Aya Hassan Ali Alwardi, DDS
Individual provider Active NPI General Practice Dentistry · Brea, CA
NPI 1245833367 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1245833367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 105828 (CA)
- Practice address
- 420 La Crescenta Dr Unit 341
Brea, CA 92823-6435 - Phone
- (571) 426-4641
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105828 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105828 | CA | Yes |
Addresses
Primary practice location
420 La Crescenta Dr Unit 341
Brea, CA 92823-6435
Mailing address
420 La Crescenta Dr Unit 341
Brea, CA 92823-6435
Phone (571) 426-4641
Other providers in Brea, CA
- Allied Family Dentistry
- Evelyn Allison
- Diane Marie Almanza
- Audrey Alva
- Dominique Alvarez
- Amar Hospice Inc.
- Anaheim Urgent Care, Inc.
- Ancient Wellness Consultant Co.,
- Graham Douglas Andersen
- Kathy Arleene Anderson
All providers in Brea, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.