Global Family Dentistry | |
14229 E Imperial Hwy La Mirada CA 90638-1941 | |
(562) 777-1725 | |
(562) 777-7077 |
Full Name | Global Family Dentistry |
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Speciality | Dentist |
Location | 14229 E Imperial Hwy, La Mirada, California |
Authorized Official Name and Position | Chong Hon Rha (PRESIDENT) |
Authorized Official Contact | 5627771725 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Global Family Dentistry 14229 E Imperial Hwy La Mirada CA 90638-1941 Ph: (562) 777-1725 | Global Family Dentistry 14229 E Imperial Hwy La Mirada CA 90638-1941 Ph: (562) 777-1725 |
NPI Number | 1245380427 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1355710294 |
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Medicare Enrollment ID | O20221215000525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245380427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 40300 (California) | Primary |
Provider Name | Chong H Rha |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1245406479 PECOS PAC ID: 9739483314 Enrollment ID: I20221220001415 |
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