Peter Sumarsono Professional Dental Corporation

LBN: Peter Sumarsono Professional Dental Corporation
Peter Sumarsono Professional Dental Corporation is an health care organization with primary practice located at 4605 Barranca Parkway., 200 , Irvine CA 92604. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Peter Sumarsono Professional Dental Corporation can be contacted via phone (714) 864-8261, or through Sumarsono, Caroline via phone (714) 864-8261.

Contact Information

Primary practice address
4605 Barranca Parkway., 200 Irvine CA 92604
Phone: (714) 864-8261
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sumarsono, Caroline
Phone: (714) 864-8261

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 40736 California

Profile Details

NPI number 1326443920
LBN Legal business name Peter Sumarsono Professional Dental Corporation
DBA Doing business as
Authorized official Sumarsono, Caroline
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2014
Last updated Oct 27th, 2014 - about 10 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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