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Grigory Rozenvich D.d.s., Inc.
Exclusive Provider Organization in Santa Ana, California
NPI 1912196171

Grigory Rozenvich D.d.s., Inc. is a Exclusive Provider Organization based in Santa Ana, CA. Grigory Rozenvich D.d.s., Inc. practices in Santa Ana, CA. The NPI Number for Grigory Rozenvich D.d.s., Inc. is 1912196171 and holds a License No. 40115 (California).

The current practice location address for Grigory Rozenvich D.d.s., Inc. is 3620 S. Bristol St., Santa Ana, CA and can be reached out via phone at 714-549-1409 and via fax at 714-549-2118. You can also correspond with Grigory Rozenvich D.d.s., Inc. through the mailing address at 3620 S. BRISTOL ST., SANTA ANA, CA - 92704 (mailing address contact number: 714-549-1409).

Location: 3620 S. Bristol St., Santa Ana, CA, 92704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912196171
Provider Name
Grigory Rozenvich D.d.s., Inc.
Credential
Provider Entity Type
Organization
Address
3620 S. Bristol St., Santa Ana, CA, 92704
Phone Number
714-549-1409
Fax Number
714-549-2118
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
973695 01 PA UNITED CONCORDIA
7120 01 CA PACIFICARE
B40115 01 01 CA STATE OF CA. DENTI-CAL
institution
Provider Business Practice Location Address Details
Address
3620 S. Bristol St.
City
Santa Ana
State
California
Zip
92704
Phone Number
714-549-1409
Fax Number
714-549-2118
person
Provider Business Mailing Address Details
Address
3620 S. Bristol St.
City
Santa Ana
State
California
Zip
92704
Phone Number
714-549-1409
Fax Number
714-549-2118
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
40115 (California)
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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