| Koohyar Karimi Dds Inc | |
|
24942 Silverleaf Ln Laguna Hills CA 92653-4917 | |
| (949) 274-9431 | |
| Not Available |
| Full Name | Koohyar Karimi Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 24942 Silverleaf Ln, Laguna Hills, California |
| Authorized Official Name and Position | Koohyar Karimi (OWNER) |
| Authorized Official Contact | 9492749431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Koohyar Karimi Dds Inc 23785 El Toro Rd Ste 422 Lake Forest CA 92630-4762 Ph: (949) 274-9431 | Koohyar Karimi Dds Inc 24942 Silverleaf Ln Laguna Hills CA 92653-4917 Ph: (949) 274-9431 |
| NPI Number | 1760040836 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Medicare PECOS PAC ID | 5799013264 |
|---|---|
| Medicare Enrollment ID | O20190821002681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760040836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Koohyar Karimi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013309368 PECOS PAC ID: 7315237252 Enrollment ID: I20190712001144 |
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