JU
1358 W 6TH ST NO. 101
CORONA
(951) 734-4620
1, 6, 26
MOSTAFA KHATTAB
14896
38310
KHATTAB
MOSTAFA
807 W GRAND AVE NO. B
CORONA
(951) 737-8737
1, 6, 18, 26
14787
111039
LEMUS
BLANCA
CORONA
(951) 272-1233
6, 26
CORONA CARING DENTAL
151158
157419
MARRERO
LILLIAM
1450 W SIXTH ST NO. 114
CORONA
(951) 371-7200
6, 26
149654
48644
MEJIA
JUAN
1358 W 6TH ST NO. 101
CORONA
(951) 734-4620
1, 6, 26
HAPPY FAMILY DENTISTRY
11264
38092
MISTRY
UMESH
817 S MAIN NO. C
CORONA
(951) 279-5147
6, 18, 26
PETER S BRIGHTMAN, DMD, INC
14871
103321
MURRAY
STEPHEN
720 S RAMONA AVE NO. 204
CORONA
(951) 735-5588
6, 26
149654
121505
OHANNESSIAN
MANUEL
1358 W 6TH ST NO. 101
CORONA
(951) 734-4620
1, 6, 26
CORONA FAMILY DENTISTRY
11886
42869
PARK
BIN
782 N MAIN ST NO. E
CORONA
(951) 898-5658
6, 26
RAJNIKANT M PATEL, DDS, INC
108897
111037
PATEL
RAJNIKANT
650 S LINCOLN AVE NO. 102
CORONA
(951) 273-9477
6, 10, 18, 26
JOSEPH RAJABI, DDS, INC
110867
44067
RAJABI
JOSEPH
900 S MAIN ST NO. 107
CORONA
(951) 734-4170
6, 7, 26
KIRITKUMAR A SALVI, DDS, INC
11335
29445
SALVI
KIRITKUMAR
828 W 6TH ST
CORONA
(951) 736-0641
6, 18, 20, 26
149654
106214
SAMAAN
EHAB
1358 W 6TH ST NO. 101
CORONA
(951) 734-4620
1, 6, 26
MCKINLEY DENTISTRY
14253
46135
SHAH
RAJESH
115 N MCKINLEY ST NO. 105
CORONA
(951) 280-9300
6, 10, 26
SOFT CARE DENTAL
157176
113503
TIEMPETPAISAL
PANADDA
910 WASHBURN AVE NO. D
CORONA
(951) 734-7717
6, 28
14787
43509
YABAR
WILMER
CORONA
(951) 272-1233
6, 26
HARIN SHODHAN, DDS, A DENTAL PROFESSIONAL
CORPORATION
110809
105883
SHODHAN
HARIN
12526 PALM DR
DESERT HOT
SPRINGS
(760) 251-2666
6, 18, 26
G S CASTILLO, DDS, APC
112342
114569
CASTILLO
GUILLERMO
1001 E LATHAM AVE NO. D
HEMET
(951) 652-1312
6, 26

KIRBY & FLORIDA DENTAL GROUP
117267
110717
HASHEM
AYMAN
2585 W FLORIDA AVE
HEMET
(951) 766-5177
1, 6, 26

117267
102570
IBRAHIM
ESSAM
2585 W FLORIDA AVE
HEMET
(951) 766-5177
1, 6, 26
HEMET DENTAL CARE
125012
39024
KHODADADI
SOHEIL
1300 E FLORIDA AVE NO. 314
HEMET
(951) 765-5544
6, 26
Page 56
Provider Directory
Riverside

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
JEAN MILLER, DDS, INC, A PROFESSIONAL CORP
149580
155532
MILLER
JEAN
810 ST JOHN PL NO. C
HEMET
(951) 652-4040
Languages
5, 6, 26
HEMET DENTAL GROUP
123392
129007
NOSTI
JOHN
4000 W FLORIDA AVE
HEMET
(951) 658-9980
6
117267
102569
SALEM
MAHMOUD
2585 W FLORIDA AVE
HEMET
(951) 766-5177
1, 6, 26
HEMET DENTAL GROUP
123392
40130
WATANABE
BRYAN
4000 W FLORIDA AVE
HEMET
(951) 658-9980
6
LAWRENCE R CHURCH, DDS, INC
123901
122838
APPLETON
STANTON
46-900 MONROE ST NO. B-201
INDIO
(760) 396-5733
6, 7, 26
INLAND HERITAGE COURT
154971
38650
BOYD
ANTHONY
44100 D JEFFERSON ST NO. 404
INDIO
(760) 772-0214
6, 26
123901
20615
CHURCH
LAWRENCE
INDIO
(760) 396-5733
6, 7, 26
SANTA MARIA DENTAL OFFICE
123479
154741
EVENS
EVELYN
82-204 HWY 111 NO. A
INDIO
(760) 775-5552
6, 26
MATT T JAM, DDS, INC
120500
123689
JAM
MATT
81730 US HWY 111 NO. 8
INDIO
(760) 347-7505
6, 26
123479
121892
JUAREZ
ELVIA
82-204 HWY 111 NO. A
INDIO
(760) 775-5552
6, 26
MONROE DENTAL GROUP
112600
108586
LEE
DUK-SUN
46-845 MONROE ST NO. 1
INDIO
(760) 775-7779
6, 14, 26
HOVSEP NARGIZYAN DENTAL CORPORATION
122366
112648
MENDEZ
RUBEN
81637 HWY 111 NO.1
INDIO
(760) 342-1448
2, 6, 23
INLAND HERITAGE COURT
154971
129283
MURO
EMILIO
44100 D JEFFERSON ST NO. 404
INDIO
(760) 772-0214
6, 26
HOVSEP NARGIZYAN DENTAL CORPORATION
122366
117922
NARGIZYAN
HOVSEP
81637 HWY 111 NO.1
INDIO
(760) 342-1448
2, 6, 23
123901
114748
NICK
DOYLE
INDIO
(760) 396-5733
6, 7, 26
LM ROJAS DENTAL CORP
124249
112134
ROJAS
LUZ
44200 MONROE ST
INDIO
(760) 775-3938
6, 18, 26
123479
171408
VARGAS
SILVIA
82-204 HWY 111 NO. A
INDIO
(760) 775-5552
6, 26
JEFFERSON DENTAL
167155
44484
HASHEM
MD ABUL
79800 HWY 111 NO. 109
LA QUINTA
(760) 775-0600
6, 18, 26
JEFFERSON DENTAL
167155
161386
HUQ
SYEDA
79800 HWY 111 NO. 109
LA QUINTA
(760) 775-0600
6, 18, 26
GREGORY PARISH DDS INC
106838
123434
MOWREY
BRIAN
78-595 HIGHWAY 111 NO. 300
LA QUINTA
(760) 771-0300
6
ELSINORE HILLS FAMILY DENTISTRY
125817
40804
DEIRMENJIAN
BAROUIR
31500 GRAPE ST NO. 8
LAKE ELSINORE
(951) 471-1628
6, 26
LAKE ELSINORE DENTAL GROUP, INC
11314
37338
HUANG
HUNG-JU
32235 MISSION TRAIL NO. 8
LAKE ELSINORE
(951) 674-6808
6, 7, 26, 30
11314
114804
LEVI
ROYA
LAKE ELSINORE
(951) 674-6808
6, 7, 26, 30
OAK GROVE DENTAL GROUP
123555
126559
LYNN
STEVEN
18285 COLLIER AVE NO. B
LAKE ELSINORE
(951) 471-0034
6
11314
46223
TAVAKOLI
MARSHA
LAKE ELSINORE
(951) 674-6808
6, 7, 26, 30
OAK GROVE DENTAL GROUP
123555
40130
WATANABE
BRYAN
18285 COLLIER AVE NO. B
LAKE ELSINORE
(951) 471-0034
6
CLINICAS DE SALUD DEL PUEBLO, INC
117908
123785
HORCHIN
RADD
91-275 66TH AVE NO. 300
MECCA
(760) 396-0521
6
CLINICAS DE SALUD DEL PUEBLO, INC
117908
41548
SHUE
BRIAN
91-275 66TH AVE NO. 300
MECCA
(760) 396-0521
6
MENIFEE VALLEY DENTAL GROUP
11312
173062
GEORGEI
RANIA
26910 NEWPORT RD NO. B
MENIFEE
(951) 672-9457
6, 7, 14, 26
MENIFEE SMILES DENTISTRY AND ORTHODONTICS
150988
38682
GHAZAL
CAROLYN
30406 HAUN RD NO. 740
MENIFEE
(951) 679-4624
6, 26
6, 26
150988
157058
HEMATABADI
MARYAM
30406 HAUN RD NO. 740
MENIFEE
(951) 679-4624
11312
174855
KIM
JONATHAN
MENIFEE
(951) 672-9457
6, 7, 14, 26
150988
127116
PHAM
MINH
30406 HAUN RD NO. 740
MENIFEE
(951) 679-4624
6, 26
11312
44064
POURSHIRAZI
HOMAYOUN
MENIFEE
(951) 672-9457
6, 7, 14, 26
GATEWAY DENTAL OF EASTVALE
120807
155127
BREITZMAN
WENDY
12571 LIMONITE AVE NO. 230
MIRA LOMA
(951) 360-3444
6
MIRA LOMA SMILES
148276
126549
DHAMA
DEEPIKA
6445 PAT'S RANCH RD NO. G
MIRA LOMA
(951) 808-5881
6
120807
155152
DIMITRI
RAMI
MIRA LOMA
(951) 360-3444
6
120807
35324
RODGERS
CHARLES
MIRA LOMA
(951) 360-3444
6
MIRA LOMA SMILES
148276
35324
RODGERS
CHARLES
6445 PAT'S RANCH RD NO. G
MIRA LOMA
(951) 808-5881
6
LIMONITE DENTAL GROUP
148683
111555
TRAN
HUEY
MIRA LOMA
(951) 360-2020
5, 6, 30
BRIGHT NOW! DENTAL
113616
126838
ALSAMAAN
TARIQ
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
13631
113961
BERGER
IVAN
12125 DAY ST BLDG N NO. 211
MORENO VALLEY
(951) 222-2000
6, 7, 26
BRIGHT NOW! DENTAL
113616
42634
BLANCO
NUBIA
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
Page 57
Provider Directory
Riverside
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
FARAMARZ R BONIADI, DDS, INC
12552
43278
BONIADI
FARAMARZ
12712 HEACOCK ST NO. 4
MORENO VALLEY
(951) 247-7400
Languages
6, 18, 26
BRIGHT NOW! DENTAL
113616
44840
CADAVID
FREDIA
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
44296
CAVINDER
JUANA
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
39244
CHANG
MICHAEL
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
40064
CHEE
VINCENT
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
COMMUNITY HEALTH SYSTEMS, INC
152426
174877
DANG
VAN
22675 ALESSANDRO BLVD
MORENO VALLEY
(951) 571-2365
6, 26
13631
156538
DERAGOBIAN
RITA
MORENO VALLEY
(951) 222-2000
6, 7, 26
FAMILY DENTISTRY
122106
43139
DESAI
SANDIP
23962 ALESSANDRO BLVD NO. R
MORENO VALLEY
(951) 697-8888
6, 26
JAMES E DICKEY
12268
36045
DICKEY
JAMES
24266 POSTAL AVE NO. 100
MORENO VALLEY
(951) 242-2600
6, 26
ROBERT T SILVOLA
15376
177090
DRAIS
JOSHUA
12810 HEACOCK ST NO. B 103
MORENO VALLEY
(951) 242-3441
6
BRIGHT NOW! DENTAL
113616
111630
DUVAL
COURTLAND
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
44169
FARIA
WAGNER
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
115642
FRATT
DENNIS
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
123189
36922
FRONDA
MELQUIADES
MORENO VALLEY
(951) 656-1599
6, 26
BRIGHT NOW! DENTAL
113616
173062
GEORGEI
RANIA
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
152426
127160
GRAY
BARBARA
MORENO VALLEY
(951) 571-2365
6, 26
BRIGHT NOW! DENTAL
113616
177125
HALEY
PARKER
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
6, 26
BRIGHT NOW! DENTAL
113616
126582
HAN
EDISON
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
152426
112405
HERNANDEZ
JORGE
MORENO VALLEY
(951) 571-2365
6, 26
BRIGHT NOW! DENTAL
113616
125437
IBRAHIM
HANY
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
13631
110644
ISTERABADI
YASIR
MORENO VALLEY
(951) 222-2000
6, 7, 26

ACHYUT JOSHI
122963
113552
JOSHI
ACHYUT
25025 RED MAPLE LN NO. 105
MORENO VALLEY
(951) 247-2738
6, 10, 18, 26

ACHYUT JOSHI
122963
123646
JOSHI
MEGHA
25025 RED MAPLE LN NO. 105
MORENO VALLEY
(951) 247-2738
6, 10, 18, 26
152426
164990
KALINCSAK
OMAR
MORENO VALLEY
(951) 571-2365
6, 26
BRIGHT NOW! DENTAL
113616
115691
KATAFIAS
ALBERT
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
DENTAL ASSOCIATES OF MORENO VALLEY
121296
124589
KOO
JOHNNY
22500 TOWN CR NO. 2074
MORENO VALLEY
(951) 697-6800
6, 26
DENTAL ASSOCIATES OF MORENO VALLEY
121296
124584
LAMPASI
JAMES
22500 TOWN CR NO. 2074
MORENO VALLEY
(951) 697-6800
6, 26
BRIGHT NOW! DENTAL
113616
128813
LUU
PETER
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
152426
168815
MARTINEZ
CHRIS
MORENO VALLEY
(951) 571-2365
6, 26
152426
101647
MEJIA
MARTA
MORENO VALLEY
(951) 571-2365
6, 26
152426
158638
MOORE
REGINALD
MORENO VALLEY
(951) 571-2365
6, 26
BRIGHT NOW! DENTAL
113616
42378
NGUYEN
BAO
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
123189
105650
NGUYEN
KAITLYN
MORENO VALLEY
(951) 656-1599
6, 26
STONERIDGE DENTAL GROUP
126084
129007
NOSTI
JOHN
27110 EUCALYPTUS AVE NO. A
MORENO VALLEY
(951) 616-1759
6
SUNNYMEAD VILLAGE DENTAL GROUP
124026
127079
OSTER
CYRUS
MORENO VALLEY
(951) 242-4777
6, 26
BRIGHT NOW! DENTAL
113616
42080
PAI
JACOB
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
6, 14, 20, 26
MORENO DENTAL CARE
123448
109489
PARK
CHARLES
23750 ALESSANDRO BLVD NO. O-102
MORENO VALLEY
(951) 656-0088
152426
164116
PEREIRA
VALERIA
MORENO VALLEY
(951) 571-2365
6, 26
BRIGHT NOW! DENTAL
113616
116322
PEZESHKIAN
PAYAM
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
115916
PHUI
LENH
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
109843
ROHMER
ROBERT
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
42604
SALAMI
DARVISH
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
108453
SHAH
AARTI
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
Page 58
Provider Directory
Riverside
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
152426
164758
SHEU
LISA
MORENO VALLEY
(951) 571-2365
Languages
6, 26
13631
128744
SHI
ANDREW
MORENO VALLEY
(951) 222-2000
6, 7, 26
ROBERT T SILVOLA
15376
31531
SILVOLA
ROBERT
12810 HEACOCK ST NO. B 103
MORENO VALLEY
(951) 242-3441
6
152426
155669
SINGH
HARDEV
MORENO VALLEY
(951) 571-2365
6, 26
152426
169080
SINGH
HARPRABH
MORENO VALLEY
(951) 571-2365
6, 26
152426
158792
STEELE
AIDA
MORENO VALLEY
(951) 571-2365
6, 26
152426
155122
TORRES
MARIA
MORENO VALLEY
(951) 571-2365
6, 26
BRIGHT NOW! DENTAL
113616
121275
TRAN
KRISTINE-NGA
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
6, 26
BRIGHT NOW! DENTAL
113616
37299
UMALI
RALPH
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
BRIGHT NOW! DENTAL
113616
156336
VIRGIN
FENNY
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
156701
VU
THAI
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRIGHT NOW! DENTAL
113616
123642
YAZDANI
FARZAD
12420 DAY ST NO. B4
MORENO VALLEY
(951) 656-6538
6, 26
BRYAN WATANABE PROFESSIONAL DENTAL CORPORATION 123558
157367
CONTRERAS
MARIA
40484 MURIETTA HOT SPRINGS RD NO. 102
MURRIETA
(951) 461-4306
6
EAST MURRIETA DENTAL GROUP
117922
126764
ESPELETA
EDWIN
39209 WINCHESTER RD NO. 100
MURRIETA
(951) 304-1348
6
COPPER CANYON SMILES
124216
173062
GEORGEI
RANIA
23771 WASHINGTON AVE NO. H-102
MURRIETA
(951) 691-5096
6, 7, 14, 26
CAL OAKS DENTAL EXCELLENCE
163867
173062
GEORGEI
RANIA
40414 CALIFORNIA OAKS RD NO. A
MURRIETA
(951) 304-7472
6, 7, 14, 26
FRIENDLY DENTAL CENTER
150388
120594
HANANIAN
JULIET
MURRIETA
(951) 894-7769
6, 26, 30
150388
156380
HARDEE
WILLIAM
MURRIETA
(951) 894-7769
6, 26, 30
124216
174855
KIM
JONATHAN
MURRIETA
(951) 691-5096
6, 7, 14, 26
163867
174855
KIM
JONATHAN
MURRIETA
(951) 304-7472
6, 7, 14, 26
SKY CANYON DENTAL
119087
114452
LY
LIEN
39040 SKY CANYON DR NO. 107
MURRIETA
(951) 677-6608
6, 26, 30
MURRIETA DENTAL GROUP
14674
155422
NGUYEN
BAO
40770 CALIFORNIA OAKS RD
MURRIETA
(951) 677-3078
6
STEVEN T NGUYEN, DDS, A PROF CORP
107431
109129
NGUYEN
STEVEN
25100 HANCOCK AVE NO. 112
MURRIETA
(951) 304-7881
6, 26, 30
6, 7, 14, 26
124216
44064
POURSHIRAZI
HOMAYOUN
MURRIETA
(951) 691-5096
163867
44064
POURSHIRAZI
HOMAYOUN
MURRIETA
(951) 304-7472
6, 7, 14, 26
ANH QUACH DDS, DENTAL CORPORATION
11770
42694
QUACH
ANH- THU
39525 LOS ALAMOS RD NO. D
MURRIETA
(951) 696-7600
6, 26
MURRIETA DENTAL GROUP
14674
40130
WATANABE
BRYAN
40770 CALIFORNIA OAKS RD
MURRIETA
(951) 677-3078
6
WATANABE DENTAL CORPORATION
109184
40130
WATANABE
BRYAN
25395 MADISON AVE NO. 103
MURRIETA
(951) 696-5660
6
EAST MURRIETA DENTAL GROUP
117922
40130
WATANABE
BRYAN
MURRIETA
(951) 304-1348
6
BRYAN WATANABE PROFESSIONAL DENTAL CORPORATION 123558
40130
WATANABE
BRYAN
40484 MURIETTA HOT SPRINGS RD NO. 102
MURRIETA
(951) 461-4306
6
DESERT GATEWAY DENTAL GROUP
148482
38682
GHAZAL
CAROLYN
34-460 MONTEREY AVE NO. 100
PALM DESERT
(760) 610-0358
6
DESERT DENTAL ASSOCIATES
148954
154871
REHAK
JOSEPH
72-210 HWY 111 NO. E-1
PALM DESERT
(760) 773-2111
6
DESERT GATEWAY DENTAL GROUP
148482
106585
RYGG
LANCE
34-460 MONTEREY AVE NO. 100
PALM DESERT
(760) 610-0358
6
DANIEL R KELLER, DDS, INC
11022
39424
KELLER
DANIEL
2145 E TAHQUITZ CANYON WAY NO. 3
PALM SPRINGS
(760) 323-2517
6
PERRI S PUTRASAHAN
13790
110553
LOO
CHERISSE
160 LURING DR. SUITE F
PALM SPRINGS
(760) 325-2503
5, 6, 26
PALM CANYON DENTAL OFFICE
116564
117951
PATEL
KIRIT
180 E PALM CANYON DR
PALM SPRINGS
(760) 322-1002
6, 26
PERRI S PUTRASAHAN
13790
39466
PUTRASAHAN
PERRI
160 LURING DR. SUITE F
PALM SPRINGS
(760) 325-2503
5, 6, 26
CENTRAL CITY DENTAL GROUP
11277
41377
CHOU
DAVID
8880 LIMONITE AVE
PEDLEY
(951) 360-3800
5, 6, 26
11277
39444
LIU
XIA
8880 LIMONITE AVE
PEDLEY
(951) 360-3800
5, 6, 26
CROSSROADS FAMILY DENTAL GROUP
14053
38259
BIRJANDI
REZA
1675 N PERRIS BLVD NO. A-1
PERRIS
(951) 657-2222
6
PERRIS FAMILY DENTAL GROUP
11395
113529
GALINDO-MAGALLANES
ALEJANDRA
330 E FOURTH ST
PERRIS
(951) 940-5855
6, 26

PERRIS FAMILY DENTISTRY
104337
105486
HAREESH
HAREESH
391 WILKERSON AVE NO. B
PERRIS
(951) 943-4007
6, 26

CROSSROADS FAMILY DENTAL GROUP
14053
109918
HULSE
DANIEL
1675 N PERRIS BLVD NO. A-1
PERRIS
(951) 657-2222
6

Page 59
Provider Directory
Riverside

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
PERRIS FAMILY DENTAL GROUP
11395
41643
MAGALLANES-VEGA
J-ALEJANDRO
330 E FOURTH ST
PERRIS
(951) 940-5855
6, 26
RANCHO MIRAGE DENTAL GROUP
126278
38682
GHAZAL
CAROLYN
72-027 HWY 111 NO. C
RANCHO MIRAGE
(760) 340-5155
6, 26
RANCHO MIRAGE DENTAL GROUP
126278
129283
MURO
EMILIO
72-027 HWY 111 NO. C
RANCHO MIRAGE
(760) 340-5155
6, 26
EASTSIDE HEALTH CENTER
152424
117185
ALCANTARA-BUENO
MARIA SALVE
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
164006
154093
ASUNCION
MARIA
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
13273
113961
BERGER
IVAN
10001 INDIANA AVE
RIVERSIDE
(951) 689-0701
1, 6, 7, 8, 26, 27,
30
ARLANZA FAMILY HEALTH CENTER
152422
164114
BIR
GURPREET
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
CANYON SPRINGS DENTAL GROUP OF MORENO VALLEY
123222
43765
CARLISLE
DAVID
2878 CAMPUS PKWY NO. C-1
RIVERSIDE
(951) 571-0011
6, 26
RANCHO DENTAL GROUP
109918
111041
CARLOS
RIVAS
5800 VAN BUREN BLVD NO.110
RIVERSIDE
(951) 688-0046
6, 26
SURAJ PAL SHARMA, DDS, INC
117417
154224
CHEEMA
SANDEEP
5515 VAN BUREN BLVD
RIVERSIDE
(951) 352-5838
6, 10, 18, 26, 31
DR. CHO'S GENTLE DENTAL CARE
11271
33268
CHO
SEONG
9295 MAGNOLIA AVE NO. 103
RIVERSIDE
(951) 354-2000
6, 14, 26
164006
156826
CO
MARIA LUISA
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
13273
174877
DANG
VAN
10001 INDIANA AVE
RIVERSIDE
(951) 689-0701
1, 6, 7, 8, 26, 27,
30
152422
174877
DANG
VAN
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
174877
DANG
VAN
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
164006
46176
DAO
TU
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
DENTAL HEALTH RIVERSIDE
150084
156063
DOWAIDARI
MOHAMED
6339 BROCKTON AVE
RIVERSIDE
(951) 369-3597
6, 26
164006
112197
DUONG
VICKY
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
47074
ELMASRI
MAHA
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
STAR DENTAL GROUP, INC
12056
40432
ETEMADI
KHASHAYAR
6071 MAGNOLIA AVE
RIVERSIDE
(951) 680-1777
6, 7, 26
RANCHO DENTAL GROUP
109918
44171
FLORES
SILVIA
RIVERSIDE
(951) 688-0046
6, 26
DR JULIA FUNDEANU, DDS, INC
113763
116081
FUNDEANU
JULIA
6860 BROCKTON AVE NO. 12
RIVERSIDE
(951) 684-9917
6, 18, 26
164006
35496
GARABEDIAN
JAMES
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
CAMPUS FAMILY DENTISTRY
123226
108293
GUTIERREZ
RICHARD
1825 UNIVERSITY AVE NO. ABC
RIVERSIDE
(951) 781-7878
6, 26
152422
112405
HERNANDEZ
JORGE
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
112405
HERNANDEZ
JORGE
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
FRIENDLY DENTISTRY
168654
112405
HERNANDEZ
JORGE
1410 3RD ST NO. 4
RIVERSIDE
(951) 686-8783
6, 26
DENTAL HEALTH RIVERSIDE
150084
174337
HETSKO
MICHAEL
6339 BROCKTON AVE
RIVERSIDE
(951) 369-3597
6, 26
164006
157267
JOSON
GLENDA
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
152422
164990
KALINCSAK
OMAR
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
164990
KALINCSAK
OMAR
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
164006
42280
KAMPPILA
ARLENE
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
13273
168858
KIM
STEVE
10001 INDIANA AVE
RIVERSIDE
(951) 689-0701
1, 6, 7, 8, 26, 27,
30
DRS NORMA AND MARTA FAMILY DENTISTRY
150466
124003
LANTZSCH
NORMA
9825 COUNTY FARM RD NO. B
RIVERSIDE
(951) 826-6333
6, 26
123226
123255
LATT
HLA
RIVERSIDE
(951) 781-7878
6, 26
123226
105308
LATT
TIN
RIVERSIDE
(951) 781-7878
6, 26
164006
154360
LAURENTE
REX
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
116170
LE
MAI
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
46402
LE
VINH
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
123226
155205
LEMOS
LUIS
RIVERSIDE
(951) 781-7878
6, 26
11269
39444
LIU
XIA
6005 ARLINGTON AVE
RIVERSIDE
(951) 352-8318
5, 6, 26
Page 60
Provider Directory
Riverside
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
LOW FAMILY DENTISTRY
149879
155826
LOW
WAYNE
6862 PALM AVE
RIVERSIDE
(951) 683-5490
Languages
6
164006
117082
LOZADA
LAWRENCE
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
113567
LUNA
AILEEN
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
37464
LUNA
CELLINI
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
109566
LY
HOA
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
110019
44933
MAI
HIEU
11695 SLATE AVE NO. 200
RIVERSIDE
(951) 353-0050
6, 26, 30
110019
44934
MAI
TRUC
11695 SLATE AVE NO. 200
RIVERSIDE
(951) 353-0050
6, 26, 30
152422
168815
MARTINEZ
CHRIS
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
168815
MARTINEZ
CHRIS
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
RIVERSIDE DENTAL OFFICE
151265
122742
MEHTA
PARUL
1485 UNIVERSITY AVE NO. A
RIVERSIDE
(951) 784-4441
6, 10, 26
DRS NORMA AND MARTA FAMILY DENTISTRY
150466
101647
MEJIA
MARTA
9825 COUNTY FARM RD NO. B
RIVERSIDE
(951) 826-6333
6, 26
152422
101647
MEJIA
MARTA
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
101647
MEJIA
MARTA
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
152422
158638
MOORE
REGINALD
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
158638
MOORE
REGINALD
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
CALIFORNIA DENTAL GROUP OF RIVERSIDE
151764
115164
MORGAN
JASON
3845 PIERCE ST NO. A
RIVERSIDE
(951) 359-1900
6, 26
DR. NAM'S FAMILY DENTISTRY
11963
32978
NAM
IL
17675 VAN BUREN BLVD NO. D
RIVERSIDE
(951) 789-1133
4, 6, 14, 26
164006
125838
NGUYEN
BINH
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
114005
NGUYEN
MINH TRI
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
123 SMILE! DENTAL CARE
121872
165150
PARK
KYUNGSIN
6000 CAMINO REAL
RIVERSIDE
(951) 360-0000
6, 26, 30
164006
42211
PATEL-MEHTA
ROSHANI
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26

12056
39695
PAYDAR
AZADEH
6071 MAGNOLIA AVE
RIVERSIDE
(951) 680-1777
6, 7, 26

12056
39865
PAYDAR
AZITA
6071 MAGNOLIA AVE
RIVERSIDE
(951) 680-1777
6, 7, 26
152422
164116
PEREIRA
VALERIA
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
164116
PEREIRA
VALERIA
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
164006
154370
PHAM
KIM
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
110232
POBLETE
EDITHA
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
NEW AGE DENTAL
117926
44067
RAJABI
JOSEPH
7776 LIMONITE AVE
RIVERSIDE
(951) 360-0696
6, 7, 26
NEW AGE DENTAL
117926
120916
RAJABI
REZA
7776 LIMONITE AVE
RIVERSIDE
(951) 360-0696
6, 7, 26
6, 26
REGAL DENTISTRY
150366
156348
RIEGEL
ROBERT
3950 PIERCE ST NO. L
RIVERSIDE
(951) 688-0082
CANYON SPRINGS DENTAL GROUP OF MORENO VALLEY
123222
35324
RODGERS
CHARLES
2878 CAMPUS PKWY NO. C-1
RIVERSIDE
(951) 571-0011
6, 26
164006
124082
SADJADI
AMIR
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
13273
106214
SAMAAN
EHAB
10001 INDIANA AVE
RIVERSIDE
(951) 689-0701
1, 6, 7, 8, 26, 27,
30
6, 10, 18, 26, 31
SURAJ PAL SHARMA, DDS, INC
117417
120263
SHARMA
SURAJ
5515 VAN BUREN BLVD
RIVERSIDE
(951) 352-5838
152422
164758
SHEU
LISA
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
164758
SHEU
LISA
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
152422
155669
SINGH
HARDEV
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
155669
SINGH
HARDEV
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
152422
169080
SINGH
HARPRABH
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
169080
SINGH
HARPRABH
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
RANCHO DENTAL GROUP
109918
44366
SOBERO
ANA
RIVERSIDE
(951) 688-0046
6, 26
164006
172217
STERMER
DAVID
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
Page 61
Provider Directory
Riverside

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
ZAW M THU, DDS, A PROFESSIONAL CORPORATION
122746
113307
THU
ZAW
11840 MAGNOLIA AVE NO. A
RIVERSIDE
(951) 351-8881
6, 18, 26
GATEWAY DENTAL GROUP OF RIVERSIDE
120923
169123
TO
JOAN
10286 INDIANA AVE
RIVERSIDE
(951) 359-5200
26
152422
155122
TORRES
MARIA
8856 ARLINGTON AVE
RIVERSIDE
(951) 353-2702
6, 26
152424
155122
TORRES
MARIA
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
13273
125728
TRAN
JOHNNY
10001 INDIANA AVE
RIVERSIDE
(951) 689-0701
1, 6, 7, 8, 26, 27,
30
164006
156827
TRAN
MAI
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
49013
TRAN
THE-HAO
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
172218
TREDENNICK
SILVANA
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
123 SMILE! DENTAL CARE
121872
47426
TRUONG
QUYNH-TRAM
6000 CAMINO REAL
RIVERSIDE
(951) 360-0000
6, 26, 30
164006
126200
TSAI
MATTHEW
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
DR. NAM'S FAMILY DENTISTRY
11963
39493
TU
WEIMIN
17675 VAN BUREN BLVD NO. D
RIVERSIDE
(951) 789-1133
4, 6, 14, 26
152424
40996
VO
DAT
1970 UNIVERSITY AVE
RIVERSIDE
(951) 276-0668
6, 27
7, 26
164006
124136
VO
HANH
4024 12TH ST
RIVERSIDE
(951) 784-0636
164006
120427
VO
HANHNGOC
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
164006
120558
VO
LETHY
4024 12TH ST
RIVERSIDE
(951) 784-0636
7, 26
7, 26
164006
120425
VO
THACH
4024 12TH ST
RIVERSIDE
(951) 784-0636
GATEWAY DENTAL GROUP OF RIVERSIDE
120923
40130
WATANABE
BRYAN
10286 INDIANA AVE
RIVERSIDE
(951) 359-5200
26
GROVE DENTAL GROUP
119469
40116
WATANABE
LYNDA
8735 TRAUTWEIN RD
RIVERSIDE
(951) 776-1330
6
RANCHO DENTAL GROUP
109918
43509
YABAR
WILMER
RIVERSIDE
(951) 688-0046
6, 26
ACE DENTAL GROUP
126121
123520
YAR
SEAN
3355 IOWA AVE NO. C
RIVERSIDE
(951) 682-5777
6, 7, 18, 26
LA SIERRA FAMILY DENTISTRY
11272
37310
YEO
ELIOT
3410 LA SIERRA AVE NO. D
RIVERSIDE
(951) 354-9550
6, 13, 14, 18, 26
WEST COAST DENTAL GROUP OF RIVERSIDE
123733
126908
YU
QUINN
3380 LA SIERRA AVE NO. 108/109/110
RIVERSIDE
(951) 354-9999
5, 6, 26
MOHAMMAD ALI ZAREH, DDS, INC
166021
129006
ZAREH
MOHAMMAD
8990 GARFIELD ST NO. 4
RIVERSIDE
(951) 687-6453
6, 7, 26
NEGEEN ZAREH DMD INC
109441
45071
ZAREH
NEGEEN
6926 BROCKTON AVE NO. 3
RIVERSIDE
(951) 784-7123
6, 7, 26
RAMJI H BARAIYA DDS, INC
11291
40790
BARAIYA
RAMJI
1497 SAN JACINTO AVE NO. B
SAN JACINTO
(951) 487-2644
6, 10, 18, 26
SAN JACINTO FAMILY DENTISTRY
113608
105486
HAREESH
HAREESH
480 N STATE ST NO. I
SAN JACINTO
(951) 487-2455
6, 26
SAN JACINTO SMILES
149433
129007
NOSTI
JOHN
1821 S SAN JACINTO AVE NO. D
SAN JACINTO
(951) 654-7744
6, 26
SAN JACINTO FAMILY DENTISTRY
113608
164649
SONG
HEIEN
480 N STATE ST NO. I
SAN JACINTO
(951) 487-2455
6, 26
HUEY Q TRAN DDS
148684
111555
TRAN
HUEY
2191 WEST ESPLANADE AVENUE SUITE F106
SAN JACINTO
(951) 487-2999
5, 6, 26, 27, 30
SUN CITY DENTISTRY
157248
173062
GEORGEI
RANIA
27851 BRADLEY RD NO. 155
SUN CITY
(951) 679-0520
6, 7, 14, 26
SUN CITY DENTISTRY
157248
174855
KIM
JONATHAN
SUN CITY
(951) 679-0520
6, 7, 14, 26
SUN CITY DENTISTRY
157248
44064
POURSHIRAZI
HOMAYOUN
SUN CITY
(951) 679-0520
6, 7, 14, 26
6, 20
VIRGIL BENJAMIN, DMD, INC
120067
114578
BENJAMIN
VIRGIL
32605 TEMECULA PKWY NO. 213
TEMECULA
(951) 302-8515
102995
113961
BERGER
IVAN
40620 WINCHESTER RD NO. B
TEMECULA
(951) 719-3182
6, 7, 26, 30
TEMECULA DENTAL GROUP
11333
39777
COOKE
KATHERINE
TEMECULA
(951) 296-3366
6, 26, 27
102995
116281
DE LUNA
JOSE EMMANUEL
TEMECULA
(951) 719-3182
6, 7, 26, 30
150387
120594
HANANIAN
JULIET
28314 OLD TOWN FRONT ST
TEMECULA
(951) 676-8920
6, 26, 30
150387
156380
HARDEE
WILLIAM
28314 OLD TOWN FRONT ST
TEMECULA
(951) 676-8920
6, 26, 30

11333
31299
KENNEDY
YENNY
TEMECULA
(951) 296-3366
6, 26, 27

11333
103468
LOBERG
LEIF
TEMECULA
(951) 296-3366
6, 26, 27
102995
158670
NGUYEN
CHRIS
TEMECULA
(951) 719-3182
6, 7, 26, 30
11333
156678
PASTORE
FRANK
TEMECULA
(951) 296-3366
6, 26, 27

Page 62
Provider Directory
Riverside
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages

11333
44059
PHAN
TUYET
TEMECULA
(951) 296-3366
6, 26, 27

11333
103469
ROLDAN
ROSE
TEMECULA
(951) 296-3366
6, 26, 27
102995
43654
ROUHANI
MORVARID
TEMECULA
(951) 719-3182
6, 7, 26, 30
102995
106214
SAMAAN
EHAB
TEMECULA
(951) 719-3182
6, 7, 26, 30

11333
38128
SCHRAGHER
NICU
TEMECULA
(951) 296-3366
6, 26, 27
HUEY Q TRAN DDS
126354
111555
TRAN
HUEY
33321 TEMECULA PKWY NO. 104
TEMECULA
(951) 302-7508
5, 6, 26, 30
MEADOWS DENTAL GROUP
123305
177199
VALA
GHAZAL
31843 RANCHO CALIFORNIA RD NO. 300
TEMECULA
(951) 676-2613
6
MEADOWS DENTAL GROUP
123305
40116
WATANABE
LYNDA
31843 RANCHO CALIFORNIA RD NO. 300
TEMECULA
(951) 676-2613
6
102995
155284
YAVARI
MANSOUREH
TEMECULA
(951) 719-3182
6, 7, 26, 30
102995
129006
ZAREH
MOHAMMAD
TEMECULA
(951) 719-3182
6, 7, 26, 30
WILDOMAR DENTAL CARE
150263
155422
NGUYEN
BAO
32100 CLINTON KEITH RD NO. E
WILDOMAR
(951) 678-4300
6, 26, 30
WILDOMAR DENTAL CARE
150263
109129
NGUYEN
STEVEN
32100 CLINTON KEITH RD NO. E
WILDOMAR
(951) 678-4300
6, 26, 30
Sacramento
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
14097
37620
ABBASZADEH
REZA
7141 FAIR OAKS BLVD
CARMICHAEL
(916) 488-9700
6, 7, 23, 26
14097
117411
AFLATOONI
BIJAN
7141 FAIR OAKS BLVD
CARMICHAEL
(916) 488-9700
6, 7, 23, 26
14097
46747
BEHESHTIAN
MORTEZA
7141 FAIR OAKS BLVD
CARMICHAEL
(916) 488-9700
6, 7, 23, 26
14097
101130
BOYER
MICHAEL
7141 FAIR OAKS BLVD
CARMICHAEL
(916) 488-9700
6, 7, 23, 26
14097
127711
CACERES-URRUTIA
FERNANDO
7141 FAIR OAKS BLVD
CARMICHAEL
(916) 488-9700
6, 7, 23, 26
MARIA TERESA R DE GUZMAN, DDS, CORP
13757
41390
DE GUZMAN
MARIA TERESA
CARMICHAEL
(916) 863-2660
6, 23, 26, 27
13757
116259
PHAN
ANH
CARMICHAEL
(916) 863-2660
6, 23, 26, 27
13757
47828
RALLI
LING
CARMICHAEL
(916) 863-2660
6, 23, 26, 27
SACRAMENTO DENTAL GROUP
119332
111184
SARCHISIAN
ADRIAN
6611 COYLE AVE
CARMICHAEL
(916) 965-6250
2, 6, 18, 23
14097
112503
SCHALLER
BEATRIZ
7141 FAIR OAKS BLVD
CARMICHAEL
(916) 488-9700
6, 7, 23, 26
14097
177272
THAYAPARAN
JEGATRI
7141 FAIR OAKS BLVD
CARMICHAEL
(916) 488-9700
6, 7, 23, 26
14118
123561
BEHZAD
POOPAK
6406-ACD SUNRISE BLVD
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
14118
113961
BERGER
IVAN
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
14118
117773
BRAR
AMANDEEP
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
AURA DENTAL CARE
120075
46040
CHITRE
RAJAS
6024 SAN JUAN AVE NO. A
CITRUS HEIGHTS
(916) 729-5849
6, 26, 30
6, 26
CITRUS DENTAL GROUP
114459
125373
DUSANAPUDI
SUDHA
5899 SUNRISE BLVD
CITRUS HEIGHTS
(916) 967-7766
14118
157514
HERRERA
BRENDA
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
H Q NGUYEN DENTAL CORP
11499
46078
KARMARKAR
RAJOOTA
6191 GREENBACK LN NO. A
CITRUS HEIGHTS
(916) 723-5330
6
14118
166057
KHOURY
SAM
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
14118
36317
KISSEVICH
ZSOLT
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
MADISON SQUARE DENTAL CARE
11423
39033
LIMHENGCO
GILBERT
6024 SAN JUAN AVE NO. C
CITRUS HEIGHTS
(916) 728-2888
5, 6, 27
14118
177764
LOLOEE
MARYAM
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
14118
111842
LUQUE
ANGELA
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
14118
155220
MOJICA-JARA
MARJORIE
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
14118
127737
NARE
PREETI
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
Page 63
Provider Directory
Sacramento
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
14118
112902
NGUYEN
AN
CITRUS HEIGHTS
(916) 727-1880
Languages
6, 7, 26, 30
H Q NGUYEN DENTAL CORP
11499
44616
NGUYEN
HONG
6191 GREENBACK LN NO. A
CITRUS HEIGHTS
(916) 723-5330
6
14118
158455
NGUYEN
HUY
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
EVERLAST PROFESSIONAL DENTAL
15521
47535
NGUYEN
NHA-AN
7861 GREENBACK LN
CITRUS HEIGHTS
(916) 726-1819
6
CITRUS DENTAL GROUP
114459
35324
RODGERS
CHARLES
5899 SUNRISE BLVD
CITRUS HEIGHTS
(916) 967-7766
6, 26
MADISON SQUARE DENTAL CARE
11423
154842
SHORE
STEFANIE
6024 SAN JUAN AVE NO. C
CITRUS HEIGHTS
(916) 728-2888
5, 6, 27
CITRUS DENTAL GROUP
114459
102196
THOMPSON
BRUCE
5899 SUNRISE BLVD
CITRUS HEIGHTS
(916) 967-7766
6, 26
CITRUS HEIGHTS DENTAL
11500
34245
VAISMAN
LILYA
6994 SUNRISE BLVD
CITRUS HEIGHTS
(916) 723-8900
6, 23, 26
14118
158654
WOODSON MCGEE
ERIKA
CITRUS HEIGHTS
(916) 727-1880
6, 7, 26, 30
14655
123561
BEHZAD
POOPAK
9184 E STOCKTON BLVD
ELK GROVE
(916) 686-1101
6, 7, 26
14655
113961
BERGER
IVAN
ELK GROVE
(916) 686-1101
6, 7, 26
COZY DENTAL GROUP
121541
43421
BONILLA
CARLOS
2370 MARITIME DR
ELK GROVE
(916) 683-2272
6, 26, 30
14655
117773
BRAR
AMANDEEP
ELK GROVE
(916) 686-1101
6, 7, 26
CHILDRENS DENTAL CENTER OF ELK GROVE
114542
128640
CARSON
ERIN
9565 LAGUNA SPRINGS DR
ELK GROVE
(916) 683-7645
6, 26
114542
121846
FONG
KIMBERLY
ELK GROVE
(916) 683-7645
6, 26
114542
156502
GRANDPRE
RYAN
ELK GROVE
(916) 683-7645
6, 26
14655
157514
HERRERA
BRENDA
ELK GROVE
(916) 686-1101
6, 7, 26
114542
123813
IRVIN
AARON
ELK GROVE
(916) 683-7645
6, 26
14655
166057
KHOURY
SAM
ELK GROVE
(916) 686-1101
6, 7, 26
14655
36317
KISSEVICH
ZSOLT
ELK GROVE
(916) 686-1101
6, 7, 26
14655
41938
KY
MAI
ELK GROVE
(916) 686-1101
6, 7, 26
LE & LUU DENTAL GROUP
120349
114247
LE
HUNG
9575 LAGUNA SPRINGS DR NO. 102
ELK GROVE
(916) 691-1141
6, 14, 30
14655
177764
LOLOEE
MARYAM
ELK GROVE
(916) 686-1101
6, 7, 26
14655
111842
LUQUE
ANGELA
ELK GROVE
(916) 686-1101
6, 7, 26
114542
34384
MC WILLIAMS
WARREN
ELK GROVE
(916) 683-7645
6, 26
114542
128862
MCCOMB
JEFFREY
ELK GROVE
(916) 683-7645
6, 26
6, 26, 30
COZY DENTAL GROUP
121541
169086
MILLER
TREVOR
2370 MARITIME DR
ELK GROVE
(916) 683-2272
14655
155220
MOJICA-JARA
MARJORIE
ELK GROVE
(916) 686-1101
6, 7, 26
14655
117285
MOSCATO
ANTHONY
ELK GROVE
(916) 686-1101
6, 7, 26
114542
158694
NAKAMURA
DARIN
ELK GROVE
(916) 683-7645
6, 26
14655
127737
NARE
PREETI
ELK GROVE
(916) 686-1101
6, 7, 26
14655
158455
NGUYEN
HUY
ELK GROVE
(916) 686-1101
6, 7, 26
14655
155096
RAJABIAN
REZA
ELK GROVE
(916) 686-1101
6, 7, 26
14655
44532
RASSOULI
ARASH
ELK GROVE
(916) 686-1101
6, 7, 26
114542
100953
REEVES
AARON
ELK GROVE
(916) 683-7645
6, 26
114542
121465
SALEH
MARYAM
ELK GROVE
(916) 683-7645
6, 26
TERRI L SPEED, DDS, INC
13162
42951
SPEED
TERRI
9098 LAGUNA MAIN ST NO. 4
ELK GROVE
(916) 691-1600
6, 11, 26
6, 26
ALPHA DENTAL
116826
108487
TRAN
NHAN
8239 LAGUNA BLVD NO. 100
ELK GROVE
(916) 683-9080
COZY DENTAL GROUP
121541
115294
TSUCHIDA
STEVEN
2370 MARITIME DR
ELK GROVE
(916) 683-2272
6, 26, 30
14655
158654
WOODSON MCGEE
ERIKA
ELK GROVE
(916) 686-1101
6, 7, 26
KIM AND RODGERS DENTAL CORPORATION
149476
38166
BUEHLER
BRIAN
8908 MADISON AVE NO. A
FAIR OAKS
(916) 536-5151
6, 26
149476
117107
KIM
RONALD
FAIR OAKS
(916) 536-5151
6, 26
149476
171504
LACRAMPE
ETIENNE
FAIR OAKS
(916) 536-5151
6, 26
Page 64
Provider Directory
Sacramento
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
149476
120577
NGO
PHONG
FAIR OAKS
(916) 536-5151
6, 26
149476
35324
RODGERS
CHARLES
FAIR OAKS
(916) 536-5151
6, 26
102996
123561
BEHZAD
POOPAK
825 E BIDWELL NO. 400
FOLSOM
(916) 984-4591
6, 7, 30
119534
101165
BENAVIDEZ
CHARLES
2465 IRON POINT RD NO. 120
FOLSOM
(916) 984-9600
6
102996
113961
BERGER
IVAN
FOLSOM
(916) 984-4591
6, 7, 30
102996
166057
KHOURY
SAM
FOLSOM
(916) 984-4591
6, 7, 30
119534
122279
KIM
LUIS
FOLSOM
(916) 984-9600
6
102996
36317
KISSEVICH
ZSOLT
FOLSOM
(916) 984-4591
6, 7, 30
102996
177764
LOLOEE
MARYAM
FOLSOM
(916) 984-4591
6, 7, 30
102996
111842
LUQUE
ANGELA
FOLSOM
(916) 984-4591
6, 7, 30
102996
155013
MAPANAO
MIGNON
FOLSOM
(916) 984-4591
6, 7, 30
102996
155220
MOJICA-JARA
MARJORIE
FOLSOM
(916) 984-4591
6, 7, 30
102996
127737
NARE
PREETI
FOLSOM
(916) 984-4591
6, 7, 30
102996
112902
NGUYEN
AN
FOLSOM
(916) 984-4591
6, 7, 30
102996
158455
NGUYEN
HUY
FOLSOM
(916) 984-4591
6, 7, 30
102996
155665
PATEL
NEIL
FOLSOM
(916) 984-4591
6, 7, 30
119534
156367
PAWAR
AMAR
FOLSOM
(916) 984-9600
6
KIDS CARE DENTAL GROUP OF FOLSOM
150027
100953
REEVES
AARON
2545 E BIDWELL ST NO. 100
FOLSOM
(916) 984-6200
6, 26
119534
35324
RODGERS
CHARLES
FOLSOM
(916) 984-9600
6
COSMETIC DENTAL STUDIO
149028
127841
TABRIZI
YOUNES
2700 E BIDWELL ST NO. 300
FOLSOM
(916) 984-5552
6, 7, 18
102996
121468
TSOUZMER
POLINA
FOLSOM
(916) 984-4591
6, 7, 30
6, 18, 23, 26
UNIQUE DENTAL CARE
150698
45055
WORKNEH
SIRAK
430 PINE ST
GALT
(209) 744-9917
102835
123561
BEHZAD
POOPAK
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
113961
BERGER
IVAN
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
166057
KHOURY
SAM
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
36317
KISSEVICH
ZSOLT
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
177764
LOLOEE
MARYAM
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
111842
LUQUE
ANGELA
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
155013
MAPANAO
MIGNON
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
155220
MOJICA-JARA
MARJORIE
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
127737
NARE
PREETI
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
158455
NGUYEN
HUY
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
102835
158654
WOODSON MCGEE
ERIKA
3901 MADISON AVE
NORTH HIGHLANDS
(916) 339-9000
6
6
RIVER CITY DENTAL GROUP
124617
111790
ASLANI
HOSSEIN
10910 OLSON DR NO. 100
RANCHO CORDOVA
(916) 638-3780
124617
38166
BUEHLER
BRIAN
RANCHO CORDOVA
(916) 638-3780
6
124617
125373
DUSANAPUDI
SUDHA
RANCHO CORDOVA
(916) 638-3780
6
124617
117107
KIM
RONALD
RANCHO CORDOVA
(916) 638-3780
6
RC DENTAL GROUP
125253
175710
LEE
JAMES
10390 COLOMA RD NO. A
RANCHO CORDOVA
(916) 368-0440
6, 14, 18, 23, 26
RC DENTAL GROUP
125253
120884
PARK
DAVID
10390 COLOMA RD NO. A
RANCHO CORDOVA
(916) 368-0440
6, 14, 18, 23, 26
124617
111789
SHAH
PURVI
RANCHO CORDOVA
(916) 638-3780
6
6
SAID SHAARI
117856
123559
ABADI
ESFANDIAR
77 CADILLAC DR NO. 270
SACRAMENTO
(916) 649-8200
A MIRACLE SMILE
122872
123559
ABADI
ESFANDIAR
2131 CAPITOL AVE NO. 100
SACRAMENTO
(916) 441-3311
6
11445
37620
ABBASZADEH
REZA
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
Page 65
Provider Directory
Sacramento
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
11469
37620
REZA
5200 STOCKTON BLVD NO. 110
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
37620
ABBASZADEH
REZA
3945 MARYSVILLE BLVD NO. 1-2
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
110501
37620
ABBASZADEH
REZA
3945 MARYSVILLE BLVD NO. 1
SACRAMENTO
(916) 564-5200
6, 10, 18, 31
11445
165579
ARATA
GASTON
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
165579
ARATA
GASTON
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
ABBASZADEH
11492
165579
ARATA
GASTON
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
11445
46356
ARCILA
FERNANDO
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
46356
ARCILA
FERNANDO
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
46356
ARCILA
FERNANDO
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
NATOMAS DENTAL CARE
112272
125684
AZEVEDO
ANDREA
2321 NORTHGATE BLVD
SACRAMENTO
(916) 564-8088
6
NATOMAS DENTAL CARE
112272
129025
BABARAN
MARICARL
2321 NORTHGATE BLVD
SACRAMENTO
(916) 564-8088
6
PARK PLACE DENTAL GROUP
113450
38166
BUEHLER
BRIAN
4690 NATOMAS BLVD NO. 100
SACRAMENTO
(916) 515-4500
6, 26
11445
127711
CACERES-URRUTIA
FERNANDO
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
127711
CACERES-URRUTIA
FERNANDO
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
127711
CACERES-URRUTIA
FERNANDO
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
KIDS CARE DENTAL GROUP
124935
128640
CARSON
ERIN
6300 GARFIELD AVE NO. 150
SACRAMENTO
(916) 344-1000
6, 26
11445
157382
CASTRO
MARJOORIE
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
157382
CASTRO
MARJOORIE
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
157382
CASTRO
MARJOORIE
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
110501
157382
CASTRO
MARJOORIE
SACRAMENTO
(916) 564-5200
6, 10, 18, 31
CHILDREN'S DENTAL CENTER
117971
119753
CERVANTES
ANDREA
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
11445
45837
CHEN
RU
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
45837
CHEN
RU
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
45837
CHEN
RU
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
SACRAMENTO COMMUNITY CLINIC-SOUTHGATE
113565
46769
CHENG
DANIEL
7275 E SOUTHGATE DR NO. 204
SACRAMENTO
(916) 428-3788
6, 11
SACRAMENTO DENTAL
122021
100387
CUENCA
ERICK
591 WATT AVE NO. 100
SACRAMENTO
(916) 481-5057
6, 26
CUEVAS AND RAMOS PROFESSIONAL DENTAL
CORPORATION
11455
42990
CUEVAS
MARY
2525 K ST NO, 205
SACRAMENTO
(916) 441-5992
6, 18, 27
11445
124924
DE LOS RIOS
MARTHA
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
124924
DE LOS RIOS
MARTHA
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
124924
DE LOS RIOS
MARTHA
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
SACRAMENTO DENTAL ARTS
158155
40804
DEIRMENJIAN
BAROUIR
3428 WATT AVE NO. A & B
SACRAMENTO
(916) 489-9990
6, 23, 26
A MIRACLE SMILE
122872
123812
DEZHAM
HASSAN
2131 CAPITOL AVE NO. 100
SACRAMENTO
(916) 441-3311
6
11445
173574
DHILLON
RAJWINDER
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
173574
DHILLON
RAJWINDER
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
173574
DHILLON
RAJWINDER
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
SACRAMENTO DENTAL
122021
154111
DOROSHENKO
ALEXANDR
SACRAMENTO
(916) 481-5057
6, 26
NATOMAS DENTAL CARE
112272
114539
DUDHBHATE
NETRA
2321 NORTHGATE BLVD
SACRAMENTO
(916) 564-8088
6
Page 66
Provider Directory
Sacramento
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
SACRAMENTO DENTAL
122021
114268
MOHAMED
SACRAMENTO
(916) 481-5057
6, 26
LAND PARK DENTAL GROUP
11443
45572
FONG
EDWARD
6030 S LAND PARK DR
SACRAMENTO
(916) 421-2200
6, 26
124935
121846
FONG
KIMBERLY
SACRAMENTO
(916) 344-1000
6, 26
NATOMAS DENTAL CARE
112272
110807
FU
TINSUE
2321 NORTHGATE BLVD
SACRAMENTO
(916) 564-8088
6
113450
38682
GHAZAL
CAROLYN
SACRAMENTO
(916) 515-4500
6, 26
PROMENADE DENTAL GROUP
149116
117261
GILL
AMARDEEP
3635 N FREEWAY BLVD NO. 110
SACRAMENTO
(916) 285-6691
6
YOLANDA D GONZALES, DMD, INC
11442
40440
GONZALES
YOLANDA
2378 FRUITRIDGE RD
SACRAMENTO
(916) 421-1010
5, 6, 27, 30
124935
156502
GRANDPRE
RYAN
SACRAMENTO
(916) 344-1000
6, 26
ELHASSANIN
POGE HER
119493
122614
HER
POGE
7171 BOWLING DR NO. 210
SACRAMENTO
(916) 428-0114
6, 11
117971
113415
HO
BRENDA
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
113450
125024
HOANG
JUDY-LOAN
SACRAMENTO
(916) 515-4500
6, 26
MARKET WEST DENTAL GROUP
120825
125024
HOANG
JUDY-LOAN
3290 ARENA BLVD NO. 610
SACRAMENTO
(916) 574-9400
6
MARKET WEST DENTAL GROUP
120825
124069
HUGHES
WILLIAM
3290 ARENA BLVD NO. 610
SACRAMENTO
(916) 574-9400
6
PROMENADE DENTAL GROUP
149116
124069
HUGHES
WILLIAM
3635 N FREEWAY BLVD NO. 110
SACRAMENTO
(916) 285-6691
6
117971
123813
IRVIN
AARON
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
STRAWBERRY CREEK DENTAL GROUP
125162
119850
JOHAL
INAKSH
8211 BRUCEVILLE RD NO. 155
SACRAMENTO
(916) 525-7635
6, 26
117971
127429
JUAREZ
JOSE
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
LAND PARK DENTAL GROUP
11443
39666
KASSELS
ANDREW
6030 S LAND PARK DR
SACRAMENTO
(916) 421-2200
6, 26
KENNEDY FAMILY DENTISTRY, INC
11479
35625
KENNEDY
BOBBY
1611 EXECUTIVE CT NO. 200
SACRAMENTO
(916) 487-5160
6, 26
ELDER CREEK DENTAL GROUP
150074
121670
KIM
LOUIS
4730 47TH AVE
SACRAMENTO
(916) 391-0682
6, 14
SACRAMENTO DENTAL
122021
125257
KING
CHARLENE
SACRAMENTO
(916) 481-5057
6, 26
113450
171504
LACRAMPE
ETIENNE
SACRAMENTO
(916) 515-4500
6, 26
6, 26
125162
171504
LACRAMPE
ETIENNE
SACRAMENTO
(916) 525-7635
HUNG Q LE, DDS, INC
120142
114247
LE
HUNG
8021 FLORIN RD
SACRAMENTO
(916) 383-5171
6, 18, 26, 30
NATOMAS DENTAL CARE
112272
48819
LE
JEANELLE
2321 NORTHGATE BLVD
SACRAMENTO
(916) 564-8088
6
11445
44726
LE
STEVEN
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
44726
LE
STEVEN
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
44726
LE
STEVEN
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
117971
120969
LEE
SAMANTHA
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
124935
120969
LEE
SAMANTHA
SACRAMENTO
(916) 344-1000
6, 26
117971
156562
MACAOAY
MARK
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
GREGORY G MARONI
16427
98658
MARONI
GREGORY
925 SECRET RIVER DR NO. A
SACRAMENTO
(916) 421-3815
6, 26
117971
34384
MC WILLIAMS
WARREN
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
124935
34384
MC WILLIAMS
WARREN
SACRAMENTO
(916) 344-1000
6, 26
117971
128862
MCCOMB
JEFFREY
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
124935
174845
MCCOMB
RUTH
SACRAMENTO
(916) 344-1000
6, 26
11445
106136
MEJIA
JOSE
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
106136
MEJIA
JOSE
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
106136
MEJIA
JOSE
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
125162
168839
MIN
GRACE
SACRAMENTO
(916) 525-7635
6, 26
SIGNATURE DENTAL
117650
120577
NGO
PHONG
4321 TRUXEL RD NO. F5
SACRAMENTO
(916) 515-1588
6, 20, 23, 30
Page 67
Provider Directory
Sacramento
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
NATOMAS DENTAL CARE
112272
44616
NGUYEN
HONG
2321 NORTHGATE BLVD
SACRAMENTO
(916) 564-8088
Languages
6
SACRAMENTO DENTAL
122021
171424
PARK
DAVID
SACRAMENTO
(916) 481-5057
6, 26
PRO DENTAL GROUP
150652
120884
PARK
DAVID
1111 24TH ST NO. 201
SACRAMENTO
(916) 442-5228
2, 6, 14, 18, 23
SCRIPPS DENTAL GROUP
167124
120884
PARK
DAVID
79 SCRIPPS DR NO. 204
SACRAMENTO
(916) 565-2570
6, 11, 14, 15, 26
NATOMAS DENTAL CARE
112272
120600
PHAM
LOAN
2321 NORTHGATE BLVD
SACRAMENTO
(916) 564-8088
6
11445
175547
PHAM
THANG
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
175547
PHAM
THANG
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
175547
PHAM
THANG
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
SERENA G PUGEDA INC
11462
43064
PUGEDA
SERENA
2518 L ST NO. A
SACRAMENTO
(916) 446-7768
6, 12, 27
CUEVAS AND RAMOS PROFESSIONAL DENTAL
CORPORATION
11455
43238
RAMOS
MICHAEL
2525 K ST NO, 205
SACRAMENTO
(916) 441-5992
6, 18, 27
IRVINE R RAMSEY
11557
28228
RAMSEY
IRVIN
905 SECRET RIVER DR NO. C
SACRAMENTO
(916) 393-2587
6
117971
100953
REEVES
AARON
7227 29TH ST
SACRAMENTO
(916) 391-2101
6, 26
124935
100953
REEVES
AARON
SACRAMENTO
(916) 344-1000
6, 26
A SANDHU DENTAL GROUP
125601
125011
SANDHU
NAVDEEP
3811 FLORIN RD NO. 8
SACRAMENTO
(916) 392-7020
6, 31
11445
111101
SARKARI
CHERAG
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
111101
SARKARI
CHERAG
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
111101
SARKARI
CHERAG
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
110501
111101
SARKARI
CHERAG
SACRAMENTO
(916) 564-5200
6, 10, 18, 31
SAID SHAARI
117856
39080
SHAARI
SAID
77 CADILLAC DR NO. 270
SACRAMENTO
(916) 649-8200
6
11445
177140
SRI
ANUBAMA
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
177140
SRI
ANUBAMA
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
177140
SRI
ANUBAMA
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
BRENT J VARSHAWSKY DMD, INC
11474
34923
VARSHAWSKY
BRENT
1901 WATT AVE NO. 2
SACRAMENTO
(916) 483-5677
6
11445
111717
VICTORIA
JENNY
2693 FLORIN RD
SACRAMENTO
(916) 424-5500
6, 23, 26, 30
11469
111717
VICTORIA
JENNY
SACRAMENTO
(916) 455-6600
6, 10, 11, 16, 18,
26, 27, 30
11492
111717
VICTORIA
JENNY
SACRAMENTO
(916) 646-4100
6, 10, 18, 26, 31
110501
111717
VICTORIA
JENNY
SACRAMENTO
(916) 564-5200
6, 10, 18, 31
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
L TODD COCHRAN, DDS, INC
124902
99013
COCHRAN
LAWRENCE
7283 CARNELIAN ST
ALTA LOMA
(909) 987-6268
6, 26
CARNELIAN FAMILY DENTISTRY
110268
42703
TAO
GEORGE
6626 CARNELIAN ST
ALTA LOMA
(909) 987-4113
5, 6
San Bernardino
STROMBERG AND SHETTY DENTAL CORPORATION
126265
124016
HOU
ROBERT
12218 APPLE VALLEY RD BLDG I NO. 110
APPLE VALLEY
(760) 300-3679
6, 10, 26

