Grigory Rozenvich D.D.S., Inc. in Santa Ana - Exclusive Provider Organization
Grigory Rozenvich D.D.S., Inc. - NPI 1912196171
Grigory Rozenvich D.D.S., Inc. is a Exclusive Provider Organization in Santa Ana, California. Grigory Rozenvich D.D.S., Inc. practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Grigory Rozenvich D.D.S., Inc. is 1912196171. The last update date is 2015-05-06.
Grigory Rozenvich D.D.S., Inc.'s current location address is 3620 S. Bristol St., Santa Ana, California. You can contact this provider via phone number 7145491409 and fax number 7145492118. The mailing address for Grigory Rozenvich D.D.S., Inc. is 3620 S. Bristol St., Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grigory Rozenvich D.D.S., Inc. |
|---|---|
| Address | 3620 S. Bristol St., Santa Ana, California |
| Phone Number | 7145491409 |
| Fax Number | 7145492118 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rozenovich Grigory |
| Telephone Number | 7145491409 |
NPI Number Detail
| NPI Number | 1912196171 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2015-05-06 |
Provider Mailing Address Detail
| Address | 3620 S. Bristol St. |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 92704 |
| Phone Number | 7145491409 |
| Fax Number | 7145492118 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | 40115 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 973695 | PA | UNITED CONCORDIA | |
| 7120 | CA | PACIFICARE | |
| B40115 01 | CA | STATE OF CA. DENTI-CAL |
Post Comment/ Review Below
What is the unique identification code assigned to Grigory Rozenvich D.D.S., Inc. by the Centers for Medicare & Medicaid Services?
The Grigory Rozenvich D.D.S., Inc. has been issued the NPI (National Provider Identifier) 1912196171. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Grigory Rozenvich D.D.S., Inc. is located?
The Grigory Rozenvich D.D.S., Inc. is situated at the following address: 3620 S. Bristol St., Santa Ana, CA, 92704.
What is Grigory Rozenvich D.D.S., Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grigory Rozenvich D.D.S., Inc.'s specialized field of practice is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 302F00000X.
When was the Grigory Rozenvich D.D.S., Inc.'s 1912196171 issued?
The Grigory Rozenvich D.D.S., Inc.'s 1912196171 was issued on 2007-10-23.
When was the information regarding Grigory Rozenvich D.D.S., Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Grigory Rozenvich D.D.S., Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-05-06.