| Jbs Pacific, Inc | |
|
18444 Brookhurst St Fountain Valley CA 92708-6706 | |
| (714) 962-2471 | |
| Not Available |
| Full Name | Jbs Pacific, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18444 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | John B Shepherd (PRESIDENT) |
| Authorized Official Contact | 7149622471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jbs Pacific, Inc 18444 Brookhurst St Fountain Valley CA 92708-6706 Ph: () - | Jbs Pacific, Inc 18444 Brookhurst St Fountain Valley CA 92708-6706 Ph: (714) 962-2471 |
| NPI Number | 1356834188 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356834188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 102301 (California) | Primary |
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