| Elite Sedation General Partnership | |
|
30262 Crown Valley Pkwy Ste B447 Laguna Niguel CA 92677-2364 | |
| (949) 288-3401 | |
| Not Available |
| Full Name | Elite Sedation General Partnership |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 30262 Crown Valley Pkwy Ste B447, Laguna Niguel, California |
| Authorized Official Name and Position | Andrew Elmasri (DENTIST ANESTHESIOLOGIST) |
| Authorized Official Contact | 9492883401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Sedation General Partnership 30262 Crown Valley Pkwy Ste B447 Laguna Niguel CA 92677-2364 Ph: (949) 288-3401 | Elite Sedation General Partnership 30262 Crown Valley Pkwy Ste B447 Laguna Niguel CA 92677-2364 Ph: (949) 288-3401 |
| NPI Number | 1699405027 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 06/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699405027 | NPI | - | NPPES |
| 1790101244 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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