| Vivian Jui, D.m.d., Inc. | |
|
16300 Sand Canyon Ave Ste 701 Irvine CA 92618-3707 | |
| (949) 727-4633 | |
| Not Available |
| Full Name | Vivian Jui, D.m.d., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 16300 Sand Canyon Ave Ste 701, Irvine, California |
| Authorized Official Name and Position | Vivian Jui (OWNER) |
| Authorized Official Contact | 9497274633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Jui, D.m.d., Inc. 16300 Sand Canyon Ave Ste 701 Irvine CA 92618-3707 Ph: (949) 727-4633 | Vivian Jui, D.m.d., Inc. 16300 Sand Canyon Ave Ste 701 Irvine CA 92618-3707 Ph: (949) 727-4633 |
| NPI Number | 1568715753 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Medicare PECOS PAC ID | 3274785878 |
|---|---|
| Medicare Enrollment ID | O20121205000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568715753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 38855 (California) | Primary |
| Provider Name | Vivian Jui |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1295800209 PECOS PAC ID: 7618129214 Enrollment ID: I20121205000510 |
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