| Paddison Dental Group | |
|
12501 S Norwalk Blvd Norwalk CA 90650 | |
| (818) 990-5975 | |
| (818) 991-5194 |
| Full Name | Paddison Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12501 S Norwalk Blvd, Norwalk, California |
| Authorized Official Name and Position | Sohail Parham (OWNER) |
| Authorized Official Contact | 8189905795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paddison Dental Group 12501 S Norwalk Blvd Norwalk CA 90650 Ph: (818) 990-5975 | Paddison Dental Group 12501 S Norwalk Blvd Norwalk CA 90650 Ph: (818) 990-5975 |
| NPI Number | 1275727786 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 02/27/2017 |
| Medicare PECOS PAC ID | 8628343027 |
|---|---|
| Medicare Enrollment ID | O20171011002519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275727786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38214 (California) | Primary |
| Provider Name | Sohail Parham |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538280185 PECOS PAC ID: 9537434931 Enrollment ID: I20171011002658 |
| Provider Name | Edit Avodian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508112285 PECOS PAC ID: 2163776345 Enrollment ID: I20181107002250 |
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