| Nonahal Dent Corp | |
|
8516 Katella Ave Anaheim CA 92804-6233 | |
| (714) 527-7775 | |
| Not Available |
| Full Name | Nonahal Dent Corp |
|---|---|
| Speciality | Dentist |
| Location | 8516 Katella Ave, Anaheim, California |
| Authorized Official Name and Position | Behnaz Nonahal (DENTIST) |
| Authorized Official Contact | 7145277775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nonahal Dent Corp 8516 Katella Ave Anaheim CA 92804-6233 Ph: (714) 527-7775 | Nonahal Dent Corp 8516 Katella Ave Anaheim CA 92804-6233 Ph: (714) 527-7775 |
| NPI Number | 1770800823 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 08/21/2019 |
| Medicare PECOS PAC ID | 9537499595 |
|---|---|
| Medicare Enrollment ID | O20190918001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770800823 | NPI | - | NPPES |
| 50499 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50499 (California) | Primary |
| Provider Name | Behnaz Nonahal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396813572 PECOS PAC ID: 0446580401 Enrollment ID: I20190925001060 |
| Provider Name | Jee Hoon Ha |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790032019 PECOS PAC ID: 3476883877 Enrollment ID: I20190927001633 |
| Provider Name | Justine H Hai |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710433750 PECOS PAC ID: 6305265976 Enrollment ID: I20200930003404 |
| Provider Name | Arash Nia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508343237 PECOS PAC ID: 7214356658 Enrollment ID: I20201002002738 |
| Provider Name | Alvaro A Aguirre |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942536628 PECOS PAC ID: 3870638026 Enrollment ID: I20201105000492 |
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