Roya Rashtian Dds Apc | |
6330 Van Nuys Blvd B Van Nuys CA 91401 | |
(818) 785-9944 | |
(818) 785-9922 |
Full Name | Roya Rashtian Dds Apc |
---|---|
Speciality | Dentist |
Location | 6330 Van Nuys Blvd, Van Nuys, California |
Authorized Official Name and Position | Roya Rashtian (OWNER) |
Authorized Official Contact | 8187859944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Roya Rashtian Dds Apc 6330 B Van Nuys CA 91401 Ph: (818) 785-9944 | Roya Rashtian Dds Apc 6330 Van Nuys Blvd B Van Nuys CA 91401 Ph: (818) 785-9944 |
NPI Number | 1578898318 |
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Provider Enumeration Date | 10/13/2009 |
Last Update Date | 10/13/2009 |
Medicare PECOS PAC ID | 6002214491 |
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Medicare Enrollment ID | O20211022001002 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578898318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 53267 (California) | Primary |
Provider Name | Roya Rashtian |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1831297092 PECOS PAC ID: 2769882182 Enrollment ID: I20210607001714 |
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