Homayoun Pourshirazi, DMD | |
27192 Newport Rd, Suite 2, Menifee, CA 92584-7387 | |
(951) 672-9457 | |
(951) 672-7878 |
Full Name | Homayoun Pourshirazi |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 27192 Newport Rd, Menifee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376797621 | NPI | - | NPPES |
44064 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 44064 (California) | Primary |
Entity Name | Homayoun Pourshirazi Dmd Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386785749 PECOS PAC ID: 3971932260 Enrollment ID: O20200408001414 |
Entity Name | H Pourshirazi Dmd Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003957457 PECOS PAC ID: 0648694372 Enrollment ID: O20200728000615 |
Mailing Address | Practice Location Address |
---|---|
Homayoun Pourshirazi, DMD 27192 Newport Rd, Suite 2, Menifee, CA 92584-7387 Ph: (951) 672-9457 | Homayoun Pourshirazi, DMD 27192 Newport Rd, Suite 2, Menifee, CA 92584-7387 Ph: (951) 672-9457 |
Christopher Walters, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 29121 Newport Rd Ste 101, Menifee, CA 92584 Phone: 951-228-9296 | |
Eileen Shah, Dentist Medicare: Medicare Enrolled Practice Location: 29950 Haun Rd Ste 302, Menifee, CA 92586 Phone: 951-679-1667 | |
Dr. Matthew Michael King, DDS Dentist Medicare: Medicare Enrolled Practice Location: 30406 Haun Rd Ste 740, Menifee, CA 92584 Phone: 360-567-5978 | |
Iee Shin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 30406 Haun Rd Ste 740, Menifee, CA 92584 Phone: 951-679-4624 | |
Ahmed Azzam Farah, DENTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 30035 Haun Rd Bldg B, Menifee, CA 92584 Phone: 951-566-9090 | |
Dr. Stephan Antonius Kohnen, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 27757 Aspel Rd Apt 923, Menifee, CA 92585 Phone: 832-514-5578 | |
Owen Russell Cruz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 29121 Newport Rd Ste 101, Menifee, CA 92584 Phone: 951-228-9296 |