NPI 1114257235 AZITA S. EBRAHIMI DDS INC LADERA RANCH CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Azita S. Ebrahimi Dds Inc - NPI: 1114257235

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: AZITA S. EBRAHIMI DDS INC
NPI Number: 1114257235
Entity Type Code: Organizational (2)
Authorized Official Name: AZITA SHEILA EBRAHIMI
(OWNER, PRESIDENT)
Mailing Address: 25662 Crown Valley Pkwy Ste H4
Ladera Ranch
State: CA US
Postal Code: 926940486
Phone Number: 9492762990
Fax Number:
NPI Enumeration Date: 01/12/2010
NPI Last Update Date: 01/12/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QD0000X
License Number: 52505
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Dental
Taxonomy Definition:


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