ROYA MIRKHAN DMD MSD INC. NPI 1396866000

NPI Information

NPI: 1396866000
Provider Name: ROYA MIRKHAN, DMD, MSD, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12395 EL CAMINO REAL
SUITE #314
SAN DIEGO, CA
ZIP 92130
Phone: (858) 337-6264
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ROYA MIRKHAN, DMD, MSD, INC. is a dental clinic center in San Diego, CA. ROYA MIRKHAN, DMD, MSD, INC. NPI is 1396866000. The provider is registered as an organization entity type.

The provider's business location address is:

12395 EL CAMINO REAL
SUITE #314
SAN DIEGO, CA
ZIP 92130-082
Phone: (858) 337-6264
Fax: (858) 755-6260

The provider's authorized official is Roya Nazila Mirkhan .
The authorized official title is President and has the following contact phone number (858) 337-6264.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 10/22/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	44743	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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