Physician Compare National (NPI:1467566737)

HEALTHCARE PROVIDER: HOSSEIN JAHANGIRI DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467566737
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214263045
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190731002041
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JAHANGIRI
	Individual professional last name
Provider First Name	HOSSEIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DENTIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DENTIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	23361 EL TORO RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 117
	Group Practice or individual's line 2 address
City	LAKE FOREST
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926304810
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y