MEDICARE: RUBEN H BEGINO DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	48787	CA

General Provider Information

NPI Number	:	1053503342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUBEN H BEGINO DDS INC

Provider Business Mailing Address
First Line	:	2618 S BRISTOL ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5727
Country	:	US
Telephone Number	:	714-540-7101
Fax Number	:	714-540-6061

Provider Business Practice Location Address
First Line	:	2618 S BRISTOL ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5727
Country	:	US
Telephone Number	:	714-540-7101
Fax Number	:	714-540-6061

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. RUBEN HORACIO BEGINO
Credential	:	DDS
Telephone Number	:	714-540-7101

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	08/10/2007

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