Massoumi, Safoura
Massoumi, Safoura is an individual health care provider with primary practice located at 397 E St Ste #A, Chula Vista CA 91910. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Massoumi, Safoura can be contacted via phone (619) 425-9930.Contact Information
Primary practice address
397 E St Ste #A
Chula Vista CA 91910
Phone: (619) 425-9930
Fax: (619) 425-9887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 40677 | California |
Profile Details
| NPI number | 1497823561 |
|---|---|
| LBN Legal business name | Massoumi, Safoura |
| Credentials | DDS PEDIATRIC DENTIS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jan 15th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497823561 | NPPES |
| California | MEDICAID | G9226501 |
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