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27932 La Paz Rd Ste F Laguna Niguel CA 92677-3922 | |
(949) 831-2905 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 27932 La Paz Rd Ste F, Laguna Niguel, California |
Authorized Official Name and Position | Fariba Bigdeli (DENTIST) |
Authorized Official Contact | 9498312905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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27932 La Paz Rd Ste F Laguna Niguel CA 92677-3922 Ph: (949) 831-2905 | 27932 La Paz Rd Ste F Laguna Niguel CA 92677-3922 Ph: (949) 831-2905 |
NPI Number | 1932566676 |
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Provider Enumeration Date | 01/26/2016 |
Last Update Date | 04/20/2021 |
Medicare PECOS PAC ID | 3476960204 |
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Medicare Enrollment ID | O20210323002455 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932566676 | NPI | - | NPPES |
1952700346 | Other | CA | PECOS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
302R00000X | Health Maintenance Organization | 63565 (California) | Secondary |
Provider Name | Fariba Bigdeli |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1952700346 PECOS PAC ID: 6103233937 Enrollment ID: I20210422000682 |
Balaze & Gregg Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 250, Laguna Niguel, CA 92677 Phone: 949-770-7686 | |
Glenn P. Frial, Dds, Ms, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28202 Cabot Rd, Suite 250, Laguna Niguel, CA 92677 Phone: 949-276-2105 Fax: 949-276-2109 |