| Gabriel Gabbaypour, Dds, Md, Inc | |
|
465 N Roxbury Dr Suite 815 Beverly Hills CA 90210-4206 | |
| (310) 276-1155 | |
| Not Available |
| Full Name | Gabriel Gabbaypour, Dds, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 465 N Roxbury Dr, Beverly Hills, California |
| Authorized Official Name and Position | Gabriel Gabbaypour (CEO) |
| Authorized Official Contact | 3102761155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Gabbaypour, Dds, Md, Inc 465 N Roxbury Dr Suite 815 Beverly Hills CA 90210-4206 Ph: (310) 276-1155 | Gabriel Gabbaypour, Dds, Md, Inc 465 N Roxbury Dr Suite 815 Beverly Hills CA 90210-4206 Ph: (310) 276-1155 |
| NPI Number | 1750763736 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 2668753047 |
|---|---|
| Medicare Enrollment ID | O20161222001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750763736 | NPI | - | NPPES |
| 1003910142 | Other | CA | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 43531 (California) | Primary |
| Provider Name | Gabriel Gabbaypour |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003910142 PECOS PAC ID: 9638338551 Enrollment ID: I20120313000824 |
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