Evan Paul Georgieff DDS. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38528 Issued in CA

Legal business name

EVAN PAUL GEORGIEFF DDS. INC.

Practice address

250 Hospital Cir
Westminster, CA 92683-3953

Phone

(714) 622-5593

Fax

(714) 622-4026

NPI assigned

Aug 20, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Evan Georgieff, DDS

Title

Director

Phone

(714) 622-5593

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1326528233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833953",
            "telephone_number": "424-201-9959",
            "fax_number": "714-622-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833953",
            "telephone_number": "714-622-5593",
            "fax_number": "714-622-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN PAUL GEORGIEFF DDS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "GEORGIEFF",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-622-5593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Escalera-Serna
• Victor Escolar-Chua
• Melanie Espinoza
• Vanessa Espinoza
• Jenna Estrada
• Evergreen World Adhc
• Experience Recovery Iop
• Extended Care Hospital of Westminster
• Eye Love, Inc. (Westminster Eye Center)
• Eye Q Optometry Inc

• Dental Clinic/Center in Westminster, CA
• Providers in Westminster, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.