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MACY AGAH
NPI 1720910623
Dentist - General Practice in Loma Linda, CA

Active since June 02, 2026
24923 PROSPECT AVE # 23, LOMA LINDA, CA 92354(818) 643-9491 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Macy Agah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACY AGAH (NPI 1720910623) is an individual general practice provider in Loma Linda, California, licensed in California (113036) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1720910623
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMACY AGAH
Location Address24923 PROSPECT AVE # 23Loma Linda, CA 92354-2811
Mailing Address24923 Prospect Ave # 23Loma Linda, CA 92354-2811 · (818) 643-9491
Phone(818) 643-9491
Sole ProprietorYes
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1720910623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 113036
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

24923 PROSPECT AVE # 23, Loma Linda, CA 92354
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is Macy Agah's NPI number?

The NPI number assigned to this healthcare provider is 1720910623, enumerated as an "individual" on June 02, 2026.

Where is the provider located?

The provider is located at 24923 PROSPECT AVE # 23 LOMA LINDA, CA 92354 and the phone number is (818) 643-9491.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.