1821119595 NPI number — MS. MARIAANNABELLA RUSEN PORAZIK D.D.S.

Table of content: MS. MARIAANNABELLA RUSEN PORAZIK D.D.S. (NPI 1821119595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821119595 NPI number — MS. MARIAANNABELLA RUSEN PORAZIK D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PORAZIK
Provider First Name:
MARIAANNABELLA
Provider Middle Name:
RUSEN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821119595
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22351 BARBACOA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAUGUS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91350-2249
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-296-9240
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2045 LEBEC RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBEC
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-245-1434
Provider Business Practice Location Address Fax Number:
661-245-2730
Provider Enumeration Date:
04/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  55362 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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