Dental Board of California
Licensing details for: 36256
Name: KHALILI, EMIL
License Type: Dentist
Primary Status: Expired
Secondary Status: Probation Terminated
Address of Record
7136 PACIFIC BLVD
STE 210
HUNTINGTON PARK CA 90255
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: EMIL KHALILI, DDS
License/Registration Type: Additional Office Permit
License Number: 6124 Primary Status: Expired
Address :
212-214 NORTH MARKET STREET
INGLEWOOD CA 90301
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PICO LA CIENEGA DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3050 Primary Status: Cancelled
Address :
8530 W. PICO BLVD
LOS ANGELES CA 90035
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: LA JOLLA DENTAL GROUP, MEHRACK KAJIAN-FARAJI,
License/Registration Type: Fictitious Name Permit
License Number: 3969 Primary Status: Expired
Address :
8950 Villa La Jolla Dr Ste 1105
LA JOLLA CA 92037-1705
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PICO LA CIENEGA DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1713 Primary Status: Cancelled
Address :
8530 W PICO BLVD
LOS ANGELES CA 90035
LOS ANGELES COUNTY
