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NPI Code Detail

MEDICARE: ALEKSEY STUGAREV

MEDICARE:   ALEKSEY  STUGAREV
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 Dentistry110183CA

General Provider Information

NPI Number : 1194526293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEKSEY STUGAREV
Provider Business Mailing Address
First Line : 118 SANDPIPER LN
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-1805
Country : US
Telephone Number : 949-607-7054
Fax Number :
Provider Business Practice Location Address
First Line : 24331 EL TORO RD STE 340
Second Line :
City : LAGUNA WOODS
State : CA
Zip : 92637-2754
Country : US
Telephone Number : 949-607-7054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 03/24/2025

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Directions to “ ALEKSEY STUGAREV ” Practice Location

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