| Kristin A. Soraya | |
|
23961 Calle De La Magdalena Laguna Hills CA 92653-3616 | |
| (602) 743-6667 | |
| Not Available |
| Full Name | Kristin A. Soraya |
|---|---|
| Speciality | Dentist |
| Location | 23961 Calle De La Magdalena, Laguna Hills, California |
| Authorized Official Name and Position | Kristin A Soraya (PRESIDENT/ OWNER) |
| Authorized Official Contact | 6027436667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin A. Soraya 2355 Watermarke Pl Irvine CA 92612-7695 Ph: (602) 743-6667 | Kristin A. Soraya 23961 Calle De La Magdalena Laguna Hills CA 92653-3616 Ph: (602) 743-6667 |
| NPI Number | 1518344647 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 11/02/2015 |
| Medicare PECOS PAC ID | 2163778218 |
|---|---|
| Medicare Enrollment ID | O20180703002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518344647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40986 (California) | Primary |
| Provider Name | Kristin A Soraya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962520734 PECOS PAC ID: 0345530663 Enrollment ID: I20180703002665 |
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