Mirette Attalla, in Fountain Valley, CA - Student in an Organized Health Care Education/Training Program

Mirette Attalla, is a Student In An Organized Health Care Education/training Program based in Fountain Valley, California. Mirette Attalla is licensed to practice in California (license number ) and her current practice location is 10431 Slater Ave Apt 204, Fountain Valley, California. She can be reached at her office (for appointments etc.) via phone at (424) 361-8431.

NPI number for Mirette Attalla is 1184312977 and her current mailing address is 10431 Slater Ave Apt 204, Fountain Valley, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184312977.

Contact Information

	Mirette Attalla,
	10431 Slater Ave Apt 204, Fountain Valley, CA 92708-7706
	(424) 361-8431
	Not Available

Healthcare Provider's Profile

Full Name	Mirette Attalla
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	10431 Slater Ave Apt 204, Fountain Valley, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1184312977
Provider Enumeration Date: 04/28/2023
Last Update Date: 12/01/2023

Medical Identifiers

Medical identifiers for Mirette Attalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184312977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DDS109258 (California)	Secondary
1223G0001X	Dentist - General Practice	DDS109258 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mirette Attalla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mirette Attalla, 10431 Slater Ave Apt 204, Fountain Valley, CA 92708-7706 Ph: (424) 361-8431	Mirette Attalla, 10431 Slater Ave Apt 204, Fountain Valley, CA 92708-7706 Ph: (424) 361-8431

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Mirette Attalla, - in Fountain Valley, CA