MEDICARE: RIMON SAAD 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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1538990338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIMON SAAD DDS, INC.

Provider Business Mailing Address
First Line	:	16055 SHERMAN WAY
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-4023
Country	:	US
Telephone Number	:	818-486-9258
Fax Number	:	818-909-0508

Provider Business Practice Location Address
First Line	:	16055 SHERMAN WAY
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-4023
Country	:	US
Telephone Number	:	818-909-0500
Fax Number	:	818-909-0508

Authorized Official
Title or Position	:	DENTIST/PRESIDENT
Name	:	DR. RIMON SAAD
Credential	:	DDS
Telephone Number	:	818-486-9258

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	08/13/2024

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