Hanna Lael Robin De Bourg in Costa Mesa - General Practice
Hanna Lael Robin De Bourg - NPI 1487879110
Hanna Lael Robin De Bourg is a General Practice in Costa Mesa, California. Hanna Lael Robin De Bourg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Hanna Lael Robin De Bourg is 1487879110. The last update date is 2007-07-08.
Hanna Lael Robin De Bourg's current location address is 3105 Harbor Blvd, Costa Mesa, California. You can contact this provider via phone number 3109222170. The mailing address for Hanna Lael Robin De Bourg is 3105 Harbor Blvd, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hanna Lael Robin De Bourg |
|---|---|
| Address | 3105 Harbor Blvd, Costa Mesa, California |
| Phone Number | 3109222170 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1487879110 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3105 Harbor Blvd |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 92626 |
| Phone Number | 3109222170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 48096 |
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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. |
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What is the unique 10-digit identifier code assigned to Hanna Lael Robin De Bourg by the Centers for Medicare & Medicaid Services?
The Hanna Lael Robin De Bourg has been issued the NPI (National Provider Identifier) 1487879110 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Hanna Lael Robin De Bourg is physically located?
The Hanna Lael Robin De Bourg is physically situated at the following address: 3105 Harbor Blvd, Costa Mesa, CA, 92626.
What is Hanna Lael Robin De Bourg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Hanna Lael Robin De Bourg is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Hanna Lael Robin De Bourg receive the assignment of its 1487879110 from the Centers for Medicare & Medicaid Services?
The Hanna Lael Robin De Bourg was issued its 1487879110 by the Centers for Medicare & Medicaid Services on 2007-04-16.
As of what date was the information regarding Hanna Lael Robin De Bourg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Hanna Lael Robin De Bourg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.