Rubeeca Abassy, DDS
Individual provider Active NPI Dentist · Corona, CA
NPI 1841012192 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1841012192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 110974 (CA)
- Practice address
- 1396 Hermosa Dr
Corona, CA 92879-8544 - Phone
- (714) 414-2331
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 110974 | CA | Yes |
Addresses
Primary practice location
1396 Hermosa Dr
Corona, CA 92879-8544
Mailing address
1396 Hermosa Dr
Corona, CA 92879-8544
Phone (714) 414-2331
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. 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.