| Bigdeli Dds Inc | |
|
13422 Newport Ave E Tustin CA 92780-3746 | |
| (714) 665-0005 | |
| (714) 665-0055 |
| Full Name | Bigdeli Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 13422 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Foruzan Bigdeli (DENTIST) |
| Authorized Official Contact | 7146650005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bigdeli Dds Inc 13422 Newport Ave E Tustin CA 92780-3746 Ph: (714) 665-0005 | Bigdeli Dds Inc 13422 Newport Ave E Tustin CA 92780-3746 Ph: (714) 665-0005 |
| NPI Number | 1821478694 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/05/2015 |
| Medicare PECOS PAC ID | 8325301047 |
|---|---|
| Medicare Enrollment ID | O20180411001570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821478694 | NPI | - | NPPES |
| 1538175880 | Other | CA | MEDI-CAL/DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Foruzan Bigdeli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588727556 PECOS PAC ID: 3476816109 Enrollment ID: I20180510002270 |
| Provider Name | Faranak Bigdeli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174718290 PECOS PAC ID: 1658634381 Enrollment ID: I20180515000593 |
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