Healthcare Provider Details

I. General information

NPI: 1912660598
Provider Name (Legal Business Name): HADJER SAHRAOUI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S VILLA REAL STE 101B
ANAHEIM CA
92807-3432
US

IV. Provider business mailing address

21752 ALDERBROOK
MISSION VIEJO CA
92692-3003
US

V. Phone/Fax

Practice location:
  • Phone: 714-974-4332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number109852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: