| Kamelia Mallak Dds, Inc | |
|
3943 E Anaheim St Long Beach CA 90804-4101 | |
| (562) 597-4500 | |
| (562) 494-7334 |
| Full Name | Kamelia Mallak Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 3943 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Kamelia Mallak (OWNER) |
| Authorized Official Contact | 3106331337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamelia Mallak Dds, Inc 3943 E Anaheim St Long Beach CA 90804-4101 Ph: (562) 597-4500 | Kamelia Mallak Dds, Inc 3943 E Anaheim St Long Beach CA 90804-4101 Ph: (562) 597-4500 |
| NPI Number | 1285079129 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 05/06/2013 |
| Medicare PECOS PAC ID | 6901186824 |
|---|---|
| Medicare Enrollment ID | O20180416002114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285079129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58207 (California) | Primary |
| Provider Name | Kamelia Khalil Mallak |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477797835 PECOS PAC ID: 0345520169 Enrollment ID: I20180416002221 |
| Provider Name | Fariba Matinfar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073602157 PECOS PAC ID: 8325341811 Enrollment ID: I20180920003406 |
| Provider Name | Romeo Dipasupil |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548470024 PECOS PAC ID: 2062764293 Enrollment ID: I20181016002171 |
| Provider Name | Pedram A Marhabi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669657664 PECOS PAC ID: 9537474069 Enrollment ID: I20181127001483 |
Joseph Jett F. Zapanta, Dds.inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 W Willow St, Long Beach, CA 90806 Phone: 562-595-4277 | |
Sauter Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 E Pacific Coast Highway, Suite D, Long Beach, CA 90806 Phone: 714-264-3998 Fax: 909-985-6506 | |
Newport Dental - Long Beach Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3383 Long Beach Blvd, Long Beach, CA 90807 Phone: 562-727-1600 | |
John H Cho Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6226 E Spring St, Suite330, Long Beach, CA 90815 Phone: 562-420-1512 Fax: 562-420-8854 | |
Leonard R. Espinosa Dmd, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Pacific Ave, Long Beach, CA 90806 Phone: 562-599-2711 Fax: 562-599-2671 | |
Smile Wide Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 Palo Verde Avenue, Suite 208, Long Beach, CA 90808 Phone: 562-429-1642 Fax: 562-429-1643 | |
Teresa Avendano-galvez Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 W Willow St, Long Beach, CA 90810 Phone: 562-595-8553 Fax: 562-595-9123 |