Dr Stephanie Mayorga, DDS | |
324 Marine Pl, Manhattan Beach, CA 90266-4439 | |
(415) 359-8894 | |
Not Available |
Full Name | Dr Stephanie Mayorga |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 324 Marine Pl, Manhattan Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083145544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 101242 (California) | Primary |
Entity Name | Santa Rosa Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
Mailing Address | Practice Location Address |
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Dr Stephanie Mayorga, DDS 79 Athens St, San Francisco, CA 94112-1601 Ph: (415) 359-8894 | Dr Stephanie Mayorga, DDS 324 Marine Pl, Manhattan Beach, CA 90266-4439 Ph: (415) 359-8894 |
Dr. Mitra Elisha Simanian, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1200 Rosecrans Ave Ste 210, Manhattan Beach, CA 90266 Phone: 310-414-0620 Fax: 310-414-0689 | |
Steven Allen Firshein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 Manhattan Beach Blvd, Manhattan Beach, CA 90266 Phone: 310-546-4675 Fax: 310-546-1465 | |
Dr. Thomas Ying, DDS Dentist Medicare: Medicare Enrolled Practice Location: 500 S. Sepulveda Blvd., #104, Manhattan Beach, CA 90266 Phone: 310-372-7575 Fax: 310-372-7979 | |
Dr. Brian Michael Withers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 973 Manhattan Beach Blvd, Suite A, Manhattan Beach, CA 90266 Phone: 310-546-2002 | |
Dr. Amy A Gimlen, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 973 Manhattan Beach Blvd Ste C, Manhattan Beach, CA 90266 Phone: 310-545-6525 Fax: 310-546-6203 | |
Dr. Ryan James Hungate, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 973 Manhattan Beach Blvd, Suite C, Manhattan Beach, CA 90266 Phone: 424-282-0036 |