Individual ProviderSadaf AssadiDentistDental ProvidersPractice Address2995 Clairemont Dr Ste A, San Diego, CA 92117-6766(858) 500-3606(858) 200-0827PECOS EnrollmentBased on the most recent information from CMS, provider Sadaf Assadi is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1811426117Provider TypeIndividualFull NameAssadi, SadafTitleMissCredentialDMDGenderFemaleSole ProprietorNoEnumeration Date6/8/2017Last Updated10/31/2017Contact InformationPractice LocationPractice Address2995 Clairemont Dr Ste A, San Diego, CA 92117-6766Phone(858) 500-3606FaxUnlisted FaxMailing LocationMailing Address2995 Clairemont Dr Ste A, San Diego, CA 92117-6766Phone(858) 200-0827FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicenseDDS102073California