ELITE DENTAL SERVICES
119253
41202
OLAFSEN
GREGORY
12291 APPLE VALLEY RD
APPLE VALLEY
(760) 247-3030
6
STROMBERG AND SHETTY DENTAL CORPORATION
126265
124268
SHETTY
SWATI
12218 APPLE VALLEY RD BLDG I NO. 110
APPLE VALLEY
(760) 300-3679
6, 10, 26

ELITE DENTAL SERVICES
119253
158419
SINGHA
SAHEEBA
12291 APPLE VALLEY RD
APPLE VALLEY
(760) 247-3030
6
Page 68
Provider Directory
San Bernardino
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
BARSTOW FAMILY DENTAL
11018
41202
OLAFSEN
GREGORY
1940 E MAIN ST
BARSTOW
(760) 256-1083
Languages
6, 26
JAMES KIM, DDS, A PROFESSIONAL DENTAL CORPORATION 149374
47917
KIM
JAMES
42002 FOX FARM RD NO. 101
BIG BEAR LAKE
(909) 866-0606
6, 14
INLAND EMPIRE COMMUNITY HEALTH CENTER
152423
164114
BIR
GURPREET
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
174877
DANG
VAN
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
154213
DAVIDSON
JEFFREY
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
112405
HERNANDEZ
JORGE
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
6, 26
152423
164990
KALINCSAK
OMAR
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
152423
168815
MARTINEZ
CHRIS
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
101647
MEJIA
MARTA
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
158638
MOORE
REGINALD
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
164116
PEREIRA
VALERIA
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
164758
SHEU
LISA
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
155669
SINGH
HARDEV
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
169080
SINGH
HARPRABH
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
158697
TANAKA
LEILANI
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
152423
155122
TORRES
MARIA
18601 VALLEY BLVD
BLOOMINGTON
(909) 746-0840
6, 26
13228
117524
ALEXANIANS
DERIK
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
SMILECARE DENTAL GROUP
161264
117524
ALEXANIANS
DERIK
12171 CENTRAL AVE
CHINO
(909) 628-0208
6, 26
13228
127980
ASATRYAN
MHER
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
13228
113961
BERGER
IVAN
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
GROUP DENTAL CENTER, INC
12045
35856
CHAN
YEOU-REN
5480 PHILADELPHIA ST NO. D
CHINO
(909) 464-2399
5, 6, 26
13228
116848
HAMEED
ZAINAB
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
161264
116848
HAMEED
ZAINAB
12171 CENTRAL AVE
CHINO
(909) 628-0208
6, 26
13228
168858
KIM
STEVE
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
11285
40278
MHASKAR
SUPRIYA
5436 RIVERSIDE DR
CHINO
(909) 465-5551
6, 10, 26
NGO & PHUNG DDS, INC
13575
41120
NGO
TRACY
12411 CENTRAL AVE
CHINO
(909) 591-8895
6, 26, 30
13228
158670
NGUYEN
CHRIS
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
161264
158670
NGUYEN
CHRIS
12171 CENTRAL AVE
CHINO
(909) 628-0208
6, 26
13228
154292
NGUYEN
CLARA
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
161264
154292
NGUYEN
CLARA
12171 CENTRAL AVE
CHINO
(909) 628-0208
6, 26
GROUP DENTAL CENTER, INC
12045
37890
OU
SU-HWEI
5480 PHILADELPHIA ST NO. D
CHINO
(909) 464-2399
5, 6, 26
CHINO SMILES DENTAL GROUP
150832
175494
PARK
DAVID
6961 SCHAEFER AVE
CHINO
(909) 590-0640
6, 26
NGO & PHUNG DDS, INC
13575
47548
PHUNG
BRUCE
12411 CENTRAL AVE
CHINO
(909) 591-8895
6, 26, 30
150832
35324
RODGERS
CHARLES
6961 SCHAEFER AVE
CHINO
(909) 590-0640
6, 26
13228
43654
ROUHANI
MORVARID
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
161264
43654
ROUHANI
MORVARID
12171 CENTRAL AVE
CHINO
(909) 628-0208
6, 26
13228
106214
SAMAAN
EHAB
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
150832
156132
SAMBANGI
MANORANJANI
6961 SCHAEFER AVE
CHINO
(909) 590-0640
6, 26
13228
114170
THAI
MICHAEL
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
13228
114175
TINGILIAN
ROBERT
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
A FAMILY & COSMETIC DENTISTRY
11975
27078
VALDEZ
WILLIAM
4129 RIVERSIDE DR
CHINO
(909) 591-9211
6, 26
13228
23155
XAVIER
RONALD
12233 CENTRAL AVE
CHINO
(909) 628-0208
6, 7, 26, 30
161264
23155
XAVIER
RONALD
12171 CENTRAL AVE
CHINO
(909) 628-0208
6, 26
Page 69
Provider Directory
San Bernardino
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
13228
122860
ZEKAVAT
PARVIN
12233 CENTRAL AVE
CHINO
(909) 628-0208
Languages
6, 7, 26, 30
TINA CHO
151841
38821
CHO
TINA
14270 CHINO HILLS PKWY NO. D
CHINO HILLS
(909) 590-2229
6, 14, 26
JOSE MIRANDA, DDS, INC
11282
41482
MIRANDA
JOSE
14676 PIPELINE AVE UNIT Q AND R
CHINO HILLS
(909) 393-3180
6, 18, 26, 27
LA CADENA DENTAL
11358
33276
DHARMAWAN
JEFFREY
190 WEST H ST STE. 100
COLTON
(909) 825-1155
6, 18, 26
COLTON VALLEY DENTAL
11359
38000
GHALY
HANY
552 W VALLEY BLVD
COLTON
(909) 825-7123
1, 6, 13, 26, 27
DENTAL ASSOCIATES OF COLTON
11338
27842
SUPRONO
MAVERN
1080 E WASHINGTON NO. B
COLTON
(909) 783-9099
6, 26
DENTAL ASSOCIATES OF COLTON
11338
113503
TIEMPETPAISAL
PANADDA
1080 E WASHINGTON NO. B
COLTON
(909) 783-9099
6, 26
FONTANA DENTAL GROUP
11354
154052
BANEZ
FELIZA
9193 SIERRA AVE NO. D
FONTANA
(909) 822-2226
5, 6, 21, 26
FONTANA SMILES
158003
47856
CHAKKA
SEKHAR
9261 SIERRA AVE
FONTANA
(909) 822-2212
6, 26
FONTANA SMILES
158003
47895
GARLAPATI
SUNEETHA
9261 SIERRA AVE
FONTANA
(909) 822-2212
6, 26
VAHAN GRIGORYAN, DDS, INC
122728
113685
GRIGORYAN
VAHAN
7993 SIERRA AVE NO. H
FONTANA
(909) 428-5111
2, 6, 23, 26
6, 14, 26
DANIEL WONIL HWANG DDS
112433
114608
HWANG
DANIEL
17695 ARROW BOULEVARD SUITE J
FONTANA
(909) 356-8074
SAHARA DENTAL
107806
100132
JAMAL
MANAR
17250 FOOTHILL BLVD NO. E
FONTANA
(909) 428-8500
1, 6, 26
JIMENEZ FAMILY DENTAL CARE
152387
158608
JIMENEZ
LAURA
17500 FOOTHILL BLVD NO. C-2
FONTANA
(909) 357-7000
6, 26

SIERRA FAMILY DENTAL GROUP
11274
33598
JOUGLARD
JERRY
9190 SIERRA AVE NO. 101
FONTANA
(909) 356-4200
6, 26

GOLDEN WEST DENTISTRY
11356
105308
LATT
TIN
9922 SIERRA AVE
FONTANA
(909) 822-4800
5, 6, 10, 18, 26

FONTANA DENTAL GROUP
11354
42568
LUBCZUK
ANDRZEJ
9193 SIERRA AVE NO. D
FONTANA
(909) 822-2226
5, 6, 21, 26
DANIEL WONIL HWANG DDS
112433
127877
LY
KHANH
17695 ARROW BOULEVARD SUITE J
FONTANA
(909) 356-8074
6, 14, 26
GOLDEN WEST DENTISTRY
11356
41955
MARTINEZ
JACKQUELINE
9922 SIERRA AVE
FONTANA
(909) 822-4800
5, 6, 10, 18, 26
SAHARA DENTAL
107806
128371
PULIDO
VANESSA
FONTANA
(909) 428-8500
1, 6, 26
6, 26
SIERRA DENTAL GROUP
149295
47551
RA
PHIL
11201 SIERRA AVE NO. 1F
FONTANA
(909) 355-3299
SAHARA DENTAL
107806
177826
ZAKI
IRENE
FONTANA
(909) 428-8500
1, 6, 26
DESERT DENTAL GROUP
100107
107199
ALLEN
ROSALINDA
15209 BEAR VALLEY RD NO. A
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
128213
ALVARENGA
DAISY
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
128293
ANGELES
EMMANUEL
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
125007
BABAN
SALAR
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
42725
CALICDAN
ROMULO
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
156529
CHANDRASHEKHAR
SUMATHI
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
172922
CHOI
YUJIN
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
119722
DE JESUS
DEXTER
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
128924
DELA FUENTE
SUSANA
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
122751
EBRAHIMI
MEHRYAR
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
123195
ELEPANO
BENEDICTO
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
156197
ENRIQUEZ
MIRIAM
HESPERIA
(760) 244-2535
6, 7, 26, 27
DENTAL GROUP OF HESPERIA
121904
39643
HAKIMI
SOHAIL
15776 MAIN ST NO. 18
HESPERIA
(760) 949-8484
6
DESERT DENTAL GROUP
100107
37239
JONES
DWIGHT
HESPERIA
(760) 244-2535
6, 7, 26, 27
DESERT DENTAL GROUP
100107
112254
PHAN
HUY
HESPERIA
(760) 244-2535
6, 7, 26, 27
GOLDEN DENTAL GROUP
13543
40884
RAHIMI
ALEX
11949 HESPERIA RD NO. A
HESPERIA
(760) 244-1212
6, 7, 26
DESERT DENTAL GROUP
100107
107198
ROXAS
SHEILA
HESPERIA
(760) 244-2535
6, 7, 26, 27
DALTAN SHAH
170071
177910
SHAH
DALTAN
14101 MAIN ST NO. 104
HESPERIA
(999) 999-9999
6
DESERT VALLEY DENTAL GROUP
11005
30879
STROMBERG
LOUIS
17247 MAIN ST
HESPERIA
(760) 244-2625
6, 26, 30
DESERT VALLEY DENTAL GROUP
11005
47424
TRAN
MICHAEL
17247 MAIN ST
HESPERIA
(760) 244-2625
6, 26, 30
DENTAL GROUP OF HESPERIA
121904
123642
YAZDANI
FARZAD
15776 MAIN ST NO. 18
HESPERIA
(760) 949-8484
6
Page 70
Provider Directory
San Bernardino

