Grigory Rozenvich D.D.S., Inc.
LBN: Grigory Rozenvich D.D.S., Inc.
Grigory Rozenvich D.D.S., Inc. is an health care organization with primary practice located at 3620 S. Bristol St. Suite 210, Santa Ana CA 92704. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty.
Grigory Rozenvich D.D.S., Inc. can be contacted via phone (714) 549-1409, or through Rozenovich, Grigory via phone (714) 549-1409.
Contact Information
Primary practice address
3620 S. Bristol St. Suite 210
Santa Ana CA 92704
Phone: (714) 549-1409
Fax: (714) 549-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | 40115 | California |
Profile Details
| NPI number | 1912196171 |
|---|---|
| LBN Legal business name | Grigory Rozenvich D.D.S., Inc. |
| DBA Doing business as | |
| Authorized official | Rozenovich, Grigory |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | May 6th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912196171 | NPPES |
| Pennsylvania | Other | 973695 | UNITED CONCORDIA |
| Pennsylvania | Other | 7120 | UNITED CONCORDIA |
| Pennsylvania | Other | B40115 01 | UNITED CONCORDIA |
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