| Javid Dental Pc | |
|
27335 Tourney Rd Suite 100 Valencia CA 91355-2200 | |
| (661) 222-2242 | |
| (661) 222-2236 |
| Full Name | Javid Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 27335 Tourney Rd Suite 100, Valencia, California |
| Authorized Official Name and Position | Shahin Javid (DDS) |
| Authorized Official Contact | 6612222242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javid Dental Pc 27335 Tourney Rd Suite 100 Valencia CA 91355-2200 Ph: (661) 222-2242 | Javid Dental Pc 27335 Tourney Rd Suite 100 Valencia CA 91355-2200 Ph: (661) 222-2242 |
| NPI Number | 1306383096 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 1759719891 |
|---|---|
| Medicare Enrollment ID | O20200324000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306383096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 43021 (California) | Secondary |
| Provider Name | Shahin Javid |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053440156 PECOS PAC ID: 9234358151 Enrollment ID: I20200324000462 |
| Provider Name | Patric Cohen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609147602 PECOS PAC ID: 9436570694 Enrollment ID: I20200527000857 |
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