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FARZAD MAZLOOMI DMD INC. NPI 1174169734


NPI Information

NPI: 1174169734
Provider Name: FARZAD MAZLOOMI DMD INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8330 LONG BEACH BLVD STE 107
SOUTH GATE, CA
ZIP 90280
Phone: (323) 582-5411
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FARZAD MAZLOOMI DMD INC. is a general practice dentist in South Gate, CA. The provider is 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. FARZAD MAZLOOMI DMD INC. NPI is 1174169734. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8330 LONG BEACH BLVD STE 107
SOUTH GATE, CA
ZIP 90280-073
Phone: (323) 582-5411
Fax: (323) 582-5568

The provider's authorized official is Farzad Mazloomi .
The authorized official title is Owner and has the following contact phone number (559) 250-8861.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 6/4/2020.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102653OTHERCALIFORNIADENTIST

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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