Dr Diana Marcela Medina, DDS - Medicare Dentist in Los Angeles, CA

Dr Diana Marcela Medina, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Los Angeles, California. Her current practice location is 11980 San Vicente Blvd, Suite 505, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 820-6691.

Dr Diana Marcela Medina is licensed to practice in California (license number 50643) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003827551.

Contact Information

Dr Diana Marcela Medina, DDS
11980 San Vicente Blvd, Suite 505,
Los Angeles, CA 90049-5012
(310) 820-6691
(310) 820-6041



Healthcare Provider's Profile

Full NameDr Diana Marcela Medina
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location11980 San Vicente Blvd, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003827551
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8921361825
  • Enrollment ID: I20181129002691

Medical Identifiers

Medical identifiers for Dr Diana Marcela Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003827551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 50643 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diana Marcela Medina is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Diana Marcela Medina, DDS
10620 Eastborne Ave, Apt # 302,
Los Angeles, CA 90024-5985

Ph: (310) 490-6674
Dr Diana Marcela Medina, DDS
11980 San Vicente Blvd, Suite 505,
Los Angeles, CA 90049-5012

Ph: (310) 820-6691

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› Verified 7 days ago


Dentist in Los Angeles, CA

Dr. Kyung A Lim, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 827 S Berendo St Apt 202, Los Angeles, CA 90005
Phone: 213-219-2530    
Sonia Khullar, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 132 S Vermont Avenue, Suite #210, Los Angeles, CA 90004
Phone: 213-389-2625    Fax: 213-389-4736
Dr. William W Morgan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095
Phone: 310-794-5750    
Dr. Clarice Law Eyre, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095
Phone: 310-794-5750    
Dr. Arjang Vahidnia, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7162 Beverly Blvd, #543, Los Angeles, CA 90036
Phone: 310-443-3030    
Dr. Adrian Sanchez,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6114 York Blvd, Suite C, Los Angeles, CA 90042
Phone: 323-255-6698    
Dr. Bindu Vasudevan Pillai, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 5207 Whittier Blvd, Los Angeles, CA 90022
Phone: 323-269-0266    

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