National Provider Identifier Database

JASON MIRABILE DENTAL CORP
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

JASON MIRABILE DENTAL CORP
1304 15TH ST
305
SANTA MONICA, CA90404-1809
Phone: 310-319-9300
Fax: 310-319-9320
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for JASON MIRABILE DENTAL CORP

NPI Number 1780072199
Legal business name
LBN
JASON MIRABILE DENTAL CORP
Authorized official JASON MIRABILE - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 01/07/2015
Last updated 01/12/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 49147

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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