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460 Long Beach Blvd Long Beach CA 90802-2436 | |
| (562) 436-9234 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 460 Long Beach Blvd, Long Beach, California |
| Authorized Official Name and Position | Ravinder Steven Singh (OWNER DOCTOR) |
| Authorized Official Contact | 5624369234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
460 Long Beach Blvd Long Beach CA 90802-2436 Ph: (562) 436-9234 | 460 Long Beach Blvd Long Beach CA 90802-2436 Ph: (562) 436-9234 |
| NPI Number | 1679975072 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 11/15/2024 |
| Medicare PECOS PAC ID | 6406163005 |
|---|---|
| Medicare Enrollment ID | O20160825002130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679975072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Ravinder S Singh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235150772 PECOS PAC ID: 8123335726 Enrollment ID: I20160825002246 |
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