| Aliso Niguel Dental Group | |
|
24541 Pacific Park Dr Ste 105 Aliso Viejo CA 92656 | |
| (949) 643-7047 | |
| (949) 643-7049 |
| Full Name | Aliso Niguel Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 24541 Pacific Park Dr, Aliso Viejo, California |
| Authorized Official Name and Position | Farhang Shahzadi (OWNER/CEO) |
| Authorized Official Contact | 9492922733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aliso Niguel Dental Group 24541 Pacific Park Dr Ste 105 Aliso Viejo CA 92656 Ph: (949) 643-7047 | Aliso Niguel Dental Group 24541 Pacific Park Dr Ste 105 Aliso Viejo CA 92656 Ph: (949) 643-7047 |
| NPI Number | 1881892966 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 11/07/2019 |
| Medicare PECOS PAC ID | 0042643884 |
|---|---|
| Medicare Enrollment ID | O20191209001145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881892966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 033687 (California) | Primary |
| 122300000X | Dentist | 47417 (California) | Secondary |
| 122300000X | Dentist | 52373 (California) | Secondary |
| Provider Name | Farhang Shahzadi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912249392 PECOS PAC ID: 2860825601 Enrollment ID: I20191209001394 |
| Provider Name | Lourdes F Diaz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487092631 PECOS PAC ID: 9335486794 Enrollment ID: I20191209001674 |
Aliso Creek Denal Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6b Liberty St, Suite #155, Aliso Viejo, CA 92656 Phone: 949-362-3848 Fax: 949-362-7540 | |
Richard Foushee Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6b Liberty, Suite 235, Aliso Viejo, CA 92656 Phone: 949-448-0400 Fax: 949-448-0488 | |
Premier Pediatric Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24541 Pacific Park Dr Ste 240, Aliso Viejo, CA 92656 Phone: 949-880-6683 | |
Calvin K. Yang, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6b Liberty Ste 120, Aliso Viejo, CA 92656 Phone: 949-215-4400 Fax: 949-215-4402 | |
Ernestina Avalos-figueroa Dds. Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu, Suite 360, Aliso Viejo, CA 92656 Phone: 949-831-5511 Fax: 949-831-6624 | |
Reza M. Birjandi D.d.s.,a Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu Suite 360, Aliso Viejo, CA 92656 Phone: 949-360-9700 Fax: 949-362-5182 | |
Reza A. Tafreshi Dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu Ste 360, Aliso Viejo, CA 92656 Phone: 949-360-9700 Fax: 949-362-5182 |