BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC. NPI 1417613746

NPI Information

BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC. is a dental clinic center in Los Angeles, CA. BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC. NPI is 1417613746. The provider is registered as an organization entity type.

The provider's business location address is:

6200 WILSHIRE BLVD STE 1109
LOS ANGELES, CA
ZIP 90048-812
Phone: (323) 238-8114
Fax: (323) 933-3268

The provider's authorized official is Benjamin Pourmorady .
The authorized official title is Owner and has the following contact phone number (310) 801-5828.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 11/10/2021.

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:

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