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8950 Villa La Jolla Dr. #b101 La Jolla CA 92037 | |
| (858) 550-8000 | |
| (858) 886-7251 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 8950 Villa La Jolla Dr. #b101, La Jolla, California |
| Authorized Official Name and Position | Farnaz Farid (DENTIST) |
| Authorized Official Contact | 8585508000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8950 Villa La Jolla Dr. #b101 La Jolla CA 92037 Ph: (858) 550-8000 | 8950 Villa La Jolla Dr. #b101 La Jolla CA 92037 Ph: (858) 550-8000 |
| NPI Number | 1023569662 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 07/28/2021 |
| Medicare PECOS PAC ID | 7618370628 |
|---|---|
| Medicare Enrollment ID | O20210728003638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023569662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52552 (California) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | Farnaz Farid |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639279268 PECOS PAC ID: 7517371438 Enrollment ID: I20210203002603 |
Private Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 Villa La Jolla Dr Ste B124, La Jolla, CA 92037 Phone: 858-457-3610 Fax: 858-457-4025 | |
Gavin J. Miller, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4130 La Jolla Village Dr Ste 205, La Jolla, CA 92037 Phone: 858-546-7667 Fax: 858-546-7693 | |
Neni Shriver,dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7817 Ivanhoe Ave, Ste 304, La Jolla, CA 92037 Phone: 858-456-4442 Fax: 858-456-4443 | |
Tran Murray Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5731 La Jolla Blvd, La Jolla, CA 92037 Phone: 858-459-0229 Fax: 702-932-9406 | |
David E. Brockett D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7804 Ivanhoe Ave., La Jolla, CA 92037 Phone: 858-454-1468 Fax: 858-454-1696 | |