Reza Malekzadeh, DDS in Long Beach, CA - Medicare Dentist Provider

Reza Malekzadeh, DDS is a medicare enrolled "Dentist - Periodontics" provider in Long Beach, California. His current practice location is 4300 Long Beach Blvd, Suite 415, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 423-0800.

Reza Malekzadeh is licensed to practice in California (license number 41852) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114936523.

Contact Information

	Reza Malekzadeh, DDS
	4300 Long Beach Blvd, Suite 415, Long Beach, CA 90807
	(562) 423-0800
	(562) 423-7766

Healthcare Provider's Profile

Full Name	Reza Malekzadeh
Gender	Male
Speciality	Dentist - Periodontics
Location	4300 Long Beach Blvd, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114936523
Provider Enumeration Date: 08/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0143529115
Enrollment ID: I20160425002359

Medical Identifiers

Medical identifiers for Reza Malekzadeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114936523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	41852 (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. Reza Malekzadeh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Reza Malekzadeh, DDS 4300 Long Beach Blvd, Suite 415, Long Beach, CA 90807 Ph: (562) 423-0800	Reza Malekzadeh, DDS 4300 Long Beach Blvd, Suite 415, Long Beach, CA 90807 Ph: (562) 423-0800

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Dr. Vincent Do, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 324 E Anaheim St, Ste C, Long Beach, CA 90813 Phone: 562-435-8100
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Reza Malekzadeh, DDS - Medicare Dentist in Long Beach, CA