Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MERVAT S. BAKHOUM, D.D.S.
Active
Organization
MERVAT S. BAKHOUM, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANEESH A. BANSAL (ADMINISTRATOR)
(323) 478-1101
Entity
Organization
Contact information
Practice address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
Mailing address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G94072-02
—
CA
Enumeration date
02/25/2008
Last updated
02/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up