Periodontics, Oral And Facial Surgical Specialties

LBN: Periodontics, Oral And Facial Surgical Specialties
Periodontics, Oral And Facial Surgical Specialties is an health care organization with primary practice located at 29829 Santa Margarita Pkwy Ste 300 , Rancho Santa Margarita CA 92688-3623. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Periodontics, Oral And Facial Surgical Specialties can be contacted via phone (949) 888-0332, or through Bolourian, Reza via phone (949) 888-0332.

Contact Information

Primary practice address
29829 Santa Margarita Pkwy Ste 300 Rancho Santa Margarita CA 92688-3623
Phone: (949) 888-0332
Fax: (949) 888-0400
Website:
Map and Directions
Authorized official contact:
Name: Bolourian, Reza Doctor of Medicine (MD)
Phone: (949) 888-0332

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1386234284
LBN Legal business name Periodontics, Oral And Facial Surgical Specialties
DBA Doing business as
Authorized official Bolourian, Reza Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2021
Last updated Jan 25th, 2021 - about 3 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.

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