Organization · Type 2 NPI

Jason Mirabile Dental Corp

Preferred Provider Organization · Santa Monica, CA

NPI number 1780072199 Active

Practice location

1304 15th St, 305
Santa Monica, CA 90404-1809

Fax (310) 319-9320

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X49147 (CA)

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.

24 other providers at this address

About NPI 1780072199

Jason Mirabile Dental Corp's National Provider Identifier is 1780072199, issued on Jan 7, 2015. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jan 12, 2015.