| H. Pourshirazi Dmd, Inc | |
| 
					27851 Bradley Rd Ste 155 Sun City CA 92586-2244  | |
| (951) 672-9457 | |
| (951) 672-7878 | 
| Full Name | H. Pourshirazi Dmd, Inc | 
|---|---|
| Speciality | Dentist | 
| Location | 27851 Bradley Rd Ste 155, Sun City, California | 
| Authorized Official Name and Position | Homayoun Pourshirazi (DOCTOR) | 
| Authorized Official Contact | 9516729457 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| H. Pourshirazi Dmd, Inc 27851 Bradley Rd #155 Sun City CA 92586-2286 Ph: (951) 672-9457  | H. Pourshirazi Dmd, Inc 27851 Bradley Rd Ste 155 Sun City CA 92586-2244 Ph: (951) 672-9457  | 
| NPI Number | 1003957457 | 
|---|---|
| Provider Enumeration Date | 02/09/2007 | 
| Last Update Date | 07/02/2009 | 
| Medicare PECOS PAC ID | 0648694372 | 
|---|---|
| Medicare Enrollment ID | O20200728000615 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003957457 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44064 (California) | Primary | 
| Provider Name | Homayoun Pourshirazi | 
|---|---|
| Provider Type | Practitioner - Oral Surgery | 
| Provider Identifiers | NPI Number: 1376797621 PECOS PAC ID: 2264602333 Enrollment ID: I20200408001615  | 
| Provider Name | Reza Rafie | 
|---|---|
| Provider Type | Practitioner - Oral Surgery | 
| Provider Identifiers | NPI Number: 1588783690 PECOS PAC ID: 8123440609 Enrollment ID: I20200630001146  | 
Carolyn Ghazal, D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29950 Haun Rd, Ste 302, Sun City, CA 92586 Phone: 951-679-1667 Fax: 951-679-8664  | |
Nalorn Nang Sengamphan,dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27851 Bradley Rd, 155, Sun City, CA 92586 Phone: 951-679-0520 Fax: 951-679-8472  | |
Reza M. Birjandi Dds., A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28401 Bradley Rd, Suite C, Sun City, CA 92586 Phone: 951-679-0691 Fax: 951-679-6094  | |
G. Matin D.d.s Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28115 Bradley Rd, Suite 3, Sun City, CA 92586 Phone: 951-723-1188 Fax: 951-723-1198  | |
J. C. Romero, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-679-5313 Fax: 951-679-6344  | |
Ghazal Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29950 Haun Rd, 302, Sun City, CA 92586 Phone: 951-679-1667 Fax: 951-679-8664  |