| Dr Shahoveisi Inc | |
|
161 N Mckinley St Ste 102 Corona CA 92879-6530 | |
| (951) 737-3746 | |
| (951) 339-9139 |
| Full Name | Dr Shahoveisi Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 161 N Mckinley St Ste 102, Corona, California |
| Authorized Official Name and Position | Hesam Shahoveisi (OWNER) |
| Authorized Official Contact | 9517373746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shahoveisi Inc 161 N Mckinley St Ste 102 Corona CA 92879-6530 Ph: (951) 737-3746 | Dr Shahoveisi Inc 161 N Mckinley St Ste 102 Corona CA 92879-6530 Ph: (951) 737-3746 |
| NPI Number | 1699242834 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699242834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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