| Orly Taitz, Inc | |
|
29839 Santa Margarita Pkwy Ste 100 Rancho Santa Margarita CA 92688-3616 | |
| (949) 766-7687 | |
| (949) 766-7603 |
| Full Name | Orly Taitz, Inc |
|---|---|
| Speciality | Dentist |
| Location | 29839 Santa Margarita Pkwy Ste 100, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Orly Taitz (PRESIDENT OF CORP.) |
| Authorized Official Contact | 9496835411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orly Taitz, Inc 29839 Santa Margarita Ste 100 Ranco Santa Margarita CA 92688 Ph: (949) 766-7687 | Orly Taitz, Inc 29839 Santa Margarita Pkwy Ste 100 Rancho Santa Margarita CA 92688-3616 Ph: (949) 766-7687 |
| NPI Number | 1699298414 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3274870308 |
|---|---|
| Medicare Enrollment ID | O20190129000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699298414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37934 (California) | Primary |
| Provider Name | Orly Taitz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902095813 PECOS PAC ID: 4789994286 Enrollment ID: I20190129000579 |
Santa Margarita Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29941 Aventura Ste C, Rancho Santa Margarita, CA 92688 Phone: 949-858-5150 | |
Dental Arts Center Of Irvine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26111 Antonio Pkwy, Suite 200, Rancho Santa Margarita, CA 92688 Phone: 949-713-6720 Fax: 949-713-6721 | |
Paul A Day Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31441 Santa Margarita Pkwy Ste G, Rancho Santa Margarita, CA 92688 Phone: 949-589-8352 | |
Parajon Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30486 Avenida De Las Banderas Ste A, Rancho Santa Margarita, CA 92688 Phone: 949-216-9090 Fax: 949-713-9471 | |
Katayoun Massoudi, Dds Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30092 Santa Margarita Pkwy, Ste. K, Rancho Santa Margarita, CA 92688 Phone: 949-888-0086 Fax: 949-888-0095 | |
El Paseo Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30212 Tomas, Suite 165, Rancho Santa Margarita, CA 92688 Phone: 949-766-0034 Fax: 949-766-0035 | |
Periodontics, Oral And Facial Surgical Specialties Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29829 Santa Margarita Pkwy Ste 300, Rancho Santa Margarita, CA 92688 Phone: 949-888-0332 Fax: 949-888-0400 |