Individual provider · Type 1 NPI

Ghassem Ansari, DDS, MSC, PhD

Pediatric Dentistry · Los Angeles, CA

NPI number 1932889185 Active

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3006

Fax (310) 825-9460

Mailing address

10833 Le Conte Ave Rm 23-019
Los Angeles, CA 90095-1668

Other practice locations

  • 100 Medical Plaza #350, Los Angeles, CA 90095-3006 · (310) 794-5750

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDRPM2639 (FL)
Pediatric Dentistry Primary 1223P0221X319 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1932889185

Ghassem Ansari, DDS, MSC, PhD's National Provider Identifier is 1932889185, issued on Jul 21, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 25, 2024.