Ibrahim Mohmad Al-Qawaqneh in Anaheim - General Practice

Ibrahim Mohmad Al-Qawaqneh - NPI 1194805887

Ibrahim Mohmad Al-Qawaqneh is a General Practice in Anaheim, California. Ibrahim Mohmad Al-Qawaqneh practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ibrahim Mohmad Al-Qawaqneh is 1194805887. The last update date is 2007-07-08.

Ibrahim Mohmad Al-Qawaqneh's current location address is 1719 W Romneya Dr, Anaheim, California. You can contact this provider via phone number 7149913900 and fax number 7149913999. The mailing address for Ibrahim Mohmad Al-Qawaqneh is 1719 W Romneya Dr, Anaheim, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ibrahim Mohmad Al-Qawaqneh
Address 1719 W Romneya Dr, Anaheim, California
Phone Number 7149913900
Fax Number 7149913999
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1194805887
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1719 W Romneya Dr
City Anaheim
State California (CA)
Post Code 928011804
Phone Number 7149913900
Fax Number 7149913999

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 46726
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G9276201 CA DENTI-CAL NUMBER

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FAQs about Ibrahim Mohmad Al-Qawaqneh

What is the unique identifier code issued to Ibrahim Mohmad Al-Qawaqneh by the Centers for Medicare & Medicaid Services (CMS)?

The Ibrahim Mohmad Al-Qawaqneh has been assigned the NPI (National Provider Identifier) 1194805887. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Ibrahim Mohmad Al-Qawaqneh?

The Ibrahim Mohmad Al-Qawaqneh is situated at 1719 W Romneya Dr, in the city of Anaheim, state of CA, with the zip code 928011804.

What is Ibrahim Mohmad Al-Qawaqneh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ibrahim Mohmad Al-Qawaqneh is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Ibrahim Mohmad Al-Qawaqneh receive the assignment of its 1194805887 from the Centers for Medicare & Medicaid Services?

The Ibrahim Mohmad Al-Qawaqneh was issued its 1194805887 by the Centers for Medicare & Medicaid Services on 2006-10-17.

As of what date was the information pertaining to Ibrahim Mohmad Al-Qawaqneh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ibrahim Mohmad Al-Qawaqneh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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