Macy Agah
Dentist, General Practice in Loma Linda, CA. Individual provider (NPI-1).
NPI number1720910623
StatusActive
Last updated in NPPESJun 2, 2026
Details
- NPI
- 1720910623
- Entity type
- Individual (NPI-1)
- Name
- Macy Agah
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2026
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 113036 | CA | Yes |
Practice location
24923 Prospect Ave # 23Loma Linda, CA 92354-2811
Phone 818-643-9491
Mailing address
24923 Prospect Ave # 23Loma Linda, CA 92354-2811
Phone 818-643-9491
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