| Amir Sanjabi Dental Corporation | |
|
10901 Paramount Blvd Downey CA 90241-3617 | |
| (562) 869-0928 | |
| (562) 869-8288 |
| Full Name | Amir Sanjabi Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 10901 Paramount Blvd, Downey, California |
| Authorized Official Name and Position | Amir Sanjabi (OWNER) |
| Authorized Official Contact | 5628690928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amir Sanjabi Dental Corporation 10901 Paramount Blvd Downey CA 90241-3617 Ph: (562) 869-0928 | Amir Sanjabi Dental Corporation 10901 Paramount Blvd Downey CA 90241-3617 Ph: (562) 869-0928 |
| NPI Number | 1538736590 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Medicare PECOS PAC ID | 2466852009 |
|---|---|
| Medicare Enrollment ID | O20210617002988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538736590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Amir Sanjabi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992259592 PECOS PAC ID: 3678859956 Enrollment ID: I20210617003025 |
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