| Shawna Omid Dds | |
|
4305 Torrance Blvd #103 Torrance CA 90503-4409 | |
| (310) 542-5155 | |
| Not Available |
| Full Name | Shawna Omid Dds |
|---|---|
| Speciality | Dentist |
| Location | 4305 Torrance Blvd, Torrance, California |
| Authorized Official Name and Position | Shawna Omid (OWENER) |
| Authorized Official Contact | 3105425155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna Omid Dds 4305 Torrance Blvd Ste 103 #103 Torrance CA 90503-4420 Ph: (310) 542-5155 | Shawna Omid Dds 4305 Torrance Blvd #103 Torrance CA 90503-4409 Ph: (310) 542-5155 |
| NPI Number | 1619324480 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Medicare PECOS PAC ID | 6507146461 |
|---|---|
| Medicare Enrollment ID | O20161212000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619324480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37470 (California) | Primary |
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