| Ya Family Dental Office Of Dr. Guindy | |
|
18525 Roscoe Blvd Northridge CA 91324-4632 | |
| (818) 734-6696 | |
| Not Available |
| Full Name | Ya Family Dental Office Of Dr. Guindy |
|---|---|
| Speciality | Clinic/Center |
| Location | 18525 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Awny Essam Guindy (PRESIDENT) |
| Authorized Official Contact | 8187346696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ya Family Dental Office Of Dr. Guindy 18525 Roscoe Blvd Northridge CA 91324-4632 Ph: (818) 734-6696 | Ya Family Dental Office Of Dr. Guindy 18525 Roscoe Blvd Northridge CA 91324-4632 Ph: (818) 734-6696 |
| NPI Number | 1922464296 |
|---|---|
| Provider Enumeration Date | 01/02/2016 |
| Last Update Date | 03/11/2016 |
| Medicare PECOS PAC ID | 7012323009 |
|---|---|
| Medicare Enrollment ID | O20210317002456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922464296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12556 (California) | Primary |
| Provider Name | Awny Essam Guindy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407127749 PECOS PAC ID: 8921414913 Enrollment ID: I20210317002501 |
| Provider Name | Youssef Guindy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730368267 PECOS PAC ID: 7012224710 Enrollment ID: I20210426001614 |
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