JACK HAROUNI DDS INC (NPI# 1477023489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477023489 |
| Entity Type | Organization |
| Organization Name | JACK HAROUNI DDS INC |
| Practice Address |
1333 Camino Del Rio S Ste 202 San Diego CA 92108-3520 |
| Mailing Address |
815 Lake Oak Ct Sacramento CA 95864-6153 |
| Practice Telephone | 6192604990 |
| Mailing Telephone | 9169710142 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | DR. JACK HAROUNI (OWNER/DENTIST) |
| Authorized Official Telephone | 9162046625 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1242 E Main St, El Cajon, CA 920217205 | 6194446355 | |
| 8997 Mira Mesa Blvd, San Diego, CA 921262738 | 8585365550 |
| Street Address |
1333 CAMINO DEL RIO S STE 202 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801179932 | Duc Nguyen | Dentist | 1333 Camino Del Rio S Ste 202, San Diego, CA 92108-3520 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776812 | Andy L. Tieu Dds Inc. | Clinic/Center | 10549 Scripps Poway Pkwy Ste I, San Diego, CA 92131-3963 | 2020-07-01 |
| 1851925481 | Santos Salsbury Dental Corporation | Clinic/Center | 6699 Alvarado Rd Ste 2202, San Diego, CA 92120-5293 | 2020-02-22 |
| 1194365015 | Valadez Dental Corp | Clinic/Center | 2650 Camino Del Rio N Ste 102, San Diego, CA 92108-1630 | 2020-01-08 |
| 1619434065 | Marco Savittieri, Dds., Inc. | Clinic/Center | 12613 El Camino Real Unit A, San Diego, CA 92130-4077 | 2019-02-21 |
| 1760977516 | Jeremy Walker Dental Corporation | Clinic/Center | 3330 3rd Ave Ste 302, San Diego, CA 92103-5639 | 2018-06-25 |
| 1235629502 | Ricardo Peralta Dds Inc | Clinic/Center | 9855 Erma Rd Ste 103, San Diego, CA 92131-1007 | 2018-05-12 |
| 1326535576 | Ryan Wallrich Dmd, PC | Clinic/Center | 1310 Rosecrans St Ste B, San Diego, CA 92106-4609 | 2018-04-13 |
| 1356847438 | Arvinda Reddy Kunduru, Dds Inc. | Clinic/Center | 5440 Morehouse Dr Ste 1800, San Diego, CA 92121-6705 | 2018-04-05 |
| 1447767447 | Florabel F. Oliver-badillo Dmd, Inc. | Clinic/Center | 10717 Camino Ruiz Ste 122, San Diego, CA 92126-2362 | 2017-12-29 |
| 1073036539 | Balboa Family Dentistry | Clinic/Center | 3737 Moraga Ave Ste B307, San Diego, CA 92117-5360 | 2017-07-17 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.