| Mehran Javaherian Dds. Inc. | |
|
141 East Willow St Long Beach CA 90806 | |
| (562) 988-2888 | |
| Not Available |
| Full Name | Mehran Javaherian Dds. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 141 East Willow St, Long Beach, California |
| Authorized Official Name and Position | Mehran Javaherian (OWNER) |
| Authorized Official Contact | 5629882888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehran Javaherian Dds. Inc. 141 East Willow St Long Beach CA 90806 Ph: (562) 988-2888 | Mehran Javaherian Dds. Inc. 141 East Willow St Long Beach CA 90806 Ph: (562) 988-2888 |
| NPI Number | 1528131463 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 07/18/2016 |
| Medicare PECOS PAC ID | 9032451620 |
|---|---|
| Medicare Enrollment ID | O20190501000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528131463 | NPI | - | NPPES |
| B-38060-03 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38060 (California) | Primary |
| Provider Name | Mehran Dds Javaherian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922203512 PECOS PAC ID: 8729320098 Enrollment ID: I20190508000437 |
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