| Omid Haroonian Dds Inc | |
|
1901 Westcliff Dr Suite #6 Newport Beach CA 92660-5598 | |
| (310) 382-0633 | |
| (949) 646-2220 |
| Full Name | Omid Haroonian Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1901 Westcliff Dr, Newport Beach, California |
| Authorized Official Name and Position | Omid Haroonian (PRESIDENT) |
| Authorized Official Contact | 3103820633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omid Haroonian Dds Inc 1901 Westcliff Dr Suite #6 Newport Beach CA 92660-5598 Ph: (310) 382-0633 | Omid Haroonian Dds Inc 1901 Westcliff Dr Suite #6 Newport Beach CA 92660-5598 Ph: (310) 382-0633 |
| NPI Number | 1558489294 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 07/13/2015 |
| Medicare PECOS PAC ID | 6901116177 |
|---|---|
| Medicare Enrollment ID | O20151030002169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558489294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54149 (California) | Primary |
| Provider Name | Omid Haroonian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780702936 PECOS PAC ID: 5799006094 Enrollment ID: I20151030002087 |
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