ANDREW RASTEGAR DDS INC NPI 1558932111

NPI Information

  • NPI: 1558932111
  • Provider Name: ANDREW RASTEGAR DDS INC
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 37086 CATHEDRAL CANYON DR
    CATHEDRAL CITY, CA
    ZIP 92234
  • Phone: (760) 328-3827

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NPI Details

ANDREW RASTEGAR DDS INC is an oral and maxillofacial surgery clinic center in Cathedral City, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ANDREW RASTEGAR DDS INC NPI is 1558932111. The provider is registered as an organization entity type.

The provider's business location address is:

37086 CATHEDRAL CANYON DR
CATHEDRAL CITY, CA
ZIP 92234-877
Phone: (760) 328-3827
Fax: (760) 328-4778

The provider's authorized official is Andrew Rastegar .
The authorized official title is Owner and has the following contact phone number (760) 328-3827.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 11/7/2023.

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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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