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
INLAND DENTAL CENTER
122832
38650
BOYD
ANTHONY
6982 BOULDER AVE
HIGHLAND
(909) 862-2121
6, 26
151341
127848
JEFFERSON
WALTER
27949 GREENSPOT RD NO. H
HIGHLAND
(909) 864-6010
6, 26
122832
175560
JOHNSEN
KARIN
6982 BOULDER AVE
HIGHLAND
(909) 862-2121
6, 26
122832
120561
JOHNSEN
MARK
6982 BOULDER AVE
HIGHLAND
(909) 862-2121
6, 26
122832
175561
POBLACION
BYRON
6982 BOULDER AVE
HIGHLAND
(909) 862-2121
6, 26
6, 26
122832
174272
VACA
ROBERT
6982 BOULDER AVE
HIGHLAND
(909) 862-2121
LEE, WEE & BAEK, DDS, INC
148480
154399
BAEK
JIN
61325 29 PALMS HWY NO. A
JOSHUA TREE
(760) 366-0420
6, 14, 26
AMIR H ASKARI
109339
111175
ASKARI
AMIR
32784 OLD WOMAN SPRING RD
LUCERNE VALLEY
(760) 248-6828
6, 7, 8
SUMANA ANUN
13654
38641
ANUN
SUMANA
5467 MORENO ST NO. A
MONTCLAIR
(909) 946-6771
6, 26, 28
FIRST DENTAL GROUP
11303
30318
CHANG
SZU-TSUNG
9804 CENTRAL AVE
MONTCLAIR
(909) 625-9100
5, 6, 16, 26
KIHYO KIM
11306
24812
KIM
KIHYO
9625 MONTE VISTA NO. 105
MONTCLAIR
(909) 626-8214
6, 14, 26, 27
MONTCLAIR DENTAL STUDIO
125765
123642
YAZDANI
FARZAD
9509 CENTRAL AVE UNIT NO. D
MONTCLAIR
(909) 621-2201
6, 7, 26
SHAILA J AKHAVE
13366
30905
AKHAVE
SHAILAJA
2217 S MOUNTAIN AVE
ONTARIO
(909) 395-5090
6, 18, 26
BRIGHT DENTAL CARE
14144
44136
AL-JDUI
ABBAS
2543 S EUCLID AVE
ONTARIO
(909) 933-5266
1, 6, 26
WILLIAM H STANLEY
13109
103127
CHANG
MAXIMILIAN
211 N EUCLID AVE
ONTARIO
(909) 983-9639
6, 26, 27
MISSION DENTAL CARE
11408
30517
CHUNG
KYUNG
941 W MISSION BLVD NO. H
ONTARIO
(909) 984-7883
6, 14, 26
RIVER ARCH DENTAL
123739
108117
DINH
LAN
2920 S ARCHIBALD AVE NO. C
ONTARIO
(909) 923-2273
6, 26, 30
ESPARAZA DENTISTRY
12178
41648
ESPARZA
BLANCA
213 W G ST
ONTARIO
(909) 984-3618
6, 26
ESPARAZA DENTISTRY
12178
110185
ESPARZA
OSCAR
213 W G ST
ONTARIO
(909) 984-3618
6, 26
EMEEL GHOBRIAL DENTAL CORP
14364
42823
GHOBRIAL
EMEEL
628 W HOLT BLVD NO. C
ONTARIO
(909) 986-6424
6, 8, 26
WHITE SMILE DENTAL
113986
105682
HAWATMEH
AYED
3495 E CONCOURS UNIT A
ONTARIO
(909) 483-1379
1, 6, 26
KIND DENTAL GROUP
11407
41091
HUANG
TERRY
1630 E 4TH ST NO. M
ONTARIO
(909) 984-7872
5, 6, 26
NED PANIAGUA DMD
12738
126820
MACK CRUZ
INGRDI
533 WEST HOLT BOULEVARD SUITE B
ONTARIO
(909) 988-1992
6, 26
ONTARIO MILLS DENTAL CARE
119565
122695
MALALUAN
ROSELLE
4323 E MILLS CR NO. 101
ONTARIO
(909) 481-0128
2, 6, 27
MICHAEL MIN, DDS, INC
120677
120829
MIN
MICHAEL
1921 E 4TH ST
ONTARIO
(909) 989-1556
6, 14, 26
NED PANIAGUA DMD
12738
123873
PANIAGUA
NED
533 WEST HOLT BOULEVARD SUITE B
ONTARIO
(909) 988-1992
6, 26
RONALD B REDOBLADO
123577
126802
REDOBLADO
RONALD
2598 S ARCHIBALD AVE NO. C
ONTARIO
(909) 923-7776
6, 26
WILLIAM H STANLEY
13109
17776
STANLEY
WILLIAM
211 N EUCLID AVE
ONTARIO
(909) 983-9639
6, 26, 27
JOGI DENTAL
12723
29492
SUTHAR
JASWANT
2242 S MOUNTAIN AVE
ONTARIO
(909) 391-1549
6, 10, 18, 26
LOS ANGELITOS DENTAL
12088
31542
VALDEZ
GEORGE
1033 E 4TH ST
ONTARIO
(909) 983-8322
6, 26
EUCLID DENTAL CENTER
122755
126215
ZONOOZI
AMY
2905 S EUCLID AVE NO. D
ONTARIO
(909) 391-4300
6, 7, 26
PRIME DENTAL OFFICE
169364
123315
ZOUBTSOV
VIACHESLAV
1049 W PHILADELPHIA ST
ONTARIO
(909) 391-2324
6, 23, 26
11402
127980
ASATRYAN
MHER
9349 FOOTHILL BLVD NO. B
RANCHO CUCAMONGA (909) 980-6363
6, 7, 26
ALL CARE DENTAL GROUP
113215
105990
ATEIA
EHAB
10399 LEMON AVE NO.106
1, 6, 7, 26
11402
113961
BERGER
IVAN
6, 7, 26
DR. JOSE MARIANO CASTRO, DDS, INC
14579
43911
CASTRO
JOSE
9113 FOOTHILL BLVD NO. 210
6, 26
UPLAND DENTAL IMPLANT & ORTHODONTICS
11398
128162
CHANG
HSUAN-CHEN
11328 KENYON WAY
5, 6, 26, 30
RANCHO CUCAMONGA DENTAL
106094
32950
CHAPPLE
STEVEN
9683 BASELINE RD
6
UPLAND DENTAL IMPLANT & ORTHODONTICS
11398
119906
DO
TRANG
11328 KENYON WAY
5, 6, 26, 30
ETEMADI, STAR DENTAL GROUP, INC
12057
40432
ETEMADI
KHASHAYAR
6, 7, 26
WINERY ESTATE DENTAL GROUP
119667
38682
GHAZAL
CAROLYN
7369 DAY CREEK BLVD NO. F-103
6, 26
GROVE DENTAL GROUP
110316
113685
GRIGORYAN
VAHAN
8283 GROVE AVE NO. 208
2, 6, 23, 26
WINERY ESTATE DENTAL GROUP
119667
112841
HSIEH
JOHN
7369 DAY CREEK BLVD NO. F-103
6, 26
Page 71
Provider Directory
San Bernardino

Office Name
Office#
Prov# Last Name
First Name
Address
City
11402
43987
KHABBAZ
LILIANA
Phone
Languages
6, 7, 26
DAY CREEK DENTAL CARE
112295
114511
KHULLAR
REENA
12223 HIGHLAND AVE NO. 108
6, 26
FAMILY DENTISTRY AT TURNER PLAZA
14678
41760
MITTAL
KRISHAN
10064 ARROW RD
6
ALL CARE DENTAL GROUP
113215
110975
MOZAFARI
MARYAM
10399 LEMON AVE NO.106
1, 6, 7, 26
11402
154292
NGUYEN
CLARA
6, 7, 26
12057
39695
PAYDAR
AZADEH
6, 7, 26
12057
39865
PAYDAR
AZITA
6, 7, 26
OASIS DENTAL
148643
154545
PENALOSA
PINKY
10801 FOOTHILL BLVD NO. 106
6, 20, 26
RANIA N REFAAT, DDS, A PROFESSIONAL DENTAL
CORPORATION
14953
46326
REFAUT
RANIA
7388 CARNELIAN STREET, NO. C
6
11402
43654
ROUHANI
MORVARID
6, 7, 26
11402
106214
SAMAAN
EHAB
6, 7, 26
11402
156426
TCHABOUKIAN
OHANNES
6, 7, 26
6, 26
DAY CREEK DENTAL CARE
112295
125205
TIRGARI
ASHKAN
12223 HIGHLAND AVE NO. 108
11402
23155
XAVIER
RONALD
6, 7, 26
FAMILY DENTISTRY AT TURNER PLAZA
14678
125203
YANG
STEPHENIE
10064 ARROW RD
6
11402
173128
ZAKER
MEYSAM
6, 7, 26
ELITE DENTAL ASSOCIATES
150306
156305
BECKLEY
MELISA
245 TERRACINA BLVD NO. 207 A
REDLANDS
(909) 798-4111
6
COCHRAN DENTAL CARE
164033
99013
COCHRAN
LAWRENCE
1402 INDUSTRIAL PARK AVE
REDLANDS
(909) 798-5777
6, 26
COCHRAN DENTAL CARE
164033
174850
COCHRAN
NATALIE
1402 INDUSTRIAL PARK AVE
REDLANDS
(909) 798-5777
6, 26
UNITED DENTAL GROUP
164059
158568
GALLEGO
DORA
434 CAJON ST NO. 101
REDLANDS
(909) 793-8793
6, 26
EDNA GRIZZLE, DMD, PC
11267
40601
GRIZZLE
EDNA
490 ALABAMA ST NO. 105
REDLANDS
(909) 335-0500
6, 14, 26, 27
REDLANDS DENTAL GROUP
111938
114156
JACKSON
TANISHA
422 ORANGE STREET
REDLANDS
(909) 792-7500
6
REDLANDS DENTAL ASSOCIATES
123441
112273
KOGAN
ELENA
860 W REDLANDS BLVD NO. 105
REDLANDS
(909) 793-5270
6, 18, 26
ORANGE PLAZA DENTISTRY
11345
35927
KOUNANG
YVONNE
470 ORANGE ST
REDLANDS
(909) 793-4585
6, 18
UNITED DENTAL GROUP
164059
164155
LOPEZ
YARA
REDLANDS
(909) 793-8793
6, 26
UNITED DENTAL GROUP
164059
48644
MEJIA
JUAN
REDLANDS
(909) 793-8793
6, 26
UNITED DENTAL GROUP
164059
176202
MOREL
ADALGISA
REDLANDS
(909) 793-8793
6, 26
PRAGASAM FAMILY DENTISTRY, INC
11344
164734
PRAGASAM
JAMIE
2048 ORANGE TREE LN
REDLANDS
(909) 793-3443
6, 26
PRAGASAM FAMILY DENTISTRY, INC
11344
26219
PRAGASAM
LLOYD ALFRED
2048 ORANGE TREE LN
REDLANDS
(909) 793-3443
6, 26
UNITED DENTAL GROUP
164059
126261
SALGADO
KEVIN
REDLANDS
(909) 793-8793
6, 26
UNITED DENTAL GROUP
164059
110006
TAVAKOLI
ALI
REDLANDS
(909) 793-8793
6, 26
BROOKSIDE DENTAL ASSOCIATES
11351
42017
WELCH
KEVIN
720 BROOKSIDE AVE NO. 100
REDLANDS
(909) 798-7111
6, 26
MICHAEL ALVAREZ
13799
35591
ALVAREZ
MICHAEL
220 N RIVERSIDE AVE
RIALTO
(909) 875-6400
6, 14, 26
DENTAL CARE OF RIALTO INC
11366
40810
DURAN
BENJAMIN
1817 N RIVERSIDE AVE
RIALTO
(909) 879-1024
5, 6, 26
DESIGNER DENTISTRY DENTAL GROUP OF RIALTO
124582
158568
GALLEGO
DORA
1786 N RIVERSIDE AVE NO. 5
RIALTO
(909) 874-0323
6, 26
GOLDENWEST DENTAL CLINIC
108697
110492
GARZA
ROSENDO
202 W FOOTHILL BLVD
RIALTO
(909) 421-8500
6, 26
HENRY S. KWON, DDS INC
109382
111261
KWON
HENRY
2836 W RIALTO AVE NO. A
RIALTO
(909) 820-9454
6, 14, 26
RIALTO DENTAL OFFICE
148776
116108
LE
HOA
580 W FOOTHILL BLVD
RIALTO
(909) 875-5519
6, 26
JOHN J LEE, DDS, INC
148513
101781
LEE
JOHN
440 W FOOTHILL BLVD
RIALTO
(909) 873-1120
6, 14, 26
124582
164155
LOPEZ
YARA
RIALTO
(909) 874-0323
6, 26
11366
46886
MARTINEZ
GABRIEL
RIALTO
(909) 879-1024
5, 6, 26
124582
48644
MEJIA
JUAN
RIALTO
(909) 874-0323
6, 26
Page 72
Provider Directory
San Bernardino
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
124582
176202
MOREL
ADALGISA
RIALTO
(909) 874-0323
Languages
6, 26
PAULETTE M NEWMAN
123935
127032
NEWMAN
PAULETTE
RIALTO
(909) 875-2548
6
KIM & PARK A DENTAL CORPORATION
166095
109489
PARK
CHARLES
1374 W FOOTHILL BLVD NO. 2E
RIALTO
(909) 874-7444
6, 14, 26
KIM & PARK A DENTAL CORPORATION
166095
116932
PARK
JAECHAN
1374 W FOOTHILL BLVD NO. 2E
RIALTO
(909) 874-7444
6, 14, 26
124582
126261
SALGADO
KEVIN
RIALTO
(909) 874-0323
6, 26
DR SAMIR SHAH
117649
116956
SHAH
SAMIR
469 W BASELINE RD
RIALTO
(909) 746-0444
6, 10, 18, 26
11366
41134
TANG
JULIE
RIALTO
(909) 879-1024
5, 6, 26
124582
110006
TAVAKOLI
ALI
RIALTO
(909) 874-0323
6, 26
6, 26
ARROWHEAD DENTAL SPECIALTIES
11281
174271
ABULHOSSEINI
TABASSOM
599 INLAND CTR DR NO. 110
SAN BERNARDINO
(909) 384-1111

13306
40539
BERHANU
JALE
1781 N WATERMAN AVE
SAN BERNARDINO
(909) 882-4988
1, 6, 18, 26

13306
30174
BERHANU-DEMISSIE
AMSALE
1781 N WATERMAN AVE
SAN BERNARDINO
(909) 882-4988
1, 6, 18, 26
S M BHATT DDS
12966
33550
BHATT
SHAILESHKUMAR
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
11281
38650
BOYD
ANTHONY
SAN BERNARDINO
(909) 384-1111
6, 26
13306
113882
DALE
KIRKENDALL
1781 N WATERMAN AVE
SAN BERNARDINO
(909) 882-4988
1, 6, 18, 26

SAM D DASON, A PROFESSIONAL DENTAL CORPORATION
11383
41386
DASON
SAM
575 W 5TH ST
SAN BERNARDINO
(909) 888-6581
6, 26
BRENDA EVANS-LOUKA, DDS, INC, APC
11378
34695
EVANS-LOUKA
BRENDA
1848 COMMERCENTER E
SAN BERNARDINO
(909) 382-0255
1, 6, 8, 26
6, 26
S M BHATT DDS
12966
123729
FISCH
GERALD
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
ALEJANDRA GALINDO-MAGALLANES
151177
113529
GALINDO-MAGALLANES
ALEJANDRA
740 W 3RD ST
SAN BERNARDINO
(909) 888-3688
6, 26
OSVALDO GARCIA, DDS, INC
12670
32460
GARCIA
OSVALDO
1428 N WATERMAN AVE NO. A
SAN BERNARDINO
(909) 889-1111
6, 26
S M BHATT DDS
12966
157471
GROSLEIB
JAMES
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
S M BHATT DDS
12966
28166
HOUCHIN
ROBERT
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
S M BHATT DDS
12966
177141
JENSEN
SUZAZNNE
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
6, 10, 26
SIERRA GATEWAY DENTAL OFFICE
14697
42668
KARIA
ATUL
4168 N SIERRA WAY
SAN BERNARDINO
(909) 886-8900
SURE SMILE DENTAL OFFICE
114710
42668
KARIA
ATUL
275 E 9TH ST NO. L
SAN BERNARDINO
(909) 381-5555
1, 6, 10, 26, 30
SIERRA GATEWAY DENTAL OFFICE
14697
175650
KEITH
HARVEEN
4168 N SIERRA WAY
SAN BERNARDINO
(909) 886-8900
6, 10, 26
CENTRAL DENTAL
11279
36327
KIM
BRIAN
222 NORTH G ST NO. 3
SAN BERNARDINO
(909) 383-7777
6, 14, 26
SOO-DONG KIM
161438
126607
KIM
SOO-DONG
1728 N D ST
SAN BERNARDINO
(909) 886-0087
6, 14, 26
114710
111188
LE
DIANNE
275 E 9TH ST NO. L
SAN BERNARDINO
(909) 381-5555
1, 6, 10, 26, 30
CARING FAMILY DENTISTRY
11997
36091
LEE
KWANG
1063 NORTH D STREET
SAN BERNARDINO
(909) 888-5499
6, 14, 26
KWANG LEE
107033
36091
LEE
KWANG
1579 N D STREET
SAN BERNARDINO
(909) 889-1977
6, 14, 26
114710
114286
MAKADIA
DINESHCHANDRA
275 E 9TH ST NO. L
SAN BERNARDINO
(909) 381-5555
1, 6, 10, 26, 30
AHMEDALI Y MAKATI
11375
31320
MAKATI
AHMEDALI
1063 W HIGHLAND AVE
SAN BERNARDINO
(909) 881-2679
6, 18, 26
AHMEDALI Y MAKATI
11375
125101
MAKATI
MUSTAFA
1063 W HIGHLAND AVE
SAN BERNARDINO
(909) 881-2679
6, 18, 26
S M BHATT DDS
12966
176168
MARDIROSIAN
ARMEN
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
JAIME RICK MARQUEZ
121912
125321
MARQUEZ
JAIME
155 W HOSPITALITY LN NO. 130
SAN BERNARDINO
(909) 476-5906
6, 26
11281
127161
MCLEMORE
CALVIN
SAN BERNARDINO
(909) 384-1111
6, 26
WILWOOD DENTAL GROUP
11380
28597
MEHTA
MAHENDRA
3972 N WATERMAN AVE NO. 110
SAN BERNARDINO
(909) 886-4864
6, 18, 26
HOVSEP NARGIZYAN, DDS, INC
115333
112648
MENDEZ
RUBEN
1655 N MT VERNON AVE NO. B
SAN BERNARDINO
(909) 885-8707
6, 19, 23, 26, 27
11281
116323
MUNDL
PAUL
SAN BERNARDINO
(909) 384-1111
6, 26
DR AHMED M NAJI, DDS, INC
123736
124238
NAJI
AHMED
1799 N WATERMAN AVE NO. E
SAN BERNARDINO
(909) 883-8282
1, 6, 26
HOVSEP NARGIZYAN, DDS, INC
115333
117922
NARGIZYAN
HOVSEP
1655 N MT VERNON AVE NO. B
SAN BERNARDINO
(909) 885-8707
6, 19, 23, 26, 27
S M BHATT DDS
12966
115820
NGOW
KENVIS
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
11281
121939
NGUYEN
HIEP
SAN BERNARDINO
(909) 384-1111
6, 26
Page 73
Provider Directory
San Bernardino

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
MGO DENTAL.COM
151454
121505
OHANNESSIAN
MANUEL
654 W 4TH ST NO. A
SAN BERNARDINO
(909) 386-3650
1, 6, 8, 26, 27
CARING FAMILY DENTISTRY
11997
40976
PARK-LEE
TINA
1063 NORTH D STREET
SAN BERNARDINO
(909) 888-5499
6, 14, 26
S M BHATT DDS
12966
121796
PATEL
NIRAV
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
DENTAL CARE OF SAN BERNARDINO
165876
36595
PATEL
VIJAY
322 N H ST
SAN BERNARDINO
(909) 888-1301
6
114710
118133
PEREZ
YACZAIRA
275 E 9TH ST NO. L
SAN BERNARDINO
(909) 381-5555
1, 6, 10, 26, 30
S M BHATT DDS
12966
165786
PHAN
DIEU
407 SOUTH E STREET
SAN BERNARDINO
(909) 889-3300
6, 26
SOUTHLAND DENTAL GROUP
123878
122909
SANCHEZ
GRACE
399 E HIGHLAND AVE NO.120
SAN BERNARDINO
(909) 881-0645
6
11281
113586
SHAH
RUPEN
SAN BERNARDINO
(909) 384-1111
6, 26
SOUTHLAND DENTAL GROUP
123878
44093
SOURIALLE
ANTOINE
399 E HIGHLAND AVE NO.120
SAN BERNARDINO
(909) 881-0645
6
11281
174272
VACA
ROBERT
SAN BERNARDINO
(909) 384-1111
6, 26
DAT VO, DDS, INC
13784
40996
VO
DAT
1470 E HIGHLAND AVE NO. D
SAN BERNARDINO
(909) 883-6400
6, 26, 30
DENTAL CARE OF SAN BERNARDINO
165876
115182
ZUNIGA
FAUSTINO
322 N H ST
SAN BERNARDINO
(909) 888-1301
6
SUNGCHUN S WEE, DDS, INC
15725
47335
WEE
SUNGCHUN
71757 29 PALMS HWY NO. C
TWENTYNINE PALMS
(760) 367-1100
6, 14, 26
THE UPLAND DENTAL OFFICE
11399
31175
CASTELLANOS
VICTOR
350 S EUCLID AVE NO. A
UPLAND
(909) 946-8334
6, 7, 26
PAUL C CHANG DENTAL, INC
116571
119204
CHANG
PAUL
600 N MOUNTAIN AVE D-205
UPLAND
(909) 985-9866
6, 14, 16, 26
PAUL C CHANG DENTAL, INC
116571
175010
CHO
JOORI
600 N MOUNTAIN AVE D-205
UPLAND
(909) 985-9866
6, 14, 16, 26
UPLAND DENTAL AESTHETICS AND ORTHODONTICS
156808
156337
EZE
KENECHUKWU
121 W FOOTHILL BLVD NO. E
UPLAND
(909) 982-9800
6, 26
CROSSROADS DENTAL GROUP
123144
126551
GILL
RITTU
1875 N CAMPUS AVE NO. C
UPLAND
(909) 985-2302
6, 26
UPLAND SMILES
149274
155197
KAKANAR
JAIKRISHNAN
270 E 7TH ST NO. 2-C
UPLAND
(909) 982-8501
6, 26
INLAND EMPIRE DENTAL GROUP
167159
126524
LEE
IK-SUNG
1049 W FOOTHILL BLVD
UPLAND
(909) 985-1966
6, 14, 26
CROSSROADS DENTAL GROUP
123144
30879
STROMBERG
LOUIS
1875 N CAMPUS AVE NO. C
UPLAND
(909) 985-2302
6, 26
DESERT DENTAL GROUP
14561
107199
ALLEN
ROSALINDA
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
DESERT DENTAL GROUP
14561
128213
ALVARENGA
DAISY
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
DESERT DENTAL GROUP
14561
128293
ANGELES
EMMANUEL
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
DESERT DENTAL GROUP
14561
125007
BABAN
SALAR
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
VICTORVILLE FAMILY DENTISTRY
11011
33550
BHATT
SHAILESHKUMAR
14495 SEVENTH ST NO. A
VICTORVILLE
(760) 245-7800
6, 26
DESERT DENTAL GROUP
14561
42725
CALICDAN
ROMULO
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
HAN KYOUNG CHOE, DDS, INC
14145
40218
CHOE
HAN
14707 7TH ST NO. 1
VICTORVILLE
(760) 245-1015
6, 14, 26
DESERT DENTAL GROUP
14561
172922
CHOI
YUJIN
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
DESERT DENTAL GROUP
14561
154689
CHUA
SILVERINA
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
VIEWPOINT DENTAL ASSOCIATES
110312
104975
CLIBON
GREGORY
15366 11TH ST NO. G
VICTORVILLE
(760) 245-8616
6, 26
DESERT DENTAL GROUP
14561
119722
DE JESUS
DEXTER
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
DESERT DENTAL GROUP
14561
128924
DELA FUENTE
SUSANA
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
DESERT DENTAL GROUP
14561
123195
ELEPANO
BENEDICTO
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
DESERT DENTAL GROUP
14561
156197
ENRIQUEZ
MIRIAM
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
11011
123729
FISCH
GERALD
VICTORVILLE
(760) 245-7800
6, 26
11011
157471
GROSLEIB
JAMES
VICTORVILLE
(760) 245-7800
6, 26
HATTAR DENTAL
160919
120010
HATTAR
FAHED
15366 11TH ST NO. F
VICTORVILLE
(760) 243-3595
1, 6, 26
JOSEPH HONG, DDS, APC
11003
36085
HONG
JOSEPH
16264 VICTOR ST
VICTORVILLE
(760) 243-7678
6
11011
28166
HOUCHIN
ROBERT
VICTORVILLE
(760) 245-7800
6, 26
11011
177141
JENSEN
SUZAZNNE
VICTORVILLE
(760) 245-7800
6, 26
DESERT DENTAL GROUP
14561
37239
JONES
DWIGHT
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
11011
176168
MARDIROSIAN
ARMEN
VICTORVILLE
(760) 245-7800
6, 26
Page 74
Provider Directory
San Bernardino

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
DESERT DENTAL GROUP
14561
176202
MOREL
ADALGISA
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
HI-COUNTRY DENTAL CARE
10998
33635
MOY
HOWARD
13186 AMARGOSA RD
VICTORVILLE
(760) 241-8181
4, 6, 26, 27
11011
115820
NGOW
KENVIS
VICTORVILLE
(760) 245-7800
6, 26
DESERT DENTAL GROUP
14561
107197
NGUYEN
SON
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
11011
121796
PATEL
NIRAV
VICTORVILLE
(760) 245-7800
6, 26
11011
165786
PHAN
DIEU
VICTORVILLE
(760) 245-7800
6, 26
DESERT DENTAL GROUP
14561
112254
PHAN
HUY
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM
150856
109924
REYES
ROSEMARIE
14357 7TH ST
VICTORVILLE
(760) 951-9181
6, 18, 26
DESERT DENTAL GROUP
14561
107198
ROXAS
SHEILA
VICTORVILLE
(760) 241-3336
6, 7, 26, 27
VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM
150856
166047
SANDOVAL
ERIC
14357 7TH ST
VICTORVILLE
(760) 951-9181
6, 18, 26
110312
46132
SELEEM
MOHAMED
15366 11TH ST NO. G
VICTORVILLE
(760) 245-8616
6, 26
STROMBERG DENTAL CORPORATION
11009
30879
STROMBERG
LOUIS
13622 BEAR VALLEY RD NO. 10
VICTORVILLE
(760) 245-2010
6, 26, 30
VIP DENTAL CENTER
13742
43497
SUNG
NAK
16200 BEAR VALLEY RD NO. 105
VICTORVILLE
(760) 952-2102
6, 14, 26
110312
175617
WANG
MICHELLE
15366 11TH ST NO. G
VICTORVILLE
(760) 245-8616
6, 26
VICTOR VALLEY DENTAL GROUP
106709
48070
ZAKHARY
EMIL
14689 VALLEY CENTER DR. NO. E-101
VICTORVILLE
(760) 245-0151
1, 6, 26, 30
IMPERIAL DENTAL PRACTICE
11348
41376
CHOKKA
SUDHAKAR
34880 YUCAIPA BLVD
YUCAIPA
(909) 797-1136
6, 26, 27
YUCAIPA FAMILY DENTISTRY
11347
37310
YEO
ELIOT
34488 YUCAIPA BLVD NO. F
YUCAIPA
(909) 797-0303
6, 13, 14, 18, 26
YOONHO CHANG, DDS, INC
149658
110234
CHANG
YOONHO
7024 AIRWAY AVE NO. A
YUCCA VALLEY
(760) 365-2351
6
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
FABRIEL D BURQUEZ, DDS, INC
125143
111985
BURQUEZ
FABRIEL
180 OTAY LAKES RD NO. 210B
BONITA
(619) 479-4457
6, 26
156954
34994
LOPP
JAY
2635 GATEWAY RD NO. 101
CARLSBAD
(760) 431-8112
6, 26
San Diego
156954
113608
PARK
CLINTON
2635 GATEWAY RD NO. 101
CARLSBAD
(760) 431-8112
6, 26
MANUEL R ARREDONDO DENTAL CORPORATION
14941
43309
ARREDONDO
MANUEL
293 E ORANGE AVE
CHULA VISTA
(619) 422-6359
6, 26
10675
111594
BAITCHEV
VIOLET
510 BROADWAY NO. 4 & 5
CHULA VISTA
(619) 476-9400
6, 26
10675
113961
BERGER
IVAN
CHULA VISTA
(619) 476-9400
6, 26
FLORENCIO T BURQUEZ DDS
148366
39374
BURQUEZ
FLORENCIO
2452 FENTON STREET SUITE 102
CHULA VISTA
(619) 934-4216
6, 26
6, 26
10675
112497
DAWOOD
NAJLAA
CHULA VISTA
(619) 476-9400
10675
116281
DE LUNA
JOSE EMMANUEL
CHULA VISTA
(619) 476-9400
6, 26
10675
104138
DZIURA
HORST
CHULA VISTA
(619) 476-9400
6, 26
6, 26
DENTAL CHECK-UP
109973
27523
GOMEZ
HECTOR
1010 BROADWAY NO. 5
CHULA VISTA
(619) 422-0800
SMILE DESIGN CENTER, A DENTAL PRACTICE
12306
24551
GOMEZ
LUIS
232 THIRD AVE NO. A
CHULA VISTA
(619) 827-0770
6, 26, 27
LATINO FAMILY DENTAL, INC
100042
38693
HERNANDEZ
CARMEN
1635 3RD AVE NO. D
CHULA VISTA
(619) 422-0300
6, 26
TWIN OAKS FAMILY DENTISTRY
112304
42662
HOSSEINI
BABAK
230 F ST NO. D
CHULA VISTA
(619) 427-5262
6, 7, 8, 18, 26, 27
100236
40946
HOSSEINI-MARRON
MANIJEH
310 THIRD AVE NO. C-1B
CHULA VISTA
(619) 476-1600
6, 7, 8, 26
DENTAL CHECK-UP
109973
155065
MAGHIAR
MONICA
1010 BROADWAY NO. 5
CHULA VISTA
(619) 422-0800
6, 26
100236
40671
MAROON
JOHN
310 THIRD AVE NO. C-1B
CHULA VISTA
(619) 476-1600
6, 7, 8, 26
MAROON-LOPEZ, DDS, PC
152600
40672
MAROON-LOPEZ
CARMEN
2648 MAIN ST NO. A
CHULA VISTA
(619) 423-5200
6, 26, 27
Page 75
Provider Directory
San Diego

