| Pegah Naji Dds Inc. | |
|
23052 Alicia Pkwy Ste B2 Mission Viejo CA 92692-1643 | |
| (949) 273-1900 | |
| (949) 273-1901 |
| Full Name | Pegah Naji Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23052 Alicia Pkwy Ste B2, Mission Viejo, California |
| Authorized Official Name and Position | Pegah Naji (PRESIDENT) |
| Authorized Official Contact | 3108808700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pegah Naji Dds Inc. 23052 Alicia Pkwy Ste B2 Mission Viejo CA 92692-1643 Ph: (949) 273-1900 | Pegah Naji Dds Inc. 23052 Alicia Pkwy Ste B2 Mission Viejo CA 92692-1643 Ph: (949) 273-1900 |
| NPI Number | 1235796178 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235796178 | NPI | - | NPPES |
| 1003240680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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