| Nader D. Ghiassi Dds Inc | |
|
27231 Ortega Hwy Ste A San Juan Capistrano CA 92675-6732 | |
| (949) 487-0800 | |
| Not Available |
| Full Name | Nader D. Ghiassi Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 27231 Ortega Hwy Ste A, San Juan Capistrano, California |
| Authorized Official Name and Position | Nader D Ghiassi (PRESIDENT) |
| Authorized Official Contact | 9494870800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nader D. Ghiassi Dds Inc 27231 Ortega Hwy Ste A San Juan Capistrano CA 92675-6732 Ph: (949) 487-0800 | Nader D. Ghiassi Dds Inc 27231 Ortega Hwy Ste A San Juan Capistrano CA 92675-6732 Ph: (949) 487-0800 |
| NPI Number | 1871839704 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 12/20/2012 |
| Medicare PECOS PAC ID | 7517392889 |
|---|---|
| Medicare Enrollment ID | O20200114002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871839704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49887 (California) | Primary |
| Provider Name | Nader D Ghiassi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972601110 PECOS PAC ID: 1052746328 Enrollment ID: I20200114002420 |
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