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
CHILDREN'S PRIMARY DENTAL CARE & ADULT DENTAL
GROUP, PC
15496
40677
SAFOURA
397 E ST NO. A
CHULA VISTA
(619) 425-9930
6, 7, 8, 14, 26, 27
MASSOUMI
MARICELA MURILLO, DDS, INC
111094
113154
MURILLO
MARICELA
678 THIRD AVE NO. 301
CHULA VISTA
(619) 585-4847
6, 26
GENTLE CARE FAMILY DENTISTRY
150391
156385
NATHANSON
ELVIE
340 FOURTH AVE NO. 16
CHULA VISTA
(619) 420-1144
6, 26, 27
REAL DENTAL CARE
117686
114956
REAL
LUIS
690 E ST
CHULA VISTA
(619) 425-2122
6, 26
DENTAL CHECK-UP
109973
154166
SEVILLA
LAURA
1010 BROADWAY NO. 5
CHULA VISTA
(619) 422-0800
6, 26
10675
175602
TAHRIRIAN
SHAGHAYEGH
CHULA VISTA
(619) 476-9400
6, 26
10675
120639
TARIGHATI
MICHAEL
CHULA VISTA
(619) 476-9400
6, 26
10675
101891
TOMA
OMEED
CHULA VISTA
(619) 476-9400
6, 26
DELMAR PROFESSIONAL DENTAL GROUP
10705
109961
BOUZIDA
SORAYA
13983 MANGO DR NO.104
DEL MAR
(858) 792-6662
6, 7, 26
DELMAR PROFESSIONAL DENTAL GROUP
10705
33031
FARAJZADEH
EDWARD
13983 MANGO DR NO.104
DEL MAR
(858) 792-6662
6, 7, 26
10697
48575
ABDULJABBAR
WIAM
2990 JAMACHA RD NO. 132
EL CAJON
(619) 670-1700
6, 7, 26, 30
10697
100389
AHMADPOUR
FIROOZEH
EL CAJON
(619) 670-1700
6, 7, 26, 30
EAST COUNTY DENTAL ASSOCIATES
117201
119936
BAILEYS
STEVEN
700 N JOHNSON AVE NO. P
EL CAJON
(619) 444-3127
6
10697
113961
BERGER
IVAN
EL CAJON
(619) 670-1700
6, 7, 26, 30
13242
113961
BERGER
IVAN
1242 E MAIN ST
EL CAJON
(619) 444-6355
6, 26, 27
LA MAESTRA COMMUNITY HEALTH CENTER
149232
116510
BLAND
EMILY
183 S FIRST ST
EL CAJON
(619) 328-1335
1, 6, 20, 26
117201
123144
CHALUPNIK
MICHAEL
EL CAJON
(619) 444-3127
6
117201
117121
CHANG
EDWARD
EL CAJON
(619) 444-3127
6
10697
112497
DAWOOD
NAJLAA
EL CAJON
(619) 670-1700
6, 7, 26, 30
10697
116281
DE LUNA
JOSE EMMANUEL
EL CAJON
(619) 670-1700
6, 7, 26, 30
10697
114543
DUONG
THONG
EL CAJON
(619) 670-1700
6, 7, 26, 30
13242
114543
DUONG
THONG
1242 E MAIN ST
EL CAJON
(619) 444-6355
6, 26, 27
117201
154162
FRAVEL
BENJAMIN
EL CAJON
(619) 444-3127
6
HORIZON DENTAL GROUP
10656
19498
FREMO
JOHNATHAN
742 BROADWAY
EL CAJON
(619) 440-0071
1, 5, 6, 7, 18, 26,
27
10656
25709
GAROFALO
ANTHONY
742 BROADWAY
EL CAJON
(619) 440-0071
1, 5, 6, 7, 18, 26,
27
149232
155159
GEBRI
NASHWAS
183 S FIRST ST
EL CAJON
(619) 328-1335
1, 6, 20, 26
10656
120603
GONG
RONG
742 BROADWAY
EL CAJON
(619) 440-0071
1, 5, 6, 7, 18, 26,
27
SUN VALLEY DENTAL CARE
124229
43980
JIMENEZ
CESAR
1209 E MAIN ST
EL CAJON
(619) 442-0707
6, 26
149232
129213
LIU
KAI
183 S FIRST ST
EL CAJON
(619) 328-1335
1, 6, 20, 26
ANDRZEJ LUBCZUK DENTAL CORPORATION
13678
42568
LUBCZUK
ANDRZEJ
707 ARNELLE AVE
EL CAJON
(619) 444-1001
6, 21, 23, 26, 27,
30
13678
171986
NAWROCKI
ALENA
707 ARNELLE AVE
EL CAJON
(619) 444-1001
6, 21, 23, 26, 27,
30
13678
116271
NGUYEN
STEPHANIE
707 ARNELLE AVE
EL CAJON
(619) 444-1001
6, 21, 23, 26, 27,
30
149232
173152
NOORDMANS
BRANDI
183 S FIRST ST
EL CAJON
(619) 328-1335
1, 6, 20, 26
PACIFIC DENTAL GROUP OF EL CAJON
126026
26111
PLAMENAC
JOVAN
895 JACKMAN ST
EL CAJON
(619) 447-3100
6, 18, 26
10656
14851
RAY
GARY
742 BROADWAY
EL CAJON
(619) 440-0071
1, 5, 6, 7, 18, 26,
27
10656
18746
REPP
DAVID
742 BROADWAY
EL CAJON
(619) 440-0071
1, 5, 6, 7, 18, 26,
27
Page 76
Provider Directory
San Diego
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
10656
122456
RIELAND
KENNETH
742 BROADWAY
EL CAJON
(619) 440-0071
1, 5, 6, 7, 18, 26,
27
13242
43892
STEPHAN
WALEED
1242 E MAIN ST
EL CAJON
(619) 444-6355
6, 26, 27
10697
175602
TAHRIRIAN
SHAGHAYEGH
EL CAJON
(619) 670-1700
6, 7, 26, 30
13242
175602
TAHRIRIAN
SHAGHAYEGH
1242 E MAIN ST
EL CAJON
(619) 444-6355
6, 26, 27
13242
101891
TOMA
OMEED
1242 E MAIN ST
EL CAJON
(619) 444-6355
6, 26, 27
149232
106999
TRAN
PAULINE
183 S FIRST ST
EL CAJON
(619) 328-1335
1, 6, 20, 26
10656
23151
VOGEL
FRANCIS
742 BROADWAY
EL CAJON
(619) 440-0071
1, 5, 6, 7, 18, 26,
27
117201
128074
WATKINS
BRIAN
EL CAJON
(619) 444-3127
6
13242
155284
YAVARI
MANSOUREH
1242 E MAIN ST
EL CAJON
(619) 444-6355
6, 26, 27
6
FAMILY CARE DENTAL
15959
38826
DALTON
MICHAEL
1114 WEST VALLEY PARKWAY
ESCONDIDO
(760) 738-1070
HAPPY ANGEL DENTAL CARE
10699
41075
FABIE
JEFFRY
1647 E VALLEY PKWY
ESCONDIDO
(760) 747-8777
6, 26, 27
DR ALBERTO GONZALEZ, DDS, INC
119567
122697
GONZALEZ
ALBERTO
910 E GRAND AVE NO. C
ESCONDIDO
(760) 746-2150
6, 26
FAMILY CARE DENTAL
15959
42782
TRAN
VINCENT
1114 WEST VALLEY PARKWAY
ESCONDIDO
(760) 738-1070
6
DR. ZAND
13959
43964
UPTON
MIN
240 W MISSION AVE NO. A-B
ESCONDIDO
(760) 747-7000
6, 7, 26
DR. ZAND
13959
39731
ZANDKARIMI
SHAHRIYAR
240 W MISSION AVE NO. A-B
ESCONDIDO
(760) 747-7000
6, 7, 26
FALLBROOK FAMILY HEALTH CENTER
152425
174877
DANG
VAN
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
112405
HERNANDEZ
JORGE
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
164990
KALINCSAK
OMAR
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
158696
MAMANI
CESAR
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
168815
MARTINEZ
CHRIS
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
101647
MEJIA
MARTA
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
158638
MOORE
REGINALD
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
164116
PEREIRA
VALERIA
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
164758
SHEU
LISA
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
155669
SINGH
HARDEV
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
169080
SINGH
HARPRABH
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
158792
STEELE
AIDA
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
152425
155122
TORRES
MARIA
1328 S MISSION RD
FALLBROOK
(760) 451-2912
6, 26
LUIS A CONTRERAS BARAJAS
120789
120275
CONTRERAS
LUIS
1340 IMPERIAL BEACH BLVD NO. 101
IMPERIAL BEACH
(619) 575-6644
6, 26
HARMONY DENTAL GROUP
160936
119772
FARID
FARNAZ
4130 LA JOLLA VILLAGE DR NO. 203
LA JOLLA
(858) 550-8000
6, 7, 26
LA JOLLA DENTAL GROUP
105131
106510
KAJIAN-FARAJI
MEHRAK
8950 VILLA LA JOLLA DR NO. B120
LA JOLLA
(858) 455-9614
6
13459
48575
ABDULJABBAR
WIAM
5601 GROSMONT CENTER DR NO. 200
LA MESA
(619) 462-2272
6, 7, 26
GENTLE DENTAL GROSSMONT
119333
115009
AZIMI
ROBERT
5565 GROSSMONT CTR DR BLDG 3 NO. 459 &
354
LA MESA
(619) 464-3383
6, 26
13459
113961
BERGER
IVAN
LA MESA
(619) 462-2272
6, 7, 26
119333
116021
BUI
HIEN
354
LA MESA
(619) 464-3383
6, 26
13459
154396
BYRNE
JAMES
LA MESA
(619) 462-2272
6, 7, 26
119333
26160
COX
WILLIAM
354
LA MESA
(619) 464-3383
6, 26
13459
112497
DAWOOD
NAJLAA
LA MESA
(619) 462-2272
6, 7, 26
13459
116281
DE LUNA
JOSE EMMANUEL
LA MESA
(619) 462-2272
6, 7, 26
Page 77
Provider Directory
San Diego
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
119333
174753
LUISINIA
354
LA MESA
(619) 464-3383
6, 26
DELGADO
13459
114543
DUONG
THONG
LA MESA
(619) 462-2272
6, 7, 26
13459
176220
HABBOUSH
SARMAD
LA MESA
(619) 462-2272
6, 7, 26
LAKE MURRAY DENTAL GROUP
118596
39643
HAKIMI
SOHAIL
5308 LAKE MURRAY BLVD NO. C
LA MESA
(619) 464-4411
6, 26
119333
102891
IRWIN
DAVID
354
LA MESA
(619) 464-3383
6, 26
119333
115857
KNOWLES
SARAH
354
LA MESA
(619) 464-3383
6, 26
119333
155463
LACAYANGA
FERNAND
354
LA MESA
(619) 464-3383
6, 26
13459
117566
LE
VINH
LA MESA
(619) 462-2272
6, 7, 26
119333
114905
LIBERTO
LILLIAN
354
LA MESA
(619) 464-3383
6, 26
119333
154403
PARK
ROBERT
354
LA MESA
(619) 464-3383
6, 26
119333
115218
PRESS
SUSAN
354
LA MESA
(619) 464-3383
6, 26
118596
127961
SCOTT
ROBERT
LA MESA
(619) 464-4411
6, 26
13459
101891
TOMA
OMEED
LA MESA
(619) 462-2272
6, 7, 26
GUADALUPE V VILLA, DDS, INC
13889
40900
VILLA
GUADALUPE
LA MESA
(619) 464-4411
6, 23, 26, 27, 30
118596
123642
YAZDANI
FARZAD
LA MESA
(619) 464-4411
6, 26
119333
47592
ZAW
NICHOLAS
354
LA MESA
(619) 464-3383
6, 26
LA MAESTRA FAMILY CLINIC, INC
156845
122190
BOJORQUEZ
SANDRA
7969 BROADWAY AVE
LEMON GROVE
(619) 741-3045
6, 26
GROVE DENTAL GROUP
100016
46109
MANJI
MEHMOOD
7733 PALM AVE NO. 105
LEMON GROVE
(619) 464-7099
6, 26
156845
106999
TRAN
PAULINE
7969 BROADWAY AVE
LEMON GROVE
(619) 741-3045
6, 26
NEW IMAGE DENTISTRY
110095
112037
ALFONSO
ROSSANA
2340 E 8TH ST NO. H
NATIONAL CITY
(619) 470-2558
6, 26, 27
RICHARD CERVANTES
10677
34071
CERVANTES
RICHARD
2016 HIGHLAND AVE
NATIONAL CITY
(619) 477-3771
6, 12, 26, 27
SOUTH BAY PLAZA DENTAL
104485
105685
CLOYD
JAMES
1210 E PLAZA BLVD NO. 405
NATIONAL CITY
(619) 477-2787
6, 26
SOUTH BAY PLAZA DENTAL
104485
155313
CULTON
GREGORY
1210 E PLAZA BLVD NO. 405
NATIONAL CITY
(619) 477-2787
6, 26
SOUTH COAST DENTAL
10676
36361
ESTRADA
MARIA
400 MILE OF CARS WAY NO. A
NATIONAL CITY
(619) 477-1970
6, 26
NEW IMAGE DENTISTRY
110095
172727
JARDIN
JERAMEL
2340 E 8TH ST NO. H
NATIONAL CITY
(619) 470-2558
6, 26, 27
RICHARD CERVANTES
10677
43980
JIMENEZ
CESAR
2016 HIGHLAND AVE
NATIONAL CITY
(619) 477-3771
6, 12, 26, 27
TOWN AND COUNTRY DENTAL OFFICE
102973
103915
KASHANI
JAMSHID
1536 SWEETWATER RD NO. E
NATIONAL CITY
(619) 477-4945
6, 7, 26
LILIA LARIN, DDS, INC
157945
37855
LARIN
LILIA
400 MILE OF CARS WAY NO. A
NATIONAL CITY
(619) 477-1970
6, 26
ARTEMIO F PALAGANAS JR
104714
46917
PALAGANAS
ARTEMIO
1341 E 8TH ST NO. D
NATIONAL CITY
(619) 474-8441
6, 26, 27
THOMAS TOMA
13105
41538
TOMA
SILVIA
3460 HIGHLAND AVE NO. D
NATIONAL CITY
(619) 420-1100
6, 26, 27
THOMAS TOMA
13105
42431
TOMA
THOMAS
3460 HIGHLAND AVE NO. D
NATIONAL CITY
(619) 420-1100
6, 26, 27
QUARRY CREEK DENTAL GROUP
123403
106863
DART
PAUL
3430 MARRON RD NO. 300
OCEANSIDE
(760) 730-1303
6, 26
MIRA COSTA DENTAL
12158
38987
DUENES
ANGELA
3502 COLLEGE BLVD NO. B
OCEANSIDE
(760) 941-7502
6, 26
MIRA COSTA DENTAL
12158
35047
DUENES
JOSE
3502 COLLEGE BLVD NO. B
OCEANSIDE
(760) 941-7502
6, 26
REAGAN AND SHARIFIAN DENTAL CORPORATION
119143
34407
REAGAN
DARIN
2484 VISTA WAY NO. B
OCEANSIDE
(760) 439-0334
6
REAGAN AND SHARIFIAN DENTAL CORPORATION
119143
44540
SHARIFIAN
ALI
2484 VISTA WAY NO. B
OCEANSIDE
(760) 439-0334
6
SUHIR ASWAD, DDS
106756
108354
ASWAD
SUHIR
13514 POMERADO RD NO. A
POWAY
(858) 486-2328
1, 6, 26
Page 78
Provider Directory
San Diego

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
10689
48575
ABDULJABBAR
WIAM
3820 CONVOY ST
SAN DIEGO
(858) 569-1100
6, 7, 26, 30
13278
48575
ABDULJABBAR
WIAM
1333 CAMINO DEL RIO S NO. 202
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
48575
ABDULJABBAR
WIAM
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
DENTAL ARTS OF PALM AVENUE
123553
111343
ACUNA LOERA
JAIME
3388 PALM AVE NO. 101
SAN DIEGO
(619) 424-3456
6, 26
DENTAL ARTS OF CORONADO AVENUE
150986
111343
ACUNA LOERA
JAIME
2987 CORONADO AVE NO. A
SAN DIEGO
(619) 429-5959
6, 26
10689
100389
AHMADPOUR
FIROOZEH
3820 CONVOY ST
SAN DIEGO
(858) 569-1100
6, 7, 26, 30
13278
100389
AHMADPOUR
FIROOZEH
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
100389
AHMADPOUR
FIROOZEH
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
SORRENTO MESSA DENTAL
100006
100389
AHMADPOUR
FIROOZEH
6727 FLANDERS DR NO. 105
SAN DIEGO
(858) 452-3561
6, 7
LOGAN HEIGHTS FAMILY HEALTH CENTERS
10615
38955
ALEGRIA
MARCO
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
HILLCREST DENTAL FAMILY HEALTH CENTERS OF SAN
DIEGO
10701
38955
ALEGRIA
MARCO
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
10689
111594
BAITCHEV
VIOLET
3820 CONVOY ST
SAN DIEGO
(858) 569-1100
6, 7, 26, 30
13280
111594
BAITCHEV
VIOLET
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
10689
113961
BERGER
IVAN
3820 CONVOY ST
SAN DIEGO
(858) 569-1100
6, 7, 26, 30
13278
113961
BERGER
IVAN
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
113961
BERGER
IVAN
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
6, 15, 24, 26, 30
105551
116510
BLAND
EMILY
4305 UNIVERSITY AVE NO. 120, 150
SAN DIEGO
(619) 285-8135
SOUTH CLAIREMONT DENTISTRY
15657
172769
BOZIR
IRENE
3796 CLAIREMONT DR
SAN DIEGO
(858) 273-5788
6
HIEN BUI, DMD, A PROFESSIONAL DENTAL CORPORATION
120068
116021
BUI
HIEN
6255 LUSK BLVD NO. 250
SAN DIEGO
(858) 658-0691
6, 26, 30
13278
154396
BYRNE
JAMES
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
154396
BYRNE
JAMES
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
WILLIAM V CARLO, DMD, APDC
12908
26256
CARLO
WILLIAM
3333 FIFTH AVE NO. 150
SAN DIEGO
(619) 299-2550
6, 26, 27
13278
112497
DAWOOD
NAJLAA
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
112497
DAWOOD
NAJLAA
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
13278
116281
DE LUNA
JOSE EMMANUEL
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
116281
DE LUNA
JOSE EMMANUEL
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
RAY DERAKSHAN DMD INC
15986
46044
DERAKHSHAN
RAY
11134 RANCHO CARMEL DR NO. 103
SAN DIEGO
(858) 485-1010
6, 7, 26
MID-CITY DENTAL
15335
46782
DO
BANG
4090 EL CAJON BLVD NO. F
SAN DIEGO
(619) 280-0337
6, 26, 30
ROGER T TRAN, DDS, INC
107648
109453
DOAN
THUYQUYEN
5059 EL CAJON BLVD
SAN DIEGO
(619) 265-2467
6, 26, 30
13278
114543
DUONG
THONG
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
6, 7, 26, 30
13280
114543
DUONG
THONG
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
BERNARDO DENTAL OFFICE
11836
38671
DUTTA
NAMITA
16466 BERNARDO CENTER DR NO. 185
SAN DIEGO
(858) 676-1845
6, 10, 18, 26, 27
MARK J RIEDLER
10634
118132
ELNAGGAR
KHALED
4167 OHIO ST
SAN DIEGO
(619) 281-6635
6, 7, 26
HELEN L GARON, DDS, INC
152416
105234
FINLAY
BERNARD
6571 IMPERIAL AVE
SAN DIEGO
(619) 262-0781
6, 27
10615
155098
GARON
HELEN
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
155098
GARON
HELEN
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
HELEN L GARON, DDS, INC
152416
155098
GARON
HELEN
6571 IMPERIAL AVE
SAN DIEGO
(619) 262-0781
6, 27
105551
155159
GEBRI
NASHWAS
SAN DIEGO
(619) 285-8135
6, 15, 24, 26, 30
10615
120851
GOMEZ
MIRTHA
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
120851
GOMEZ
MIRTHA
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
10615
155097
GONZALEZ-MENDEZ
DAVID
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
Page 79
Provider Directory
San Diego
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
RICHARD D KATNIK, DDS, INC
10690
155097
GONZALEZ-MENDEZ
DAVID
7319 CLAIREMONT MESA BLVD
SAN DIEGO
(858) 569-9651
Languages
6, 7, 10, 18, 26
DIEGO
10701
155097
GONZALEZ-MENDEZ
DAVID
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
6, 7, 27
OASIS DENTAL ARTS
126004
108630
GOSHTASBI
RAMIN
9999 MIRA MESA BLVD NO. 105
SAN DIEGO
(858) 271-1010
JOSEPH C HIPPENSTEEL
10626
16179
HIPPENSTEEL
JOSEPH
945 HORNBLEND ST NO. A
SAN DIEGO
(858) 270-6755
6, 21, 26
LA MAESTRA FAMILY CLINIC
149797
155296
HUYNH
PHUONG-KIEU
4474 EL CAJON BLVD
SAN DIEGO
(619) 283-6281
26, 30
6, 15, 26, 28, 30
TAI THIEH HUYNH
15791
31286
HUYNH
TAI
2363 ULRIC ST NO. A
SAN DIEGO
(858) 279-8665
10615
122901
JOHNSON
PHILLIP
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
122901
JOHNSON
PHILLIP
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
10615
123169
KAHN
GENE
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
COAST DENTAL CARE
118033
44494
KASHANI
KOUROSH
6585 EL CAJON BLVD
SAN DIEGO
(619) 265-0072
6, 26
10690
20884
KATNIK
RICHARD
SAN DIEGO
(858) 569-9651
6, 7, 10, 18, 26
13278
117566
LE
VINH
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
117566
LE
VINH
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
105551
129213
LIU
KAI
SAN DIEGO
(619) 285-8135
6, 15, 24, 26, 30
JOSE L LOPEZ, DDS, INC
15268
44013
LOPEZ
JOSE
3490 PALM AVE
SAN DIEGO
(619) 423-1351
6, 26
10615
172052
MATTHEWS
ASHLEY
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
APPLE DENTAL
14106
42743
MAUNGMAUNG
TIN
1540 FERN ST
SAN DIEGO
(619) 236-9549
5, 6, 18, 26
10615
120850
MONDRAGON
FRANCISCO
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
120850
MONDRAGON
FRANCISCO
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
GENE P MOORE
10618
20419
MOORE
GENE
286 EUCLID AVE NO. 201
SAN DIEGO
(619) 263-6683
5, 6, 26, 27
EVELYN GRACE S. NEGLERIO, DMD, INC
102873
103808
NEGLERIO
EVELYN
13295-3 BLACK MOUNTAIN RD
SAN DIEGO
(858) 538-5280
6, 20, 26
6, 15, 24, 26, 30
105551
155566
NGHIEM
HANH
SAN DIEGO
(619) 285-8135
149797
155566
NGHIEM
HANH
4474 EL CAJON BLVD
SAN DIEGO
(619) 283-6281
26, 30
105551
177205
NGO
HIEN
SAN DIEGO
(619) 285-8135
6, 15, 24, 26, 30
149797
177205
NGO
HIEN
4474 EL CAJON BLVD
SAN DIEGO
(619) 283-6281
26, 30
BRIGHTCARE DENTAL GROUP
112112
46905
NGUYEN
DUY
3078 UNIVERSITY AVE
SAN DIEGO
(619) 295-8891
6, 26, 30
10615
44427
NGUYEN
JOE
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
44427
NGUYEN
JOE
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
105551
173152
NOORDMANS
BRANDI
SAN DIEGO
(619) 285-8135
6, 15, 24, 26, 30
149797
173152
NOORDMANS
BRANDI
4474 EL CAJON BLVD
SAN DIEGO
(619) 283-6281
26, 30
105551
43379
NUNEZ-OUJI
MARIA
SAN DIEGO
(619) 285-8135
6, 15, 24, 26, 30
FLORABEL F OLIVER-BADILLO
103987
105070
OLIVER-BADILLO
FLORABEL
10717 CAMINO RUIZ NO. 122
SAN DIEGO
(858) 566-6099
6, 27
10690
35580
OLSON
WILLIAM
SAN DIEGO
(858) 569-9651
6, 7, 10, 18, 26
KWANG S PARK, DDS, INC
124700
103937
PARK
KWANG
3023 BUNKER HILL ST NO. 101
SAN DIEGO
(858) 270-1400
6, 14, 26
SUNNY FAMILY DENTAL ASSC
157992
165776
REFAHI
NIKNAM
3737 MORAGA AVE NO. B311
SAN DIEGO
(858) 483-3384
6, 7
MARK J RIEDLER
10634
28072
RIEDLER
MARK
4167 OHIO ST
SAN DIEGO
(619) 281-6635
6, 7, 26
13278
155763
RIVERA
OFELIA
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
155763
RIVERA
OFELIA
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
10689
174318
SAADATMANDI
HOSSEIN
3820 CONVOY ST
SAN DIEGO
(858) 569-1100
6, 7, 26, 30
13278
174318
SAADATMANDI
HOSSEIN
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
Page 80
Provider Directory
San Diego
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
13280
174318
SAADATMANDI
HOSSEIN
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
RAY DERAKSHAN DMD INC
15986
108607
SABATI
NAHID
11134 RANCHO CARMEL DR NO. 103
SAN DIEGO
(858) 485-1010
6, 7, 26
10615
40190
SAWAYA
IBRAHIM
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
40190
SAWAYA
IBRAHIM
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
10615
155020
SHAH
RITESH
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
155020
SHAH
RITESH
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
6, 15, 24, 26, 30
105551
114762
TAO
JING
SAN DIEGO
(619) 285-8135
SOUTH CLAIREMONT DENTISTRY
15657
45331
TAZBAZ
NELLIE
3796 CLAIREMONT DR
SAN DIEGO
(858) 273-5788
6
10689
101891
TOMA
OMEED
3820 CONVOY ST
SAN DIEGO
(858) 569-1100
6, 7, 26, 30
13278
101891
TOMA
OMEED
SAN DIEGO
(619) 260-4990
6, 7, 26, 30
13280
101891
TOMA
OMEED
8997 MIRA MESA BLVD
SAN DIEGO
(858) 536-5550
6, 7, 26, 30
6, 15, 24, 26, 30
105551
106999
TRAN
PAULINE
SAN DIEGO
(619) 285-8135
149797
106999
TRAN
PAULINE
4474 EL CAJON BLVD
SAN DIEGO
(619) 283-6281
26, 30
ROGER T TRAN, DDS, INC
107648
106501
TRAN
ROGER
5059 EL CAJON BLVD
SAN DIEGO
(619) 265-2467
6, 26, 30
10615
155081
TSANG
CHRISTINE
1809 NATIONAL AVE
SAN DIEGO
(619) 515-2394
1, 6, 26
DIEGO
10701
155081
TSANG
CHRISTINE
3544 30TH ST
SAN DIEGO
(619) 515-2434
6, 26
ANNA V DURKIN, DDS, INC
110211
45381
DURKIN
ANNA
1344 E MISSION RD NO. C
SAN MARCOS
(760) 740-0070
6, 23, 26
ANNA V DURKIN, DDS, INC
110211
158439
GHORAB
DANA
1344 E MISSION RD NO. C
SAN MARCOS
(760) 740-0070
6, 23, 26
SMILES OF SAN MARCOS
14400
42332
JAIN
RASIKA
630 NORDAHL RD NO. D
SAN MARCOS
(760) 480-1750
6, 26
MICHAEL J NELSON DDS & PATRICIA L YUSHIDA DDS INC
11036
33641
NELSON
MICHAEL
365 RANCHO SANTA FE RD NO. 105
SAN MARCOS
(760) 471-9560
6
MICHAEL J NELSON DDS & PATRICIA L YUSHIDA DDS INC
11036
34018
YOSHIDA
PATRICIA
365 RANCHO SANTA FE RD NO. 105
SAN MARCOS
(760) 471-9560
6
SAN YSIDRO DENTAL CARE
106002
38798
BARR
YADIRA
2004 DAIRY MART RD NO. 120
SAN YSIDRO
(619) 428-2436
6, 26
SANTEE COTTONWOOD DENTAL
125891
110022
CORNELL
MICHAEL
9715 MISSION GORGE RD
SANTEE
(619) 448-7444
6, 7, 23, 26, 27
125891
44494
KASHANI
KOUROSH
SANTEE
(619) 448-7444
6, 7, 23, 26, 27
125891
127273
KLUGE
GARY
SANTEE
(619) 448-7444
6, 7, 23, 26, 27
FAMILY HEALTH CENTERS OF SAN DIEGO
111758
38955
ALEGRIA
MARCO
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
DR CHARLIE F CARMICHAEL, A PROFESSIONAL DENTAL
CORPORATION
12795
26962
CARMICHAEL
CHARLIE
8300 PARADISE VALLEY RD NO. 122
SPRING VALLEY
(619) 479-9143
6, 26, 27
VALLEY VIEW DENTAL OFFICE
113719
116037
CASIBANG
VICENTE
123 WORTHINGTON ST NO. 101
SPRING VALLEY
(619) 475-8419
6, 20, 26
111758
155098
GARON
HELEN
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
120851
GOMEZ
MIRTHA
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
155097
GONZALEZ-MENDEZ
DAVID
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
122901
JOHNSON
PHILLIP
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
120850
MONDRAGON
FRANCISCO
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
44427
NGUYEN
JOE
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
40190
SAWAYA
IBRAHIM
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
155020
SHAH
RITESH
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
111758
155081
TSANG
CHRISTINE
8788 JAMACHA RD
SPRING VALLEY
(619) 515-2330
6
13461
100389
AHMADPOUR
FIROOZEH
1010 E VISTA WAY NO. A B C
VISTA
(760) 940-8811
6, 7, 26
13461
127010
ASIL
ARASH
VISTA
(760) 940-8811
6, 7, 26
13461
113961
BERGER
IVAN
VISTA
(760) 940-8811
6, 7, 26
Page 81
Provider Directory
San Diego

