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NPI Code Detail

MEDICARE: DR. MANOJKUMAR M AMIN DDS

MEDICARE:  DR. MANOJKUMAR M AMIN  DDS
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
11223G0001XGeneral Practice Dentistry29548CA

General Provider Information

NPI Number : 1104972397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANOJKUMAR M AMIN DDS
Provider Business Mailing Address
First Line : 2613 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3905
Country : US
Telephone Number : 213-484-1845
Fax Number : 213-484-2443
Provider Business Practice Location Address
First Line : 2613 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3905
Country : US
Telephone Number : 213-484-1845
Fax Number : 213-484-2443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MANOJKUMAR M AMIN DDS” Practice Location

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