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NPI Code Detail

MEDICARE: DR. JAY J CHOBDEE DDS

MEDICARE:  DR. JAY J CHOBDEE  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 Dentistry49292CA

General Provider Information

NPI Number : 1497775357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY J CHOBDEE DDS
Provider Business Mailing Address
First Line : 16330 RANMORE DR
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-4952
Country : US
Telephone Number : 626-833-5569
Fax Number :
Provider Business Practice Location Address
First Line : 2105 BEVERLY BLVD
Second Line : SUITE 101
City : LOS ANGELES
State : CA
Zip : 90057-2216
Country : US
Telephone Number : 213-484-1288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAY J CHOBDEE DDS” Practice Location

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