Mahyar Mahboub Dds, A Professional Corporation
LBN: Mahyar Mahboub Dds, A Professional Corporation
Mahyar Mahboub Dds, A Professional Corporation is an health care organization with primary practice located at 4902 Irvine Center Dr Suite 202, Irvine CA 92604-3305. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Mahyar Mahboub Dds, A Professional Corporation can be contacted via phone (949) 653-6318, or through Mahboub, Mahyar via phone (949) 653-6318.
Contact Information
Primary practice address
4902 Irvine Center Dr Suite 202
Irvine CA 92604-3305
Phone: (949) 653-6318
Fax: (949) 653-6374
Website:
Authorized official contact:
Name: Mahboub, Mahyar Doctor of Dental Surgery (DDS)
Phone: (949) 653-6318
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 45586 | California |
Profile Details
| NPI number | 1306056544 |
|---|---|
| LBN Legal business name | Mahyar Mahboub Dds, A Professional Corporation |
| DBA Doing business as | |
| Authorized official | Mahboub, Mahyar Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306056544 | NPPES |
| California | MEDICAID | G-92967-01 |
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