Dr Larisa Theodorou, DDS - Medicare Dentist in Canoga Park, CA

Dr Larisa Theodorou, DDS is a medicare enrolled "Dentist - General Practice" provider in Canoga Park, California. Her current practice location is 19717 Sherman Way, Canoga Park, California. You can reach out to her office (for appointments etc.) via phone at (818) 709-0090.

Dr Larisa Theodorou is licensed to practice in California (license number 42430) 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 1255534293.

Contact Information

Dr Larisa Theodorou, DDS
19717 Sherman Way,
Canoga Park, CA 91306
(818) 709-0090
(818) 709-6002



Healthcare Provider's Profile

Full NameDr Larisa Theodorou
GenderFemale
SpecialityDentist - General Practice
Location19717 Sherman Way, Canoga Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255534293
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 03/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7517263734
  • Enrollment ID: I20160314001263

Medical Identifiers

Medical identifiers for Dr Larisa Theodorou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255534293NPI-NPPES
D42430OtherDENTI CAL TREATING PROVID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 42430 (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 Larisa Theodorou 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 Larisa Theodorou, DDS
19717 Sherman Way,
Canoga Park, CA 91306

Ph: (818) 709-0090
Dr Larisa Theodorou, DDS
19717 Sherman Way,
Canoga Park, CA 91306

Ph: (818) 709-0090

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› Verified 2 days ago


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    

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