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DR. KOUROSH KEIKHANZADEH D.D.S. M.D.SC NPI 1417154642


NPI Information

NPI: 1417154642
Provider Name: DR. KOUROSH KEIKHANZADEH, D.D.S., M.D.SC
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

PECOS Registration: Yes

Address:
16661 VENTURA BLVD
SUITE #609
ENCINO, CA
ZIP 91436
Phone: (818) 344-3559
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DR. Kourosh Keikhanzadeh, D.D.S., M.D.SC is an endodontics dentist in Encino, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Kourosh Keikhanzadeh, D.D.S., M.D.SC NPI is 1417154642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16661 VENTURA BLVD
SUITE #609
ENCINO, CA
ZIP 91436-914
Phone: (818) 344-3559

The NPI 1417154642 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 10/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics53806CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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