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NPI Code Detail

MEDICARE: DR. BARNARD G. NAGAI DDS

MEDICARE:  DR. BARNARD G. NAGAI  DDS
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
1122300000XDentist39850CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B3985002OTHERCADENTI-CAL

General Provider Information

NPI Number : 1205004389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARNARD G. NAGAI DDS
Provider Business Mailing Address
First Line : 6700 LAUREL CANYON BLVD
Second Line : SUITE 3
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1547
Country : US
Telephone Number : 818-764-5333
Fax Number : 818-765-0887
Provider Business Practice Location Address
First Line : 6700 LAUREL CANYON BLVD
Second Line : SUITE 3
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1547
Country : US
Telephone Number : 818-764-5333
Fax Number : 818-765-0887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2008
Last Update Date : 02/12/2008

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Directions to “ DR. BARNARD G. NAGAI DDS” Practice Location

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