Healthcare Provider Details

I. General information

NPI: 1376216267
Provider Name (Legal Business Name): ARSANY RAOUF BECHAY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 07/27/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 W HOUSTON AVE
FULLERTON CA
92833-4504
US

IV. Provider business mailing address

1630 W HOUSTON AVE
FULLERTON CA
92833-4504
US

V. Phone/Fax

Practice location:
  • Phone: 562-338-1780
  • Fax:
Mailing address:
  • Phone: 562-338-1780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number106728
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: