Atef Boutros Dds Inc.

LBN: Atef Boutros Dds Inc.
Atef Boutros Dds Inc. is an health care organization with primary practice located at 1183 E Anaheim Street , Long Beach CA 90813. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Atef Boutros Dds Inc. can be contacted via phone (562) 912-4367, or through Boutros, Atef A via phone (562) 912-4367.

Contact Information

Primary practice address
1183 E Anaheim Street Long Beach CA 90813
Phone: (562) 912-4367
Fax: (562) 912-4369
Website:
Map and Directions
Authorized official contact:
Name: Boutros, Atef A Doctor of Dental Surgery (DDS)
Phone: (562) 912-4367

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1639229099
LBN Legal business name Atef Boutros Dds Inc.
DBA Doing business as
Authorized official Boutros, Atef A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Oct 24th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639229099 NPPES
California MEDICAID G93926-01

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