| Rouhani And Khabbaz Dental Corporation | |
|
310 S Lake Ave Lower Level Pasadena CA 91101-3537 | |
| (626) 795-6855 | |
| (626) 432-4260 |
| Full Name | Rouhani And Khabbaz Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 310 S Lake Ave, Pasadena, California |
| Authorized Official Name and Position | Morvard Rouhani (OWNER) |
| Authorized Official Contact | 6267956855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rouhani And Khabbaz Dental Corporation 310 S Lake Ave Lower Level Pasadena CA 91101-3537 Ph: (626) 795-6855 | Rouhani And Khabbaz Dental Corporation 310 S Lake Ave Lower Level Pasadena CA 91101-3537 Ph: (626) 795-6855 |
| NPI Number | 1497020119 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Medicare PECOS PAC ID | 0648592667 |
|---|---|
| Medicare Enrollment ID | O20141202002165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497020119 | NPI | - | NPPES |
| Provider Name | Mori Rouhani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659452514 PECOS PAC ID: 1557683570 Enrollment ID: I20141209000291 |
| Provider Name | Liliana Khabbaz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437245305 PECOS PAC ID: 4587941802 Enrollment ID: I20170515000907 |
| Provider Name | Andrew Y Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396862728 PECOS PAC ID: 0143502856 Enrollment ID: I20170522001820 |
| Provider Name | Bassem Farid |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932254513 PECOS PAC ID: 3870885411 Enrollment ID: I20170524002013 |
| Provider Name | Raymond S Wang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871904896 PECOS PAC ID: 5890091086 Enrollment ID: I20170525001837 |
| Provider Name | Marlice A Patam |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730203712 PECOS PAC ID: 3577847938 Enrollment ID: I20170530001360 |
| Provider Name | Dennis R. Hunt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396872149 PECOS PAC ID: 3678813391 Enrollment ID: I20190315001869 |
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