Dr Edmond Rassibi, DMD in Canoga Park, CA - Medicare Dentist Provider

Dr Edmond Rassibi, DMD is a medicare enrolled "Dentist - General Practice" provider in Canoga Park, California. His current practice location is 21712 Sherman Way, Canoga Park, California. You can reach out to his office (for appointments etc.) via phone at (818) 883-6634.

Dr Edmond Rassibi is licensed to practice in California (license number 54596) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265571350.

Contact Information

	Dr Edmond Rassibi, DMD
	21712 Sherman Way, Canoga Park, CA 91303-1931
	(818) 883-6634
	Not Available

Healthcare Provider's Profile

Full Name	Dr Edmond Rassibi
Gender	Male
Speciality	Dentist - General Practice
Location	21712 Sherman Way, Canoga Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265571350
Provider Enumeration Date: 02/05/2007
Last Update Date: 10/24/2014

Medicare PECOS Information:

PECOS PAC ID: 8820302342
Enrollment ID: I20150728005689

Medical Identifiers

Medical identifiers for Dr Edmond Rassibi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265571350	NPI	-	NPPES
D54596	Other	CA	DENTICAL PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	54596 (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 Edmond Rassibi 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 Address	Practice Location Address
Dr Edmond Rassibi, DMD 21712 Sherman Way, Canoga Park, CA 91303-1931 Ph: (818) 883-6634	Dr Edmond Rassibi, DMD 21712 Sherman Way, Canoga Park, CA 91303-1931 Ph: (818) 883-6634

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Dentist in Canoga Park, CA

Dr. Hoi S Yueung, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8925 De Soto Ave, Canoga Park, CA 91304 Phone: 818-882-1881 Fax: 818-882-7881
Dr. Ziad G. Rhayem, Dentist Medicare: Not Enrolled in Medicare Practice Location: 21123 Victory Blvd, Canoga Park, CA 91303 Phone: 818-888-2700 Fax: 818-888-8317
Dr. Seyyedhossein Mousavi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 22030 Sherman Way Ste 219, Canoga Park, CA 91303 Phone: 424-644-1646
Menachem Oren, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 21123 Victory Blvd, Canoga Park, CA 91303 Phone: 818-888-2700 Fax: 818-888-8317
Dr. Kambiz Kalai, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6832 Desoto Ave, Canoga Park, CA 91303 Phone: 818-888-2211 Fax: 818-888-2925
Raffi John Maronian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8358 Topanga Canyon Blvd, Canoga Park, CA 91304 Phone: 818-348-8400 Fax: 818-348-4040
Ramya Chelimela, Dentist Medicare: Medicare Enrolled Practice Location: 21126 Ingomar Ct, Canoga Park, CA 91304 Phone: 510-676-4948

Dr Edmond Rassibi, DMD - Medicare Dentist in Canoga Park, CA