| Dr Massoud Kashanchi, DDS | |
|
1503 S Coast Dr Ste 110, Costa Mesa, CA 92626-1526 | |
| (714) 662-4424 | |
| (714) 546-0241 |
| Full Name | Dr Massoud Kashanchi |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1503 S Coast Dr Ste 110, Costa Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245459379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 030399 (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 030399 (California) | Primary |
| Entity Name | Massoud Kashanchi Dds Prof Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972013134 PECOS PAC ID: 3971915125 Enrollment ID: O20201214000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Massoud Kashanchi, DDS 1503 S Coast Dr Ste 110, Costa Mesa, CA 92626-1526 Ph: (714) 662-4424 | Dr Massoud Kashanchi, DDS 1503 S Coast Dr Ste 110, Costa Mesa, CA 92626-1526 Ph: (714) 662-4424 |
Dr. Gary L Wyatt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1801 Newport Boulevard, Suite C, Costa Mesa, CA 92627 Phone: 949-650-1030 Fax: 949-722-2481 | |
Dr. Jeremy Brian Jorgenson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3033 Bristol St, Ste Aa, Costa Mesa, CA 92626 Phone: 714-424-9099 | |
Ms. Na Young Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St Ste 2e, Costa Mesa, CA 92627 Phone: 714-873-7081 | |
Talayeh Azarpajouh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626 Phone: 714-546-6100 | |
Dr. Kouichi Itoh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3151 Airway Ave. # F-103, Costa Mesa, CA 92626 Phone: 714-549-7030 | |
William Pomeroy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 E 18th St Ste D, Costa Mesa, CA 92627 Phone: 949-548-3384 | |
Nadine Ashraf Sidki Tawfik, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626 Phone: 714-546-6100 |