Full Name | |
---|---|
Speciality | Dentist |
Location | 4327 Gage Ave, Bell, California |
Authorized Official Name and Position | Michael M Abaian (OWNER) |
Authorized Official Contact | 8187888787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
4327 Gage Ave Bell CA 90201-1214 Ph: (323) 773-5325 | 4327 Gage Ave Bell CA 90201-1214 Ph: (323) 773-5325 |
NPI Number | 1740424100 |
---|---|
Provider Enumeration Date | 04/28/2009 |
Last Update Date | 12/02/2015 |
Medicare PECOS PAC ID | 6305060328 |
---|---|
Medicare Enrollment ID | O20140613001169 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740424100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 53049 (California) | Primary |
Provider Name | Michael Abaian |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1023263167 PECOS PAC ID: 7113141136 Enrollment ID: I20140613001599 |
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