Dr Edward Farajzadeh, DDS | |
13983 Mango Dr Ste 106, Del Mar, CA 92014-3146 | |
(858) 792-6662 | |
(858) 792-0536 |
Full Name | Dr Edward Farajzadeh |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 13983 Mango Dr Ste 106, Del Mar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700895166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 33031 (California) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 33031 (California) | Primary |
Entity Name | Edward Farajzadeh Dds Apdc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952872517 PECOS PAC ID: 3274961271 Enrollment ID: O20200324003573 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Farajzadeh, DDS 13983 Mango Dr Ste 106, Del Mar, CA 92014-3146 Ph: (858) 792-6662 | Dr Edward Farajzadeh, DDS 13983 Mango Dr Ste 106, Del Mar, CA 92014-3146 Ph: (858) 792-6662 |
Dale R Trudeau, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2775 Via De La Valle, Suite 103, Del Mar, CA 92014 Phone: 858-755-9775 Fax: 858-755-3462 | |
Dr. Daniel Joseph Charlton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13983 Mango Dr, Suite 101, Del Mar, CA 92014 Phone: 858-481-8848 Fax: 858-481-6358 | |
Dr. Nolan Bellisario, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 13983 Mango Dr Ste 201, Del Mar, CA 92014 Phone: 858-755-0187 Fax: 858-755-0387 | |
Dr. Robert Takano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13340 Barbados Way, Del Mar, CA 92014 Phone: 858-209-5909 | |
Maher Atassi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1333 Camino Del Mar, Del Mar, CA 92014 Phone: 858-504-5975 | |
Dr. William David Mcreynolds, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 817 Camino Del Mar, Del Mar, CA 92014 Phone: 858-792-1044 Fax: 858-792-0144 | |
Hsin-ti S Chang, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13760 Portofino Dr Apt A, Del Mar, CA 92014 Phone: 734-834-8830 |