Reema M Arnouk, DDS
Individual provider Active NPI Dentist · Glendora, CA
NPI 1316282981 · NPPES record last updated Dec 7, 2012
Key facts
- NPI
- 1316282981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 41655 (CA)
- Practice address
- 210 S Grand Ave Ste 420
Glendora, CA 91741-4294 - Phone
- (626) 963-3322
- Fax
- (626) 963-3399
- NPI assigned
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210310001974 | CA | Practitioner - Oral Surgery | 9032525365 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41655 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnouk DDS Inc | Current |
Accepting new patients | |
| Reema Arnouk, D.D.S., Inc. | Current |
Accepting new patients |
Locations
210 S Grand Ave
Ste 420
Glendora, CA 91741
Phone (316) 300-8959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41655 | CA | Yes |
Addresses
Primary practice location
210 S Grand Ave Ste 420
Glendora, CA 91741-4294
Mailing address
210 S Grand Ave Ste 420
Glendora, CA 91741-4294
Phone (626) 963-3322
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.