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
FAMILY DENTAL
11042
24937
BRAITHWAITE
GEORGE
630 ALTA VISTA DR NO. 108
VISTA
(760) 724-6537
Languages
6, 26
13461
116281
DE LUNA
JOSE EMMANUEL
VISTA
(760) 940-8811
6, 7, 26
MY KIDS DENTIST DENTAL GROUP
122479
126368
DO
DARREN
320 SYCAMORE AVE NO. 60
VISTA
(760) 945-6043
6, 26
JOSE A DRAGO & RUTH I DRAGO, DDS, INC
15593
47879
DRAGO
JOSE
951 E VISTA WAY
VISTA
(760) 732-1428
6, 26
JOSE A DRAGO & RUTH I DRAGO, DDS, INC
15593
47072
DRAGO
RUTH
951 E VISTA WAY
VISTA
(760) 732-1428
6, 26
VISTA COMMUNITY CLINIC
109263
42315
GHALE-MUDAN
MANMOHAN
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26
13461
126449
HORIYAT
MARYAM
VISTA
(760) 940-8811
6, 7, 26
VISTA VILLAGE FAMILY DENTISTRY
163999
120160
IRANI
MEHRNAZ
950 ESCONDIDO AVE NO. B
VISTA
(760) 208-4030
6, 7, 26

109263
176418
JUBB
ALEXANDER
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26

109263
157715
KO
AMY
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26

109263
44202
KRISHNAN
ANITHA
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26
13461
117566
LE
VINH
VISTA
(760) 940-8811
6, 7, 26

109263
165750
LU
PHONG
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26

109263
102072
MILLER
CANDACE
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26
GERALD F MOORE
15956
24150
MOORE
GERALD
610 S MELROSE DR
VISTA
(760) 941-9000
6, 7, 26

109263
111105
O'DONNELL
DINA
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26
13461
116787
ORTIZ - LUIS
MARICELLE
VISTA
(760) 940-8811
6, 7, 26
LA JOLLA TOWNSITE FAMILY DENTISTRY
152590
44055
PAVLOV
NIKOLAI
706 TOWNSITE DR
VISTA
(760) 724-4392
6, 18, 23, 27

109263
123796
PECK
MERIN
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26

109263
106799
PENMAN
MARTA
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26

109263
168918
REYNOLDS
STEFANIE
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26
13461
155763
RIVERA
OFELIA
VISTA
(760) 940-8811
6, 7, 26
109263
112453
ROMNEY
RICHARD
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26
6, 7, 26

