Niknam Refahi | San Diego, CA • PECOS Search

Niknam Refahi

Dentist

Dental Providers

4320 Genesee Ave Ste 106, San Diego, CA 92117-4900

(858) 483-3384 (410) 336-6413

PECOS Enrollment

Based on the most recent information from CMS, provider Niknam Refahi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1578761557
Provider Type
Individual
Full Name
Refahi, Niknam
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
7/11/2007
Last Updated
3/31/2021

Contact Information

Practice Location

4320 Genesee Ave Ste 106, San Diego, CA 92117-4900

(858) 368-8566

Mailing Location

4320 Genesee Ave Ste 106, San Diego, CA 92117-4900

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 58331 California