| |
2949 Brea Blvd A-2 Fullerton CA 92835-2073 | |
(714) 987-3121 | |
(714) 987-3120 |
Full Name | |
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Speciality | Dentist |
Location | 2949 Brea Blvd, Fullerton, California |
Authorized Official Name and Position | Hossein Abdolhosseini (DENTIST) |
Authorized Official Contact | 7149873121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2949 Brea Blvd A-2 Fullerton CA 92835-2073 Ph: (714) 987-3121 | 2949 Brea Blvd A-2 Fullerton CA 92835-2073 Ph: (714) 987-3121 |
NPI Number | 1386035459 |
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Provider Enumeration Date | 02/11/2015 |
Last Update Date | 02/16/2016 |
Medicare PECOS PAC ID | 4183051899 |
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Medicare Enrollment ID | O20200218003065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386035459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 50715 (California) | Primary |
Provider Name | Hossein Abdolhosseini |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1093853020 PECOS PAC ID: 8224460662 Enrollment ID: I20191122002351 |
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