| Dr Songhorian Dental Group | |
|
1615 Loma Vista Dr Beverly Hills CA 90210-1924 | |
| (310) 497-9536 | |
| Not Available |
| Full Name | Dr Songhorian Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1615 Loma Vista Dr, Beverly Hills, California |
| Authorized Official Name and Position | Robin Songhorian (PRESIDENT) |
| Authorized Official Contact | 3104979536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Songhorian Dental Group 1615 Loma Vista Dr Beverly Hills CA 90210-1924 Ph: (310) 497-9536 | Dr Songhorian Dental Group 1615 Loma Vista Dr Beverly Hills CA 90210-1924 Ph: (310) 497-9536 |
| NPI Number | 1538533518 |
|---|---|
| Provider Enumeration Date | 11/14/2015 |
| Last Update Date | 11/14/2015 |
| Medicare PECOS PAC ID | 0749515419 |
|---|---|
| Medicare Enrollment ID | O20190717002820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538533518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63975 (California) | Primary |
| Provider Name | Robin Songhorian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770983959 PECOS PAC ID: 4284969957 Enrollment ID: I20190717003009 |
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