Dr Irene Malavika Justin, DDS is a medicare enrolled "Dentist - General Practice" provider in Ranchocucamonga, California. Her current practice location is
10186 Monaco Pl, Ranchocucamonga, California. You can reach out to her office (for appointments etc.) via phone at
(951) 536-8419.
Dr Irene Malavika Justin is licensed to practice in California (license number CA51084) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518080597.
Healthcare Provider's Profile
Full Name | Dr Irene Malavika Justin |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 10186 Monaco Pl, Ranchocucamonga, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518080597
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 01/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 7113234998
- Enrollment ID: I20150910001640
Medical Identifiers
Medical identifiers for Dr Irene Malavika Justin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518080597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | CA51084 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Irene Malavika Justin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Irene Malavika Justin, DDS 10186 Monaco Pl, Ranchocucamonga, CA 91737 Ph: (951) 536-8419 | Dr Irene Malavika Justin, DDS 10186 Monaco Pl, Ranchocucamonga, CA 91737 Ph: (951) 536-8419 |
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