Ayoub Dental Corporation

LBN: Ayoub Dental Corporation
Ayoub Dental Corporation is an health care organization with primary practice located at 18800 Main St 203, Huntington Beach CA 92648-1707. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Ayoub Dental Corporation can be contacted via phone (714) 848-2277, or through Ayoub, Wissam via phone (714) 848-2277.

Contact Information

Primary practice address
18800 Main St 203 Huntington Beach CA 92648-1707
Fax: (714) 842-6519
Website:
Authorized official contact:
Name: Ayoub, Wissam

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Managed Care Organizations / Preferred Provider Organization 305R00000X 55496 California

Profile Details

NPI number 1225498421
LBN Legal business name Ayoub Dental Corporation
DBA Doing business as
Authorized official Ayoub, Wissam
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2016
Last updated Sep 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225498421 NPPES
California MEDICAID 16039600047

Popular Providers