Organization
ANDREW ELMASRI DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MICHAEL ELMASRI (DENTIST ANESTHESIOLOGIST)
(949) 288-3401
Entity
Organization
Contact information
Practice address
25701 WOOD BROOK RD, LAGUNA HILLS, CA 92653-7555
(949) 288-3401
Mailing address
30262 CROWN VALLEY PKWY # B447, LAGUNA NIGUEL, CA 92677-2364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829102
THE MEDICAL PROTECTIVE COMPANY
—
Enumeration date
08/20/2021
Last updated
08/20/2021
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