GERALD F MOORE
15956
110021
SHAH
SHISHIR
610 S MELROSE DR
VISTA
(760) 941-9000
13461
128744
SHI
ANDREW
VISTA
(760) 940-8811
6, 7, 26
109263
126897
VASQUEZ
DAVID
1000 VALE TERRACE
VISTA
(760) 631-5000
6, 26
San Francisco
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
ALLA ALPERIN, DDS, INC
11582
34046
ALPERIN
ALLA
3026 GEARY BLVD
SAN FRANCISCO
(415) 831-1999
6, 23
MOHSEN M ANSARI, DMD & ASSOCIATES
149462
106310
ANSARI
MOHSEN
450 SUTTER ST NO. 1225
SAN FRANCISCO
(415) 283-4720
6, 7, 26
MIKHAIL BERDICHEVSKY, DDS, INC
10412
41158
BERDICHEVSKY
MIKHAIL
4444 GEARY BLVD NO. 303
SAN FRANCISCO
(415) 386-5590
6, 23
SAN BRUNO AVE DENTAL GROUP
10426
38504
CHAN
SIU
2817 SAN BRUNO AVE
SAN FRANCISCO
(415) 656-2868
5, 6
RICHARD CHOI
13380
28433
CHOI
RICHARD
724 FILBERT ST
SAN FRANCISCO
(415) 986-1491
6
ALLA ALPERIN, DDS, INC
11582
108302
GITLIN
LENA
3026 GEARY BLVD
SAN FRANCISCO
(415) 831-1999
6, 23
MOHSEN M ANSARI, DMD & ASSOCIATES
149462
155715
HEIDARIAN
SHAHRZAD
450 SUTTER ST NO. 1225
SAN FRANCISCO
(415) 283-4720
6, 7, 26
MIKHAIL BERDICHEVSKY, DDS, INC
10412
46612
IZRAYLEVICH
NINA
4444 GEARY BLVD NO. 303
SAN FRANCISCO
(415) 386-5590
6, 23
SAMSON LEE
15774
44729
LEE
SAMSON
5301 MISSION ST NO. A
SAN FRANCISCO
(415) 333-0106
5, 6, 26
LIU PETER H
100199
100566
LIU
PETER
490 POST ST NO. 1252
SAN FRANCISCO
(415) 392-2020
5, 6, 16, 18
CHAD LYEW, DDS, INC
120715
123940
LYEW
CHAD
3911 ALEMANY BLVD NO. 1002
SAN FRANCISCO
(650) 997-3317
6, 18, 26, 27, 30
Page 82
Provider Directory
San Francisco
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
JANITA MACH
114430
116859
MACH
JANITA
3641 SACRAMENTO ST NO. F
SAN FRANCISCO
(415) 931-8328
Languages
4, 6, 16, 30
TEODOR A MANAOIS
112481
110643
MANAOIS
TEODOR
595 BUCKINGHAM WAY NO. 525
SAN FRANCISCO
(415) 682-8014
6
6, 23, 26
ALLLEGRO DENTAL GROUP
110009
111944
MOROZOVA
YULIYA
4585 MISSION STREET
SAN FRANCISCO
(415) 584-8500
APOLINAR D RELOS, INC
10433
25617
RELOS
APOLINAR (PAUL)
2460 MISSION ST NO. 202
SAN FRANCISCO
(415) 821-2332
6, 26, 27
ALLLEGRO DENTAL GROUP
110009
101313
ROYTMAN
EUGENE
4585 MISSION STREET
SAN FRANCISCO
(415) 584-8500
6, 23, 26
NENITA E SANIDAD
10435
38595
SANIDAD
NENITA
2588 MISSION ST NO. 214
SAN FRANCISCO
(415) 826-8425
6, 26, 27
JOHN W SCHULZ, DDS, INC
17872
98651
SCHULZ
JOHN
595 BUCKINGHAM WAY 331
SAN FRANCISCO
(415) 731-4058
4, 6, 16, 23, 26
SAN BRUNO AVE DENTAL GROUP
10426
37744
TIN
JUSTIN
2817 SAN BRUNO AVE
SAN FRANCISCO
(415) 656-2868
5, 6
YULY VILDERMAN, PROFESSIONAL DENTAL CORPORATION 10421
41689
VILDERMAN
YULY
2233 POST ST NO. 102
SAN FRANCISCO
(415) 567-2900
5, 6, 23, 26
DAVIE D WEI
99602
WEI
DAVIE
2041 POLK ST NO. F
SAN FRANCISCO
(415) 776-9567
4, 16, 18
16051
San Joaquin
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
MARYSOL B REALON, DDS, APC
148203
154094
REALON
MARYSOL
259 E LOUISE AVE
LATHROP
(209) 629-8573
6, 12, 27
LODI DENTAL GROUP
120915
39643
HAKIMI
SOHAIL
531 W KETTLEMAN LN
LODI
(209) 366-1850
6, 26, 31
STADIUM DENTAL GROUP
148385
28963
NAKAKI
ROBERT
2288 DANIELS ST
MANTECA
(209) 456-5610
6, 26
STADIUM DENTAL GROUP
148385
124421
NGUYEN
HUY
2288 DANIELS ST
MANTECA
(209) 456-5610
6, 26
10098
37620
ABBASZADEH
REZA
902 E HAMMER LN
STOCKTON
(209) 957-9500
1, 6, 7, 23, 26, 27
10098
120837
ANG
VEROME
902 E HAMMER LN
STOCKTON
(209) 957-9500
1, 6, 7, 23, 26, 27
AARON REEVES, DMD AND PATRICK CREEVEN, DDS, INC
123987
101611
ATIENZA
ANNABELLE
3485 BROOKSIDE RD NO. 101
STOCKTON
(209) 957-4386
6
14120
113961
BERGER
IVAN
5756 PACIFIC AVE NO. 75
STOCKTON
(209) 472-1765
6, 7, 26, 30
14120
117773
BRAR
AMANDEEP
STOCKTON
(209) 472-1765
6, 7, 26, 30
123987
119753
CERVANTES
ANDREA
STOCKTON
(209) 957-4386
6
STAR DENTAL PRACTICE
151535
128565
CHEN
JAMES
8626 LOWER SACREMENTO RD NO. 37B
STOCKTON
(209) 951-8088
5, 6, 10, 26
CHILDREN'S DENTAL SURGERY CENTER
151485
156377
CHO
SUNG
1523 E MARCH LN NO. A
STOCKTON
(209) 952-9000
6, 26
151485
169243
DANG
CHERI
STOCKTON
(209) 952-9000
6, 26
14120
120008
DHILLION
SONIA
STOCKTON
(209) 472-1765
6, 7, 26, 30
10098
125930
DIONISIO
MARIA
902 E HAMMER LN
STOCKTON
(209) 957-9500
1, 6, 7, 23, 26, 27
10098
43395
EBRAHIM
SHAFIEHA
902 E HAMMER LN
STOCKTON
(209) 957-9500
1, 6, 7, 23, 26, 27
123987
121846
FONG
KIMBERLY
STOCKTON
(209) 957-4386
6
123987
120967
FRENCH
MICHAEL
STOCKTON
(209) 957-4386
6
151485
35612
GOULD
ROXANNE
STOCKTON
(209) 952-9000
6, 26
14120
156344
HA
TOM
STOCKTON
(209) 472-1765
6, 7, 26, 30
S CALIFORNIA DENTAL PRATICE
150651
116437
HU
WEI
40 S CALIFORNIA ST
STOCKTON
(209) 941-0814
5, 6, 10, 11, 26
14120
129365
IJO
ESTHER
STOCKTON
(209) 472-1765
6, 7, 26, 30
123987
127429
JUAREZ
JOSE
STOCKTON
(209) 957-4386
6
14120
158819
KAUR
BIPINJIT
STOCKTON
(209) 472-1765
6, 7, 26, 30
14120
166057
KHOURY
SAM
STOCKTON
(209) 472-1765
6, 7, 26, 30
14120
156943
LAU
LAWRENCE
STOCKTON
(209) 472-1765
6, 7, 26, 30
14120
46870
LIN
GEORGE
STOCKTON
(209) 472-1765
6, 7, 26, 30
Page 83
Provider Directory
San Joaquin
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
123987
158694
NAKAMURA
DARIN
STOCKTON
(209) 957-4386
Languages
6
KEVIN THANG PHAM, DDS, PC
160961
114190
PHAM
KEVIN
3322 E HAMMER LN NO. H
STOCKTON
(209) 475-0869
3, 6, 15, 26, 30
123987
100953
REEVES
AARON
STOCKTON
(209) 957-4386
6
151485
107519
SPENCER
RICHARD
STOCKTON
(209) 952-9000
6, 26
10098
155798
TASSARA
GIANCARLO
902 E HAMMER LN
STOCKTON
(209) 957-9500
1, 6, 7, 23, 26, 27
151485
41582
VAHAKEN
ARSLANIAN
STOCKTON
(209) 952-9000
6, 26
102997
113961
BERGER
IVAN
2990 W GRANT LINE RD
TRACY
(209) 830-7797
6, 7, 26, 30
TRACY DENTAL
114502
158434
BISHT
RASHMI
2135 TRACY BLVD
TRACY
(209) 836-4950
5, 6, 26
TRACY DENTAL
114502
100387
CUENCA
ERICK
2135 TRACY BLVD
TRACY
(209) 836-4950
5, 6, 26
GRANTLINE DENTAL
149000
154911
GILL
DAMANJIT
2242 W GRANTLINE RD NO. 102
TRACY
(209) 832-2525
6, 18, 26
102997
156344
HA
TOM
TRACY
(209) 830-7797
6, 7, 26, 30
TRACY DENTAL
114502
165701
HO
THANH
2135 TRACY BLVD
TRACY
(209) 836-4950
5, 6, 26
102997
166057
KHOURY
SAM
TRACY
(209) 830-7797
6, 7, 26, 30
102997
115114
KIRAN
VIJAYA
TRACY
(209) 830-7797
6, 7, 26, 30
102997
156943
LAU
LAWRENCE
TRACY
(209) 830-7797
6, 7, 26, 30
102997
46870
LIN
GEORGE
TRACY
(209) 830-7797
6, 7, 26, 30
San Luis Obispo
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
RANDALL G. RODMAN, DDS
14991
25619
RODMAN
RANDALL
200 SOUTH 13TH STREET NO. 109
GROVER BEACH
(805) 481-4353
6
C DAVID KRILL, DDS, INC
111236
100831
KRILL
CHARLES
1920 CRESTON RD NO. B
PASO ROBLES
(805) 239-2146
6, 26
RICUCCIO NEGOM
170068
128971
NEGOM
RICUCCIO
735 TANK FARM RD
SAN LUIS OBISPO
(999) 999-9999
6
San Mateo
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
BELMONT DENTAL
122117
100387
CUENCA
ERICK
570 MASONIC WAY
BELMONT
(650) 593-5110
6, 26
BELMONT DENTAL
122117
154426
MAYELZADEH
BEHZAD
570 MASONIC WAY
BELMONT
(650) 593-5110
6, 26
BELMONT DENTAL
122117
121416
SOOD
SARIKA
570 MASONIC WAY
BELMONT
(650) 593-5110
6, 26
BROADMOOR FAMILY DENTISTRY
15792
37087
CALIP
RENATO
2386 JUNIPERO SERRA BLVD
DALY CITY
(650) 994-3836
6
BROADMOOR FAMILY DENTISTRY
15792
112726
PUNO
MARY
2386 JUNIPERO SERRA BLVD
DALY CITY
(650) 994-3836
6
SARKHOSH DENTAL CORP
115540
118158
SARKOSH
KOUROSH
888 OAK GROVE AVE NO. 6
MENLO PARK
(650) 327-8081
6, 26
CATURAY DENTAL GROUP
11647
39609
CATURAY
PEDRO
1301 BROADWAY AVE NO. 7
MILLBRAE
(650) 589-3667
6, 26, 27
MILLENNIUM DENTAL CORPORATION
150786
125614
ALVIZAR
ROCIO
1375 BROADWAY ST
REDWOOD CITY
(650) 364-4566
6, 14, 26
150786
100067
CHICCHON
RAMON
1375 BROADWAY ST
REDWOOD CITY
(650) 364-4566
6, 14, 26
BIRCH DENTAL GROUP
152428
109348
FONG
CLARK
155 BIRCH ST NO. 5
REDWOOD CITY
(650) 366-0552
6
150786
100129
RODRIGUEZ
LITA
1375 BROADWAY ST
REDWOOD CITY
(650) 364-4566
6, 14, 26
Page 84
Provider Directory
San Mateo
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
DR DIPTY PARIKH
151340
156403
PARIKH
DIPTY
1512 SAN CARLOS AVE
SAN CARLOS
(650) 376-1838
6, 10
HENRY O DEE, DMD, INC
13346
33274
DEE
HENRY
327 N SAN MATEO DR NO. 1
SAN MATEO
(650) 343-8780
6, 26, 27
NORTHWOOD DENTAL CARE
13778
44133
ABRERA-JUNIER
ALMA
125 NORTHWOOD DR NO. A
SOUTH SAN
FRANCISCO
(650) 827-9746
6, 12, 18, 26, 27
WINSTON MANOR DENTAL OFFICE
15333
44204
LALUCES
FERDINAND
101 HICKEY BLVD NO. C
SOUTH SAN
FRANCISCO
(650) 991-4848
6, 27
Languages
Santa Barbara
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
13184
28838
ZAK
BORIS
5168 HOLLISTER AVE
SANTA BARBARA
(805) 683-5300
6, 7, 23, 26
13184
38238
ZAK
ILYA
5168 HOLLISTER AVE
SANTA BARBARA
(805) 683-5300
6, 7, 23, 26
COAST DENTAL PRACTICE
117394
38024
ANTAKI
GHASSAN
1304 S MILLER ST
SANTA MARIA
(805) 352-1188
1, 6, 8, 26
FRIENDLY SMILES DENTAL GROUP
118192
42274
BARRERA
ROGELIO
2528 S BROADWAY NO. C
SANTA MARIA
(805) 928-6776
2, 6, 7, 18
118192
123576
ENTRENA
BLANCA
SANTA MARIA
(805) 928-6776
2, 6, 7, 18
118192
120979
KARAPETIAN
HAMLET
SANTA MARIA
(805) 928-6776
2, 6, 7, 18
118192
124942
ZHANG
DING
SANTA MARIA
(805) 928-6776
2, 6, 7, 18
Languages
Santa Clara
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
MADHVI B DESAI
13629
28536
DESAI
MADHVI
40 N PARK VICTORIA DR NO. D
MILPITAS
(408) 263-0371
6, 18
MINH DANG DENTAL CORPORATION
15527
46175
DANG
MINH
15870 MONTEREY RD
MORGAN HILL
(408) 778-6684
6, 26, 30
RAVENSWOOD FAMILY DENTISTRY
164618
128838
YOON
SARAH
1807 BAY RD
PALO ALTO
(650) 289-7700
6, 10, 18, 26
100638
113961
BERGER
IVAN
5130 STEVENS CREEK BLVD
SAN JOSE
(408) 557-9830
6, 7, 26, 30
SAN JOSE DENTAL
122118
158434
BISHT
RASHMI
2930 ABORN SQUARE RD
SAN JOSE
(408) 238-1853
6, 26, 27, 30
ONE STOP DENTAL
149503
155557
CHEN
PETER
1155 S KING RD
SAN JOSE
(408) 928-5678
5, 6, 26, 30
SAN JOSE DENTAL
122118
100387
CUENCA
ERICK
SAN JOSE
(408) 238-1853
6, 26, 27, 30
STORY DENTAL HEALTH CENTER, INC
101574
119461
DAMIAN
JOCELYN
2454 STORY RD
SAN JOSE
(408) 272-0888
6, 10, 22, 26, 27,
31
NINH ANH DAO, DDS, INC
149545
121855
DAO
NINH
2830 S WHITE RD
SAN JOSE
(408) 238-0212
4, 6, 26, 30
100638
128652
DORLIKAR
UJJWALA
SAN JOSE
(408) 557-9830
6, 7, 26, 30
WILLIAM J FAT
103047
103990
FAT
WILLIAM
2664 BERRYESSA RD NO. 207
SAN JOSE
(408) 926-4422
6
VALLEY FAIR FAMILY DENTISTRY, INC
118005
121015
GHAZANFARI
SEYEDEH
373 S MONROE ST NO. 102
SAN JOSE
(408) 260-8844
6, 7, 18, 26
100638
116417
HUYNH
LOC
SAN JOSE
(408) 557-9830
6, 7, 26, 30
STORY DENTAL HEALTH CENTER, INC
101574
102186
JAIN
DEEPIKA
2454 STORY RD
SAN JOSE
(408) 272-0888
6, 10, 22, 26, 27,
31
SILICON DENTAL
117479
120362
KAHLON
SATBIR
2060 ABORN RD NO. 210
SAN JOSE
(408) 238-5500
6, 10, 18, 26
SAN JOSE DENTAL
122118
156414
KAREHALLIRAJU
ANUPAMA
SAN JOSE
(408) 238-1853
6, 26, 27, 30
Page 85
Provider Directory
Santa Clara
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
100638
166057
KHOURY
SAM
SAN JOSE
(408) 557-9830
6, 7, 26, 30
100638
165713
KIM
HOUN
SAN JOSE
(408) 557-9830
6, 7, 26, 30
ONE STOP DENTAL
149503
106612
LE
MAI
1155 S KING RD
SAN JOSE
(408) 928-5678
5, 6, 26, 30
SANDY DENTAL PC
14050
110369
LE
TIFFANI
1672 MCKEE RD
SAN JOSE
(408) 272-3999
6, 26, 30
VAN T D LE
10324
33318
LE
VAN
1569 LEXANN AVE NO. 102
SAN JOSE
(408) 223-0104
6, 30
100638
121925
MALEK
PEDRAM
SAN JOSE
(408) 557-9830
6, 7, 26, 30
100638
128057
MITBAVKAR
RITA
SAN JOSE
(408) 557-9830
6, 7, 26, 30
GURDIP NARULA DENTAL CORPORATION
10359
42192
NARULA
GURDIP
2850 QUIMBY RD NO.145
SAN JOSE
(408) 274-5000
6, 10, 18, 26, 30,
31
GURDIP NARULA DENTAL CORPORATION
10359
110422
NARULA
RAJINDER
2850 QUIMBY RD NO.145
SAN JOSE
(408) 274-5000
6, 10, 18, 26, 30,
31
STEVE PHUC TRINH, DDS, INC
12366
113868
NGUYEN
ELIZABETH
478 E SANTA CLARA ST NO. 103
SAN JOSE
(408) 280-7070
6, 26, 30
IMAGE DENTAL
16856
100159
NGUYEN
HA
2493 ALVIN AVE
SAN JOSE
(408) 223-0988
6, 26, 30
ZARNI DENTAL
157846
115348
NGUYEN
HUONG
266 N JACKSON AVE NO. 3
SAN JOSE
(408) 258-2207
6, 26, 30
100638
158455
NGUYEN
HUY
SAN JOSE
(408) 557-9830
6, 7, 26, 30
PHUC VAN NGUYEN
13874
30274
NGUYEN
PHUC
650 E SANTA CLARA ST
SAN JOSE
(408) 288-9033
6, 8, 30
SANDY DENTAL PC
14050
110370
NGUYEN
TRACY
1672 MCKEE RD
SAN JOSE
(408) 272-3999
6, 26, 30
JACKSON FAMILY DENTAL
10395
38109
PARHIZKARI
ALIREZA
2324 MONTPELIER DR NO. 3
SAN JOSE
(408) 937-5950
6, 7, 10, 18
NGOC LY PHAM, DDS
15781
44759
PHAM
NGOC
648 E SANTA CLARA ST
SAN JOSE
(408) 287-0913
6
SANDY DENTAL PC
14050
110371
PHAN
HAI
1672 MCKEE RD
SAN JOSE
(408) 272-3999
6, 26, 30
JOEL M SANTOS
10340
38596
SANTOS
JOEL
200 N JACKSON AVE NO. D
SAN JOSE
(408) 254-7491
6, 27
BERRYESSA DENTAL, SPA
150866
156926
SHETTY
ASHMITA
2664 BERRYESSA RD NO. 104
SAN JOSE
(408) 254-1760
6, 10, 18, 27
100638
177768
SHIVANNA
SOUMYA
SAN JOSE
(408) 557-9830
6, 7, 26, 30
100638
164713
SINGH
SHAILAJA
SAN JOSE
(408) 557-9830
6, 7, 26, 30
SANDY DENTAL PC
14050
39846
TRAN
KHIET
1672 MCKEE RD
SAN JOSE
(408) 272-3999
6, 26, 30
STEVE PHUC TRINH, DDS, INC
12366
41687
TRINH
STEVE
478 E SANTA CLARA ST NO. 103
SAN JOSE
(408) 280-7070
6, 26, 30
LEXANN DENTAL CORP
148876
118039
VAN
HUAN
SAN JOSE
(408) 270-4211
6, 26, 30
VAN T D LE
10324
31993
VU
MUU
SAN JOSE
(408) 223-0104
6, 30
MUU G VU
10392
31993
VU
MUU
2340 MCKEE RD NO. 3
SAN JOSE
(408) 923-6400
6, 26, 30
NORTH EAST MEDICAL SERVICES
165722
173950
YU
HELEN
1715 LUNDY AVE NO. 108-116
SAN JOSE
(408) 573-9686
4, 6, 16, 30
THE DENTAL CONNECTION
103084
104024
ZOURBAKHSH
REZA
5710 CAHALAN AVE NO. 4
SAN JOSE
(408) 972-2100
6, 7, 26
VERGINIA K TCHAGE
112183
128316
LAZAROV
VENTSISLAV
SANTA CLARA
(408) 247-3740
6, 18, 23, 26
PLEASANT DENTAL
150287
123671
LOTFI
MEHRNEGAR
SANTA CLARA
(408) 345-9191
6, 7, 26
JACKSON FAMILY DENTAL
108658
38109
PARHIZKARI
ALIREZA
1659 SCOTT BLVD NO. 4
SANTA CLARA
(408) 937-5950
6, 7, 26
VERGINIA K TCHAGE
112183
47190
TCHAGA
VERGINIA
SANTA CLARA
(408) 247-3740
6, 18, 23, 26
LORA H COSTA, DDS, INC
148917
126233
COSTA
LORA
1286 KIFER RD NO. 110
SUNNYVALE
(408) 774-1200
6, 7, 26, 27, 30
NORMA E DEATO DMD
102866
103800
DEATO
NORMA
990 W FREMON AVE NO. G
SUNNYVALE
(408) 737-2440
6, 27
NAVJYOT PANJRATH
149951
125093
PANJRATH
NAVJYOT
689 E REMINGTON DR NO. A
SUNNYVALE
(408) 739-6520
6, 10, 18, 26
Page 86
Provider Directory
Santa Cruz
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
JESSE A HALBLEIB, A DENTAL CORP
106096
107627
HALBLEIB
JESSE
4450 CAPITOLA RD NO. 102
CAPITOLA
(831) 462-1612
6
DEEPAK K. SACHDEV DDS INC
10386
41534
SACHDEV
DEEPAK
122 THICKET LN
FREEDOM
(831) 724-6000
6, 18, 26
DR. HOLLY ASADI
13964
42117
ASADI
HOLLY
94 MARIPOSA AVE
WATSONVILLE
(831) 722-4292
6
SALUD PARA LA GENTE, INC
15545
105243
BALUYUT
DENNIS
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
CLINICA DEL VALLE DEL PAJARO
151750
105243
BALUYUT
DENNIS
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
115774
DIAZ CHRISTIANS
LAURA
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
115774
DIAZ CHRISTIANS
LAURA
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
108603
FERLITO
HUGO
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
108603
FERLITO
HUGO
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
47903
HARO
IRIS
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
47903
HARO
IRIS
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
46819
HARO
JUAN
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
46819
HARO
JUAN
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
109896
HODGENS
CRISELDA
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
109896
HODGENS
CRISELDA
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
CROSSROADS DENTAL
125486
122611
KRUEGER
DAVID
1951 MAIN ST
WATSONVILLE
(831) 761-9500
6
15545
128467
LANDYAN
CHRISTINA
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
128467
LANDYAN
CHRISTINA
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
151750
155012
LEE
JINA
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
115272
PINTO
ANGEL
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
115272
PINTO
ANGEL
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
154983
SOLIMAN
MACARIO
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
154983
SOLIMAN
MACARIO
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
115266
TRAN
LIEN
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
115266
TRAN
LIEN
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
15545
105367
VIELBIG
PATRICIA
204 E BEACH ST
WATSONVILLE
(831) 763-3413
6, 26
151750
105367
VIELBIG
PATRICIA
45 NIELSON ST
WATSONVILLE
(831) 761-1588
6, 26, 27
Shasta
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
10509
37620
ABBASZADEH
REZA
1667 E HILLTOP DR NO. E
REDDING
(530) 223-5500
Languages
6, 7, 26, 27
10510
37620
ABBASZADEH
REZA
2147 COURT ST
REDDING
(530) 246-4100
1, 6, 7, 8, 10, 18, 19
10509
156297
CARTER
PARVIN
REDDING
(530) 223-5500
6, 7, 26, 27
10509
128801
KAN
IRENE
REDDING
(530) 223-5500
6, 7, 26, 27
10510
117104
MALLARI
HERMES
2147 COURT ST
REDDING
(530) 246-4100
1, 6, 7, 8, 10, 18, 19
10509
174274
QUINTANA-CASTRILLON
YVAN
REDDING
(530) 223-5500
6, 7, 26, 27
10510
174274
QUINTANA-CASTRILLON
YVAN
2147 COURT ST
REDDING
(530) 246-4100
1, 6, 7, 8, 10, 18, 19
10509
156851
RAMLEY
STANLEY
REDDING
(530) 223-5500
6, 7, 26, 27
Page 87
Provider Directory
Solano
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
10806
37620
ABBASZADEH
REZA
1600 TRAVIS BLVD
FAIRFIELD
(707) 429-4000
Languages
6, 26, 27
11571
113961
BERGER
IVAN
1955 W TEXAS ST NO. 12
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
6, 26, 27
10806
177043
BHANDARI
ARTI
1600 TRAVIS BLVD
FAIRFIELD
(707) 429-4000
DENTAL HEALTH CARE
10807
39609
CATURAY
PEDRO
1555 WEBSTER ST NO. B
FAIRFIELD
(707) 435-1906
6, 26, 27
TRI-CITY DENTAL SERVICES, INC
11680
26375
DEOCAMPO
VICENTE
634-A WEBSTER ST
FAIRFIELD
(707) 399-8569
6, 26, 27
10806
173135
FLORES LAVENANT
CARLOS
1600 TRAVIS BLVD
FAIRFIELD
(707) 429-4000
6, 26, 27
11571
166057
KHOURY
SAM
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
11571
116657
MADHURE
VEENA
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
11571
103635
MANTENA
USHA
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
11571
112902
NGUYEN
AN
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
11571
158455
NGUYEN
HUY
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
11571
98913
QUOCK
STANLEY
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
RICHARD P RAMOS, DMD, INC
122564
110711
RAMOS
RICHARD
3075 TRAVIS BLVD
FAIRFIELD
(707) 435-9004
6
11571
114838
TAN
MARISTELA
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
PARADISE VALLEY DENTAL STUDIO
126277
120943
TAN
QUINCY
3332 N TEXAS ST NO. A
FAIRFIELD
(707) 421-8400
5, 6, 13, 27, 30
5, 6, 13, 27, 30
PARADISE VALLEY DENTAL STUDIO
126277
123075
THAI
MAGGIE
3332 N TEXAS ST NO. A
FAIRFIELD
(707) 421-8400
11571
121468
TSOUZMER
POLINA
FAIRFIELD
(707) 428-5400
6, 7, 26, 30
ALAMO FAMILY DENTAL
164771
25680
BYRAM
CHARLES
3000 ALAMO DR NO. 203
VACAVILLE
(707) 454-3888
5, 6, 7, 13, 26
VACAVILLE DENTAL ASSOC
121970
122586
ELAHIYOUN
ELHAM
412 CERNON ST NO. A
VACAVILLE
(707) 452-0445
6, 7, 18, 26
ALAMO FAMILY DENTAL
164771
113185
MOHEB
ALIREZA
3000 ALAMO DR NO. 203
VACAVILLE
(707) 454-3888
5, 6, 7, 13, 26
10819
37620
ABBASZADEH
REZA
3400 SONOMA BLVD
VALLEJO
(707) 554-4000
6, 7, 26, 27
BAYSIDE DENTAL
15269
47685
ARYANPOUR
REZA
2121 REDWOOD ST NO. A
VALLEJO
(707) 644-7600
6
103096
113961
BERGER
IVAN
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
10819
177043
BHANDARI
ARTI
3400 SONOMA BLVD
VALLEJO
(707) 554-4000
6, 7, 26, 27
NAZILA T EDALATI
113739
114384
EDALATI
BAHMAN
475 REDWOOD ST NO. 30
VALLEJO
(707) 643-1714
1, 6, 7, 13, 20, 26
NAZILA T EDALATI
113739
45852
EDALATI
NAZILA
475 REDWOOD ST NO. 30
VALLEJO
(707) 643-1714
1, 6, 7, 13, 20, 26
103096
120465
FARHANG-AZAD
LEILA
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
154622
HARIKA
JASPREET
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
166057
KHOURY
SAM
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
6, 26, 27
TRI-CITY DENTAL VALLEJO
125490
123644
LEDDA
M ALEGRIA
3630 SONOMA BLVD
VALLEJO
(707) 643-1987
103096
116657
MADHURE
VEENA
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
155547
MAHMOUDI
AZARMIDOKHT
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
103635
MANTENA
USHA
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
129145
NACPIL-ALVAREZ
MARIA
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
112902
NGUYEN
AN
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
158455
NGUYEN
HUY
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
103096
98913
QUOCK
STANLEY
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
10819
171314
RASTAKHIZ
RAMTIN
3400 SONOMA BLVD
VALLEJO
(707) 554-4000
6, 7, 26, 27
103096
114838
TAN
MARISTELA
133 PLAZA DR
VALLEJO
(707) 557-6245
7, 26, 30
Page 88
Provider Directory
Sonoma
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
PETALUMA FAMILY DENTAL CARE
148514
39643
HAKIMI
SOHAIL
35 MARIA DR NO. 854
PETALUMA
(707) 763-3203
Languages
6, 23
PETALUMA FAMILY DENTAL CARE
148514
127260
KLIMUSHKIN
ALEXANDER
35 MARIA DR NO. 854
PETALUMA
(707) 763-3203
6, 23
ROHNERT PARK DENTAL
10823
43751
AMADOR
GERARDO
5755 REDWOOD DR
ROHNERT PARK
(707) 584-1000
6, 25, 26
DUNG NGOU HUYNH, DDS, INC
122780
126233
COSTA
LORA
1331 MEDICAL CTR DR NO. H
ROHNERT PARK
(707) 585-8599
6, 7, 26, 27, 30
ROHNERT PARK DENTAL
10823
100387
CUENCA
ERICK
5755 REDWOOD DR
ROHNERT PARK
(707) 584-1000
6, 25, 26
ROHNERT PARK DENTAL
10823
154426
MAYELZADEH
BEHZAD
5755 REDWOOD DR
ROHNERT PARK
(707) 584-1000
6, 25, 26
ROHNERT PARK DENTAL
10823
31882
WENDELL
FORREST
5755 REDWOOD DR
ROHNERT PARK
(707) 584-1000
6, 25, 26
118630
37620
ABBASZADEH
REZA
1144 SONOMA AVE NO. 108
SANTA ROSA
(707) 523-2399
6, 26
118630
158393
ARRECHEA
RAUL
SANTA ROSA
(707) 523-2399
6, 26
11577
113961
BERGER
IVAN
140 STONY POINT RD NO. A
SANTA ROSA
(707) 578-3118
6, 26, 30
118630
127711
CACERES-URRUTIA
FERNANDO
SANTA ROSA
(707) 523-2399
6, 26
11577
117561
FAN
YUNFEI
SANTA ROSA
(707) 578-3118
6, 26, 30
11577
19085
HAWKINS
WILLIAM
SANTA ROSA
(707) 578-3118
6, 26, 30
11577
166057
KHOURY
SAM
SANTA ROSA
(707) 578-3118
6, 26, 30
11577
171269
MORGAN
KAI
SANTA ROSA
(707) 578-3118
6, 26, 30
PLAZA DENTAL
124194
108727
NEEDHAM
ANTHONY
1017 SANTA ROSA PLAZA
SANTA ROSA
(707) 575-7240
5, 6, 26
11577
112902
NGUYEN
AN
SANTA ROSA
(707) 578-3118
6, 26, 30
11577
98913
QUOCK
STANLEY
SANTA ROSA
(707) 578-3118
6, 26, 30
118630
124319
VASQUEZ-GARCIA
JORGE
SANTA ROSA
(707) 523-2399
6, 26
PLAZA DENTAL
124194
154954
ZHU
JIAHUA
1017 SANTA ROSA PLAZA
SANTA ROSA
(707) 575-7240
5, 6, 26
Languages
Stanislaus
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
10044
37620
ABBASZADEH
REZA
2605 COFFEE RD. NO. 200
MODESTO
(209) 521-0100
6, 7, 26
10050
37620
ABBASZADEH
REZA
1440 E HATCH RD NO. 102
MODESTO
(209) 531-2000
6, 10, 26, 27, 31
10044
120837
ANG
VEROME
MODESTO
(209) 521-0100
6, 7, 26
10050
120837
ANG
VEROME
MODESTO
(209) 531-2000
6, 10, 26, 27, 31
101153
113961
BERGER
IVAN
2900 STANDIFORD AVE NO. 2
MODESTO
(209) 577-5008
1, 6, 7, 9, 26, 30
COFFEE FAMILY DENTAL
115416
112196
BRAR
RICKY
1130 COFFEE RD NO. 1A
MODESTO
(209) 523-5991
6, 10, 18
LAKEVIEW DENTAL
14014
43915
CHEN
LINDA
4101 TULLY RD NO. 601
MODESTO
(209) 550-0522
5, 6
MODESTO DENTAL
125169
100387
CUENCA
ERICK
2225 PLAZA PKWY NO. P1
MODESTO
(209) 576-8181
6, 26
10050
115678
FLORENDO
EFRAIM
MODESTO
(209) 531-2000
6, 10, 26, 27, 31
10050
174759
GUERRA
MIGUEL
MODESTO
(209) 531-2000
6, 10, 26, 27, 31
101153
48282
HAMZA
SAMER
MODESTO
(209) 577-5008
1, 6, 7, 9, 26, 30
101153
166057
KHOURY
SAM
MODESTO
(209) 577-5008
1, 6, 7, 9, 26, 30
6, 7, 26
10044
45483
LAPARRA
FREDDY
MODESTO
(209) 521-0100
101153
116657
MADHURE
VEENA
MODESTO
(209) 577-5008
1, 6, 7, 9, 26, 30
10044
173136
MOMANI
AHMAD IBRAHIM
MODESTO
(209) 521-0100
6, 7, 26
Page 89
Provider Directory
Stanislaus
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
101153
127982
OWAIS
ZAIDOON
MODESTO
(209) 577-5008
Languages
1, 6, 7, 9, 26, 30
MODESTO DENTAL
125169
171424
PARK
DAVID
MODESTO
(209) 576-8181
6, 26
5, 6
LAKEVIEW DENTAL
14014
103625
PATEL
NIRALI
4101 TULLY RD NO. 601
MODESTO
(209) 550-0522
MODESTO DENTAL
125169
34892
REED
DUFF
MODESTO
(209) 576-8181
6, 26
SALIDA SURGERY CENTER
117068
112186
DESAI
SATYEN
5712 PIRRONE RD
SALIDA
(209) 543-9299
6, 10, 26
117068
123013
NASSIRI
RAMTIN
5712 PIRRONE RD
SALIDA
(209) 543-9299
6, 10, 26
SALIDA DENTAL GROUP
152301
120884
PARK
DAVID
5708 PIRRONE RD
SALIDA
(209) 543-3888
6, 14, 26
117068
110950
PATEL
PANKAJ
5712 PIRRONE RD
SALIDA
(209) 543-9299
6, 10, 26
117068
40705
PATEL
SHAILESH
5712 PIRRONE RD
SALIDA
(209) 543-9299
6, 10, 26
117068
29423
POPE
BRUCE
5712 PIRRONE RD
SALIDA
(209) 543-9299
6, 10, 26
HEALTHY SMILE DENTAL
118676
112196
BRAR
RICKY
241 N PALM ST
TURLOCK
(209) 668-9300
6, 10, 18
CENTRAL DENTAL GROUP
104173
105286
DO
MATTHEW
2211 FULKERTH RD
TURLOCK
(209) 668-2220
6
CENTRAL DENTAL GROUP
104173
101781
LEE
JOHN
2211 FULKERTH RD
TURLOCK
(209) 668-2220
6
Languages
Sutter
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
10524
37620
ABBASZADEH
REZA
940 COLUSA AVE NO. A
YUBA CITY
(530) 755-9900
6, 10, 26, 31
10524
107876
BATH
SARWANDEEP
YUBA CITY
(530) 755-9900
6, 10, 26, 31
10524
127711
CACERES-URRUTIA
FERNANDO
YUBA CITY
(530) 755-9900
6, 10, 26, 31
10524
175034
CARRILLO
JESSICA
YUBA CITY
(530) 755-9900
6, 10, 26, 31
10524
156591
GREWAL
PRABHDEEP
YUBA CITY
(530) 755-9900
6, 10, 26, 31
10524
121490
MARQUEZ
MONICA
YUBA CITY
(530) 755-9900
6, 10, 26, 31
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
MICHAEL E LOEFFLER, DDS, APC
13970
36097
LOEFFLER
MICHAEL
231 S MIRAGE AVE
LINDSAY
(559) 562-2226
6, 26
FAMILY HEALTH CARE NETWORK
123368
112396
BORLAND
KOREN
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
123368
29239
CISNEROS
HENRY
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
AMERICARE DENTAL GROUP
15814
104037
GATES
RONALD
131 E MILL AVE
PORTERVILLE
(559) 781-1122
6
PEOPLE DENTAL
122448
42283
HERNANDEZ
SILVIA
784 N PROSPECT ST
PORTERVILLE
(559) 783-9154
6
RENE HERRERA, DDS, INC
116731
117432
HERRERA
RENE
141 E PUTNAM AVE
PORTERVILLE
(559) 781-2729
26
123368
122073
HSU
MIKE
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
123368
156696
KIM
ENOTH
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
123368
155777
NAVARRO
ISAAC
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
15814
27915
PLUMMER
CLEON
131 E MILL AVE
PORTERVILLE
(559) 781-1122
6
PEOPLE DENTAL
122448
27915
PLUMMER
CLEON
784 N PROSPECT ST
PORTERVILLE
(559) 783-9154
6
Tulare
Page 90
Provider Directory
Tulare
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
123368
122173
RAGHURAMAN
KARTHIK
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
Languages
6
123368
165913
REINA
OSBALDA
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
123368
108424
SANCHEZ
ALMA
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
NICASIO SARABIA
10087
31891
SARABIA
NICASIO
581 W PUTNAM
PORTERVILLE
(559) 782-0298
6, 18, 26
123368
124166
SELVANATHAN
NATALIE
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
123368
128500
SOHN
SUNG
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
123368
116603
TAFALLA
CECILLE
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
15814
43294
TORABI
CAMERON
131 E MILL AVE
PORTERVILLE
(559) 781-1122
6
15814
104038
TORKAMAN
ARSHID
131 E MILL AVE
PORTERVILLE
(559) 781-1122
6
123368
165529
WOOD
CHRISTOPHER
323 W PUTNAM AVE
PORTERVILLE
(559) 784-5465
6
TULARE COMMUNITY HEALTH CLINIC, INC
100155
157711
COELHO
ALETHEA
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
32550
FISHBACK
NIEL
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
48456
GOUDA
MOHAMED
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
158782
IQBAL
AMANDEEP
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
126465
LARKIN
KELLY
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
46296
MEDINA-RANGEL
DIANA
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
46116
NEMAZEE
MASSOUD
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
42771
SEDILLO
KREIGH
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
100155
24197
YAP
STEVEN
1101 N CHERRY ST
TULARE
(559) 686-9097
6, 26
DR BARNES DENTAL ASSOCIATES
120206
157252
ARCHILA
BETTY
2626 S MOONEY BLVD NO. A
VISALIA
(559) 733-1250
6, 26
120206
101632
BARNES
RICHARD
VISALIA
(559) 733-1250
6, 26
VISALIA DENTAL
120580
121066
CHANGIZI
SUSSAN
5344 W CYPRESS AVE NO. 101
VISALIA
(559) 635-4391
6, 26
VISALIA DENTAL
120580
100387
CUENCA
ERICK
VISALIA
(559) 635-4391
6, 26
VISALIA DENTAL
120580
112243
HAONG
LENG
VISALIA
(559) 635-4391
6, 26
SCOTT L HENRIKSEN, DDS, INC
15363
36319
HENRIKSEN
SCOTT
1112 N CHINOWOTH ST
VISALIA
(559) 733-2363
6
120206
125888
LAM
GILBERT
VISALIA
(559) 733-1250
6, 26
VISALIA DENTAL
120580
172116
PHAM
THAO
VISALIA
(559) 635-4391
6, 26
120206
120223
RICKS
CHARLES
VISALIA
(559) 733-1250
6, 26
VISALIA DENTAL
120580
121726
ROSS
ANDREW
VISALIA
(559) 635-4391
6, 26
120206
157251
SALDARRIAGA
JOSE
VISALIA
(559) 733-1250
6, 26
VISALIA DENTAL
120580
117371
SOLANO
ALFREDO
VISALIA
(559) 635-4391
6, 26
VISALIA DENTAL
120580
100449
WHISENHUNT
CHERYL
VISALIA
(559) 635-4391
6, 26
Languages
Ventura
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
HUSTON DENTAL CORPORATION
14010
45709
HUSTON
PATRICK
2380 E LAS POSAS RD NO. A
CAMARILLO
(805) 388-9110
6, 7
14010
122342
LAMBRIDIS
DEAN
CAMARILLO
(805) 388-9110
6, 7
WORKINGS AND LAMBRIDIS DENTAL CORPORATION
123513
122342
LAMBRIDIS
DEAN
4900 VERDUGO WAY SUITE A
CAMARILLO
(805) 484-7277
6
LAS POSAS DENTAL CARE
15651
43633
LIM
TOM
3901 LAS POSAS RD NO. 209
CAMARILLO
(805) 383-6745
5, 6, 16, 26
14010
158109
MAR
GISELLE
CAMARILLO
(805) 388-9110
6, 7
Page 91
Provider Directory
Ventura
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
FARID R SEHATI, DDS, INC
11082
38160
SEHATI
FARID
484 MOBIL AVE NO. 33
CAMARILLO
(805) 482-9568
Languages
6, 7, 26
GINA TORGERSEN, DDS, INC
13522
36204
TORGERSEN
GINA
CAMARILLO
(805) 484-1221
6, 26
GINA TORGERSEN, DDS, INC
13522
36205
TORGERSEN
TRENT
CAMARILLO
(805) 484-1221
6, 26
14010
155141
TRAN
MY
CAMARILLO
(805) 388-9110
6, 7
123513
177909
VILLARREAL
DAVID
CAMARILLO
(805) 484-7277
6
14010
126769
WORKINGS
YUKO
CAMARILLO
(805) 388-9110
6, 7
123513
126769
WORKINGS
YUKO
CAMARILLO
(805) 484-7277
6
CLINICAS DEL CAMINO REAL, INC
14891
112614
ABEDINZADEH
LILA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
176310
ANWAR
LUBNA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
128792
AZADEH
RAMIN
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
109157
BAL
JASPREET
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
157932
DO
ANH
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
154775
KRISHNAN
SHYAM
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
44023
MAKHSUSY
MOJDEH
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
125805
MANOR
SONDRA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
115354
MANTHENA
PADMAJA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
156443
MERAT
SHEILA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
48340
NADAFI
LAURA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
31108
PATIL-HOLT
MANGALA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
30010
RAJPARA
CHETNA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
158404
RASULOVA
NARMINA
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
119471
SADRI
AMIR
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
157717
SIVARAMAKRISHNAN
RANJINI
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
14891
30242
WITKOSKY
GARY
355 CENTRAL AVE
FILLMORE
(805) 524-4926
6, 26
CARE DENTAL
108313
49243
WELIKALA
MANOHARA
55 W LOS ANGELES AVE
MOORPARK
(805) 523-3216
6, 18, 26
MOOREPARK DENTAL GROUP
149209
126769
WORKINGS
YUKO
718 LOS ANGELES AVE NO. 3
MOORPARK
(714) 508-3600
6
126298
112614
ABEDINZADEH
LILA
1000 NEWBURY RD NO. 195
NEWBURY PARK
(805) 498-7291
6, 26
126298
176310
ANWAR
LUBNA
NEWBURY PARK
(805) 498-7291
6, 26
126298
128792
AZADEH
RAMIN
NEWBURY PARK
(805) 498-7291
6, 26
126298
157932
DO
ANH
NEWBURY PARK
(805) 498-7291
6, 26
126298
154775
KRISHNAN
SHYAM
NEWBURY PARK
(805) 498-7291
6, 26
126298
115354
MANTHENA
PADMAJA
NEWBURY PARK
(805) 498-7291
6, 26
126298
156443
MERAT
SHEILA
NEWBURY PARK
(805) 498-7291
6, 26
126298
158404
RASULOVA
NARMINA
NEWBURY PARK
(805) 498-7291
6, 26
126298
157717
SIVARAMAKRISHNAN
RANJINI
NEWBURY PARK
(805) 498-7291
6, 26
GARY WITKOSKY, DDS, A PROFESSINAL DENTAL
CORPORATION
167299
30242
WITKOSKY
GARY
NEWBURY PARK
(805) 657-5707
6, 26
CLINICAS DEL CAMINO REAL INC
14641
112614
ABEDINZADEH
LILA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
112614
ABEDINZADEH
LILA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
112614
ABEDINZADEH
LILA
OXNARD
(805) 436-3444
6, 26
14641
176310
ANWAR
LUBNA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
176310
ANWAR
LUBNA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
176310
ANWAR
LUBNA
OXNARD
(805) 436-3444
6, 26
Page 92
Provider Directory
Ventura
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
DENTAL CARE OF OXNARD
152283
43276
ARAKELIAN
ARTOUR
1350 W GONZALES RD 2ND FL
OXNARD
(805) 988-5888
Languages
2, 6, 7, 26, 27
FREMONT SQUARE FAMILY DENTISTRY
11133
41342
ASAAD
MAHER
712 N VENTURA RD NO. A
OXNARD
(805) 988-4540
1, 6, 26
14641
128792
AZADEH
RAMIN
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
128792
AZADEH
RAMIN
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
6, 26
168748
128792
AZADEH
RAMIN
OXNARD
(805) 436-3444
14641
109157
BAL
JASPREET
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
109157
BAL
JASPREET
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
6, 26
168748
109157
BAL
JASPREET
OXNARD
(805) 436-3444
14641
157932
DO
ANH
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
157932
DO
ANH
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
157932
DO
ANH
OXNARD
(805) 436-3444
6, 26
ISLAND PLAZA DENTAL
106755
44906
KAZEMI
RAY
2500 SAVIERS RD
OXNARD
(805) 486-4896
6, 26, 27
14641
154775
KRISHNAN
SHYAM
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
154775
KRISHNAN
SHYAM
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
154775
KRISHNAN
SHYAM
OXNARD
(805) 436-3444
6, 26
14641
44023
MAKHSUSY
MOJDEH
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
44023
MAKHSUSY
MOJDEH
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
44023
MAKHSUSY
MOJDEH
OXNARD
(805) 436-3444
6, 26
14641
125805
MANOR
SONDRA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
125805
MANOR
SONDRA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
125805
MANOR
SONDRA
OXNARD
(805) 436-3444
6, 26
14641
115354
MANTHENA
PADMAJA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
115354
MANTHENA
PADMAJA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
115354
MANTHENA
PADMAJA
OXNARD
(805) 436-3444
6, 26
14641
156443
MERAT
SHEILA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
156443
MERAT
SHEILA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
156443
MERAT
SHEILA
OXNARD
(805) 436-3444
6, 26
14641
48340
NADAFI
LAURA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
48340
NADAFI
LAURA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
48340
NADAFI
LAURA
OXNARD
(805) 436-3444
6, 26
SOUTH COAST DENTAL CARE
11079
38105
NGUYEN
DINH
3111 S SAVIERS RD
OXNARD
(805) 385-3283
6, 26, 30
14641
31108
PATIL-HOLT
MANGALA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
31108
PATIL-HOLT
MANGALA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
31108
PATIL-HOLT
MANGALA
OXNARD
(805) 436-3444
6, 26
HENRY PEREZ, DDS, APC
11131
31355
PEREZ
HENRY
1701 SOLAR DR NO. 290
OXNARD
(805) 983-6768
6, 26, 27
OXNARD DENTAL GROUP
120466
41984
RABIZADEH
DAVID
2379 N OXNARD BLVD
OXNARD
(805) 278-9499
6, 7, 26
OXNARD DENTAL GROUP
120466
46324
RABIZADEH
SHAWN
2379 N OXNARD BLVD
OXNARD
(805) 278-9499
6, 7, 26
14641
30010
RAJPARA
CHETNA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
30010
RAJPARA
CHETNA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
6, 26
168748
30010
RAJPARA
CHETNA
OXNARD
(805) 436-3444
14641
158404
RASULOVA
NARMINA
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
158404
RASULOVA
NARMINA
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
158404
RASULOVA
NARMINA
OXNARD
(805) 436-3444
6, 26
Page 93
Provider Directory
Ventura

Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
14641
119471
SADRI
AMIR
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
119471
SADRI
AMIR
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
168748
119471
SADRI
AMIR
OXNARD
(805) 436-3444
6, 26
DS DENTAL GROUP
11080
40728
SHABANZADEH
DAVID
1804 SAVIERS RD NO. B
OXNARD
(805) 385-4888
6, 26
RONALD A. SHOEMAKER
11094
38161
SHOEMAKER
RONALD
510 W FIFTH ST
OXNARD
(805) 487-8879
6, 26
14641
157717
SIVARAMAKRISHNAN
RANJINI
650 META STREET
OXNARD
(805) 483-3600
6, 26
104686
157717
SIVARAMAKRISHNAN
RANJINI
4400 OLDS ROAD
OXNARD
(805) 986-5551
6, 7, 26
6, 26
168748
157717
SIVARAMAKRISHNAN
RANJINI
OXNARD
(805) 436-3444
14641
30242
WITKOSKY
GARY
650 META STREET
OXNARD
(805) 483-3600
6, 26
168748
30242
WITKOSKY
GARY
OXNARD
(805) 436-3444
6, 26
JOHN YEKIKIAN
13208
36332
ALMASI
GOURGEN
1687 ERRINGER RD NO. 201
SIMI VALLEY
(805) 527-3534
2, 6, 7, 26
SMILE PLANET DENTAL GROUP
168724
113660
KACH
MICHAEL
2486 ERRINGER RD
SIMI VALLEY
(805) 520-0100
6, 7, 26
SIMI VALLEY SMILES
152466
122342
LAMBRIDIS
DEAN
2650 TAPO CANYON RD NO. 107
SIMI VALLEY
(805) 522-5516
6, 26
FIRST STREET DENTAL GROUP
123532
126652
SETAREH
KATAYOUN
1197 E LOS ANGELES AVE NO. E
SIMI VALLEY
(805) 583-5700
6
SIMI VALLEY SMILES
152466
126652
SETAREH
KATAYOUN
2650 TAPO CANYON RD NO. 107
SIMI VALLEY
(805) 522-5516
6, 26
JOHN YEKIKIAN
13208
31431
YEKIKIAN
JOHN
1687 ERRINGER RD NO. 201
SIMI VALLEY
(805) 527-3534
2, 6, 7, 26
168724
126629
ZARRINNEGAR
GHOLAM-REZA
2486 ERRINGER RD
SIMI VALLEY
(805) 520-0100
6, 7, 26
168724
176501
ZARRINNEGAR
MANSOUREH
2486 ERRINGER RD
SIMI VALLEY
(805) 520-0100
6, 7, 26
BROOK DENTAL
14869
42806
BILECA
HRISTU
1772 E AVENIDA DE LOS ARBOLES NO. G
THOUSAND OAKS
(805) 493-4320
6, 18, 26
LOS ROBLES GENERAL & COSMETIC DENTAL CENTER
12308
40244
HASHEMI
MOJGAN
415 E ROLLING OAKS DR NO. 120
THOUSAND OAKS
(805) 449-9952
6, 7, 26, 30
THOUSAND OAKS DENTAL GROUP
120480
122342
LAMBRIDIS
DEAN
1760 E AVENIDA DE LOS ARBOLES NO. A
THOUSAND OAKS
(805) 493-5200
6
EAST OAKS DENTAL GROUP
123139
122342
LAMBRIDIS
DEAN
593 N MOORPARK RD NO. B
THOUSAND OAKS
(805) 494-5255
6, 18, 26
CONEJO SMILE DENTAL GROUP
112885
48340
NADAFI
LAURA
1736 N MOORPARK RD NO. H
THOUSAND OAKS
(805) 557-0909
6, 7, 26
EAST OAKS DENTAL GROUP
123139
126548
RAMZI
NADER
593 N MOORPARK RD NO. B
THOUSAND OAKS
(805) 494-5255
6, 18, 26
CLINICAS DEL CAMINO REAL
14657
112614
ABEDINZADEH
LILA
200 S WELLS RD NO. 225
VENTURA
(805) 659-0560
6, 14, 26
14657
176310
ANWAR
LUBNA
VENTURA
(805) 659-0560
6, 14, 26
14657
128792
AZADEH
RAMIN
VENTURA
(805) 659-0560
6, 14, 26
14657
109157
BAL
JASPREET
VENTURA
(805) 659-0560
6, 14, 26
14657
157932
DO
ANH
VENTURA
(805) 659-0560
6, 14, 26
DENTAL CORPORATION OF KEITH JOHNSON, DD
123304
37429
JOHNSON
KEITH
4360-C E MAIN ST
VENTURA
(805) 644-6110
6
14657
154775
KRISHNAN
SHYAM
VENTURA
(805) 659-0560
6, 14, 26
PRIME DENTAL GROUP
118394
121455
LEE
JIN-IL
1752 S VICTORIA AVE NO. 200
VENTURA
(805) 644-0600
6, 26
14657
44023
MAKHSUSY
MOJDEH
VENTURA
(805) 659-0560
6, 14, 26
14657
125805
MANOR
SONDRA
VENTURA
(805) 659-0560
6, 14, 26
14657
115354
MANTHENA
PADMAJA
VENTURA
(805) 659-0560
6, 14, 26
14657
156443
MERAT
SHEILA
VENTURA
(805) 659-0560
6, 14, 26
14657
48340
NADAFI
LAURA
VENTURA
(805) 659-0560
6, 14, 26
CALIFORNIA DENTAL CENTER
11105
31354
PATEL
MADHU
4080 LOMA VISTA RD NO. C
VENTURA
(805) 642-5808
6
14657
31108
PATIL-HOLT
MANGALA
VENTURA
(805) 659-0560
6, 14, 26
PACIFIC VIEW DENTAL GROUP
123272
126627
PROUSSAEFS
PERIKLIS
3585 TELEGRAPH RD NO. C D
VENTURA
(805) 676-1611
6, 7, 8, 18, 26
14657
30010
RAJPARA
CHETNA
VENTURA
(805) 659-0560
6, 14, 26
14657
158404
RASULOVA
NARMINA
VENTURA
(805) 659-0560
6, 14, 26
14657
119471
SADRI
AMIR
VENTURA
(805) 659-0560
6, 14, 26
Page 94
Provider Directory
Ventura
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
14657
157717
RANJINI
VENTURA
(805) 659-0560
6, 14, 26
14657
30242
WITKOSKY
GARY
VENTURA
(805) 659-0560
6, 14, 26
SONA GEORGIAN, DDS, INC
123325
126671
GEORGIAN
SONA
32144 AGOURA RD NO. 213
WESTLAKE
VILLAGE
(818) 991-4664
2, 6, 23, 26
SIVARAMAKRISHNAN
Yolo
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
DAVIS COMMUNITY CLINIC
102419
111093
BARRY
2040 SUTTER PL
DAVIS
(530) 757-4667
6, 23, 26
CHANG
102419
103951
GHODDUSI-TABARSI
FARIDEH
2040 SUTTER PL
DAVIS
(530) 757-4667
6, 23, 26
102419
101152
QUIGGLE
DEXTER
2040 SUTTER PL
DAVIS
(530) 757-4667
6, 23, 26
102419
127931
ROMARY
DENNIS
2040 SUTTER PL
DAVIS
(530) 757-4667
6, 23, 26
102419
128743
SU
DENNIS
2040 SUTTER PL
DAVIS
(530) 757-4667
6, 23, 26
102419
114525
WINN
CAROLYN
2040 SUTTER PL
DAVIS
(530) 757-4667
6, 23, 26
ESPARTO DENTAL CLINIC
125630
111093
CHANG
BARRY
16827 FREMONT ST
ESPARTO
(530) 787-4972
6, 7, 26
125630
103951
GHODDUSI-TABARSI
FARIDEH
16827 FREMONT ST
ESPARTO
(530) 787-4972
6, 7, 26
125630
101152
QUIGGLE
DEXTER
16827 FREMONT ST
ESPARTO
(530) 787-4972
6, 7, 26
125630
127931
ROMARY
DENNIS
16827 FREMONT ST
ESPARTO
(530) 787-4972
6, 7, 26
125630
114525
WINN
CAROLYN
16827 FREMONT ST
ESPARTO
(530) 787-4972
6, 7, 26
SALUD CLINIC
125331
111093
CHANG
BARRY
500 B JEFFERSON BLVD NO. 180
WEST
SACRAMENTO
(916) 375-6430
6, 7, 23, 26
ACME DENTAL
11430
41727
FREEMAN
SIDNEY
820 WESTACRE RD
WEST
SACRAMENTO
(916) 371-1500
6, 7, 18, 23, 26
SALUD CLINIC
125331
103951
GHODDUSI-TABARSI
FARIDEH
WEST
SACRAMENTO
(916) 375-6430
6, 7, 23, 26
SOUTH RIVER DENTAL GROUP
151170
117261
GILL
AMARDEEP
2455 JEFFERSON BLVD NO. 130
WEST
SACRAMENTO
(916) 372-8062
6
SOUTH RIVER DENTAL GROUP
151170
124069
HUGHES
WILLIAM
WEST
SACRAMENTO
(916) 372-8062
6
PHUONG LIEN NGO
122722
36183
NGO
PHUONG-LIEN
WEST
SACRAMENTO
(916) 372-7022
6
SALUD CLINIC
125331
101152
QUIGGLE
DEXTER
WEST
SACRAMENTO
(916) 375-6430
6, 7, 23, 26
SALUD CLINIC
125331
127931
ROMARY
DENNIS
WEST
SACRAMENTO
(916) 375-6430
6, 7, 23, 26
SALUD CLINIC
125331
128743
SU
DENNIS
WEST
SACRAMENTO
(916) 375-6430
6, 7, 23, 26
SALUD CLINIC
125331
114525
WINN
CAROLYN
WEST
SACRAMENTO
(916) 375-6430
6, 7, 23, 26
PETERSON CLINIC
109580
111093
CHANG
BARRY
8 N COTTONWOOD ST
WOODLAND
(530) 666-8954
6, 23, 26
COTTONWOOD DENTAL GROUP
125661
114610
CHENG
HONG
520 COTTONWOOD ST NO. 4
WOODLAND
(530) 669-6688
6, 7, 16, 26
PETERSON CLINIC
109580
103951
GHODDUSI-TABARSI
FARIDEH
8 N COTTONWOOD ST
WOODLAND
(530) 666-8954
6, 23, 26
LINCOLN DENTAL CARE
121111
157047
GUTIERREZ
CARLA
WOODLAND
(530) 661-9276
6, 7, 26
LINCOLN DENTAL CARE
121111
98210
NARY
CLARK
WOODLAND
(530) 661-9276
6, 7, 26
Page 95
Provider Directory
Yolo
Office Name
Office#
Prov# Last Name
First Name
Address
City
Phone
Languages
LINCOLN DENTAL CARE
121111
47980
PADRON
LORENZO
WOODLAND
(530) 661-9276
6, 7, 26
PETERSON CLINIC
109580
101152
QUIGGLE
DEXTER
8 N COTTONWOOD ST
WOODLAND
(530) 666-8954
6, 23, 26
PETERSON CLINIC
109580
127931
ROMARY
DENNIS
8 N COTTONWOOD ST
WOODLAND
(530) 666-8954
6, 23, 26
PETERSON CLINIC
109580
128743
SU
DENNIS
8 N COTTONWOOD ST
WOODLAND
(530) 666-8954
6, 23, 26
PETERSON CLINIC
109580
114525
WINN
CAROLYN
8 N COTTONWOOD ST
WOODLAND
(530) 666-8954
6, 23, 26
Language Codes
1
ARABIC
2
ARMENIAN
3
CAMBODIAN
4
CANTONESE
5
CHINESE
6
ENGLISH
7
FARSI
8
FRENCH
9
HEBREW
10
HINDI
11
HMONG
12
ILACANO
13
JAPANESE
14
KOREAN
15
LAO
16
MANDARIN
17
MIEN
18
OTHER
19
OTHER SIGN
20
PHILIPPINO
21
POLISH
22
PORTUGESE
23
RUSSIAN
24
SAMOAN
25
SIGN
26
SPANISH
27
TAGALOG
28
THAI
29
TURKISH
30
VIETNAMESE
31
PUNJABI
Page 96
Premier Access Insurance Company
P.O. Box 659020
Sacramento, CA 95865-9020
AUTHORIZATION TO USE & DISCLOSE HEALTH INFORMATION
Name of Member:
__________________________________________I.D. Number: ________________________
Address of Member: ____________________________________________________________________________
I authorize Premier Access Insurance Company to use and disclose a copy of the specific health and dental
information described below regarding:
For the Purpose of:
Please disclose my dental records for the purpose of: (check one)
Claims Status
Eligibility
Prior Authorizations
All Listed
Name of the Person(s) or Organization(s) to whom you authorize us to use or disclose your information:
Please check all that apply, and list name or organization:
Spouse ______________________ Mother _________________________ Father ____________________ Employer
____________________________________
Dental Provider________________________________ Other
_______________________________________
Expiration Date of Authorization: (For how long do you wish this Authorization to last):
Until issue or claim is resolved
1 year
Until Eligibility terminates
Other _____________________________________________________________________________________
If we are requesting this Authorization from you for our own use and disclosure or to allow another health care provider
or health plan to disclose information to us:
•
•
•
•
We cannot condition our provision of services or treatment to you on the receipt of this signed authorization;
You may inspect a copy of the protected health information to be used or disclosed;
You may refuse to sign this Authorization; and
We must provide you with a copy of the signed authorization.
You have the right to revoke this Authorization at any time, provided that you do so in writing and except to the extent
that we have already used or disclosed the information in reliance on this Authorization.
Unless revoked earlier or otherwise indicated, this Authorization will expire one year from the date of signing or shall
remain in effect for the period reasonably needed to complete the request.
I have reviewed and I understand this Authorization. I also understand that the information used or disclosed pursuant to this
Authorization may be subject to re-disclosure by the recipient and no longer be protected under federal law.
By:__________________________________________________
Date: _________
Member’s Signature
Or By:__________________________________________________
Date: _________
Member's Representative’s Signature (such as a parent of a minor, guardian, foster parent)
Description of Representative’s Authority ______________________________________________________
Please mail this form to the above-mentioned address to the attention of Angela Ceasar. You may also FAX
this form to (916) 646-9000 to the Attention of Angela Ceasar.
FOR INTERNAL USE ONLY:
Authorization Received on: ______________ Entered into Member’s Record by:____________________
Original given to Privacy Officer on ___________
P. O. Box: 659020
AUTORIZACIÓN PARA UTILIZAR Y REVELAR INFORMACIÓN MÉDICA
Nombre del/de la Afiliado(a): ________________________________________ Número de Identificación _________________
Dirección del/de la Afiliado(a): ______________________________________________________________________________
Autorizo a la Premier Access Insurance Company, para que utilice y revele una copia de la información médica y dental
específica, que se describe a continuación, con respecto a:
conformada por: (Describa aquí la información que puede utilizarse/revelarse)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
El Nombre de la(s) Persona(s) u Organización/Organizaciones a las que usted nos autoriza para utilizar o revelar su
información:
________________________________________________________________________________________________________
con el propósito de: (Describa aquí el propósito de la revelación)
________________________________________________________________________________________________________
Fecha de Caducidad de esta Autorización: ___________________________________________________________________
Si solicitamos esta Autorización de su parte, para nuestro propio uso y revelación, o para permitirle a otro proveedor de atención
médica o plan médico que nos revele la información:
•
•
•
•
No podemos condicionar nuestra provisión de los servicios o tratamientos que le brindamos a usted, sobre la base del recibo
de esta autorización firmada;
Usted puede inspeccionar una copia de la información médica protegida que se usará o revelará;
Usted puede rehusarse a firmar esta Autorización; y
Nosotros tenemos que proporcionarle una copia de la Autorización firmada.
Usted tiene derecho a revocar esta Autorización en cualquier momento, siempre y cuando lo haga por escrito, y a excepción de
los casos en los que ya hayamos utilizado o revelado la información, confiando en esta Autorización.
Salvo haberse previamente revocado o indicado lo contrario, esta Autorización caducará en un año, a partir de la fecha en que se
firme o se mantendrá en efecto por el período razonable necesario, para completar la solicitud.
He revisado y entiendo esta Autorización. También entiendo que es posible que la información usada o revelada, conforme a
esta Autorización, esté sujeta a otra revelación, por parte de la persona que la reciba, y que ésta ya no está protegida bajo la ley
federal.
Por:__________________________________________________
(Firma del/de la Afiliado(a))
O Por:__________________________________________________
(Firma del/de la Representante del/de la Afiliado(a) como padre, madre
Fecha: _____________________
Fecha: _____________________
Descripción de la Autoridad del/de la Representante ____________________________________________________________
Por favor, envíe este formulario, por correo, a la dirección indicada en la parte superior de este documento,
dirigida a la atención de ___________________________. Usted también puede enviar el formulario por FAX
al (916) ____________________________________.
FOR INTERNAL USE ONLY:
Authorization Received on: ______________ Entered into Member’s Record by:____________________
Original given to Privacy Officer on ___________
P.O. Box 659020
PROVIDER NOMINATION FORM
I would like to nominate my dentist for inclusion in the Premier Access Insurance Company
(“Premier”) DHMO. I understand that Premier retains final authority for approving providers for
participation in its network. I also understand that Premier may use my name when contacting
my dentist and inform him/her of my request to include them in the Premier network.
Note: This form does not serve as an enrollment form for dental insurance or to register with
the dental office as a patient.
Date:
Member’s Name:
Employer:
Telephone:
Dentist Information
Name:
Address:
Telephone:
Specialty
If your dentist has any questions about participating in the Premier DHMO, he/she may contact
us at: (800) 489-1216.
Please submit this form to:
Or fax to:
Network Operations
PO Box 659020
(916) 646-9000
www.premierlife.com
Corporate Sales Office
P.O. Box 659020
888.326.3210
Phone
916.646.9000
Fax
Member Services
888.650.3660
0910

Los Angeles

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