NPI: 1053884924 · SAN BERNARDINO, CA 92404 · Dental Clinic/Center · NPI assigned 01/03/2019
| Authorized Official | POURSHIRAZI, HOMAYOUN (PRESIDENT) |
| NPI Enumeration Date | 01/03/2019 |
Other providers sharing the same authorized official: POURSHIRAZI, HOMAYOUN
| Provider | City | State | Total Paid |
|---|---|---|---|
| HOMAYOUN POURSHIRAZI DMD PC | MENIFEE | CA | $775K |
| H. POURSHIRAZI DMD, INC | SUN CITY | CA | $187K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $858.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $858.00 |