| Sina Mofidi, | |
|
21890 W Colorado Ave, San Joaquin, CA 93660-9773 | |
| (601) 405-7041 | |
| Not Available |
| Full Name | Sina Mofidi |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 21890 W Colorado Ave, San Joaquin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528780970 | NPI | - | NPPES |
| 108039 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 108039 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sina Mofidi, 28541 Shrike Dr, Laguna Niguel, CA 92677-1347 Ph: (601) 405-7041 | Sina Mofidi, 21890 W Colorado Ave, San Joaquin, CA 93660-9773 Ph: (601) 405-7041 |
Manbir Singh Gill, DDS Dentist Medicare: Medicare Enrolled Practice Location: 21890 W Colorado Ave, San Joaquin, CA 93660 Phone: 559-693-2462 | |
Mrs. Loan Hong Le, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21890 Colorado Ave., San Joaquin, CA 93660 Phone: 559-693-2467 Fax: 559-693-2398 | |
Mr. Amos Benjamin Acevedo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21890 Colorado Ave., San Joaquin, CA 93660 Phone: 559-693-2467 Fax: 559-693-2398 |