| Scott An, Dds,inc. | |
|
2625 E Florence Ave Suite # C Huntington Park CA 90255-4756 | |
| (323) 277-9191 | |
| (323) 277-3898 |
| Full Name | Scott An, Dds,inc. |
|---|---|
| Speciality | Dentist |
| Location | 2625 E Florence Ave, Huntington Park, California |
| Authorized Official Name and Position | Scott An (PRESIDENT) |
| Authorized Official Contact | 3232779191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott An, Dds,inc. 2625 E Florence Ave Suite # C Huntington Park CA 90255-4756 Ph: (323) 277-9191 | Scott An, Dds,inc. 2625 E Florence Ave Suite # C Huntington Park CA 90255-4756 Ph: (323) 277-9191 |
| NPI Number | 1558573519 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214246974 |
|---|---|
| Medicare Enrollment ID | O20160505001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558573519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48700 (California) | Primary |
| Provider Name | Scott An |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144376138 PECOS PAC ID: 1456650860 Enrollment ID: I20160505001349 |
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