| Eleanor M Lumahan Dds Inc | |
|
1127 Highland Ave National City CA 91950-3517 | |
| (619) 336-6063 | |
| (619) 336-6066 |
| Full Name | Eleanor M Lumahan Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1127 Highland Ave, National City, California |
| Authorized Official Name and Position | Eleanor Madrid Lumahan (PRESIDENT) |
| Authorized Official Contact | 6193366063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor M Lumahan Dds Inc 1127 Highland Ave National City CA 91950-3517 Ph: (619) 336-6063 | Eleanor M Lumahan Dds Inc 1127 Highland Ave National City CA 91950-3517 Ph: (619) 336-6063 |
| NPI Number | 1063644961 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 10/10/2019 |
| Medicare PECOS PAC ID | 7214369040 |
|---|---|
| Medicare Enrollment ID | O20200204001910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063644961 | NPI | - | NPPES |
| D54283 | Other | CA | DENTICAL |
| 1518105089 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54283 (California) | Primary |
| Provider Name | Eleanor M Lumahan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518105089 PECOS PAC ID: 1052617057 Enrollment ID: I20191118001029 |
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