Jana Abdulrahim
Dentist, General Practice in Huntington Beach, CA. Individual provider (NPI-1).
NPI number1821960758
StatusActive
Last updated in NPPESSep 20, 2025
Details
- NPI
- 1821960758
- Entity type
- Individual (NPI-1)
- Name
- Jana Abdulrahim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2025
- Certification date
- Sep 20, 2025
- Last updated
- Sep 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 111866 | CA | Yes |
Practice location
19754 Beach BlvdHuntington Beach, CA 92648-2989
Phone 714-964-8830
Mailing address
11110 Charnock RdLos Angeles, CA 90034-6507
Phone 628-226-5516
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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