| Emil J Simanian D.D.S., Inc. | |
|
23107 Lyons Ave Newhall CA 91321-2630 | |
| (661) 254-3516 | |
| Not Available |
| Full Name | Emil J Simanian D.D.S., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 23107 Lyons Ave, Newhall, California |
| Authorized Official Name and Position | Matthew Simanian (IT MANAGER) |
| Authorized Official Contact | 6612543516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emil J Simanian D.D.S., Inc. 23107 Lyons Ave Newhall CA 91321-2630 Ph: (661) 254-3516 | Emil J Simanian D.D.S., Inc. 23107 Lyons Ave Newhall CA 91321-2630 Ph: (661) 254-3516 |
| NPI Number | 1871013060 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 4981196888 |
|---|---|
| Medicare Enrollment ID | O20251126001873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871013060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| Provider Name | Emil J Simanian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295246676 PECOS PAC ID: 1850883760 Enrollment ID: I20251126002257 |
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