|
| |
|
700 Fair Oaks Ave Ste B South Pasadena CA 91030-2675 | |
| (626) 421-7171 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 700 Fair Oaks Ave Ste B, South Pasadena, California |
| Authorized Official Name and Position | Juliet Ebrahimian (DENTIST) |
| Authorized Official Contact | 8183070416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2129 E Glenoaks Blvd Glendale CA 91206-2933 Ph: (818) 307-0416 | 700 Fair Oaks Ave Ste B South Pasadena CA 91030-2675 Ph: (626) 421-7171 |
| NPI Number | 1851046643 |
|---|---|
| Provider Enumeration Date | 02/20/2022 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851046643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Dr Kimberley Wu Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Mission St, South Pasadena, CA 91030 Phone: 626-403-6500 | |
Kwok Chen And Kim Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1928 Huntington Dr, South Pasadena, CA 91030 Phone: 626-799-1252 | |
Jennifer Chen, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 Huntington Dr, Suite H, South Pasadena, CA 91030 Phone: 626-441-1139 Fax: 626-441-1233 | |