Girgis, Mina
Girgis, Mina is an sole proprietor health care provider with primary practice located at 17802 Clark Ave , Bellflower CA 90706-6505. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Girgis, Mina can be contacted via phone (562) 925-8338.Contact Information
Primary practice address
17802 Clark Ave
Bellflower CA 90706-6505
Phone: (562) 925-8338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 100626 | California |
| Dental Providers / Dentist | 122300000X | 100626 | California |
Profile Details
| NPI number | 1194103671 |
|---|---|
| LBN Legal business name | Girgis, Mina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2015 |
| Last updated | Feb 16th, 2023 - about 3 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 | 1194103671 | NPPES |
| California | MEDICAID | 1669959284 |
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