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MOVASSAGHI DENTAL COORPORATION NPI 1780946707


NPI Information

NPI: 1780946707
Provider Name: MOVASSAGHI DENTAL COORPORATION

Doing Business As: ALAMEDA DENTAL GROUP

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
7700 S ALAMEDA ST
WALNUT PARK, CA
ZIP 90255
Phone: (323) 585-9200
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MOVASSAGHI DENTAL COORPORATION is a respite care in Walnut Park, CA. MOVASSAGHI DENTAL COORPORATION NPI is 1780946707. The provider is registered as an organization entity type.
The provider Is Doing Business As Alameda Dental Group.

The provider's business location address is:

7700 S ALAMEDA ST
WALNUT PARK, CA
ZIP 90255-745
Phone: (323) 585-9200
Fax: (323) 585-9408

The provider's authorized official is Alireza Movassaghi .
The authorized official title is Owner and has the following contact phone number (323) 585-9200.

The enumeration date for this NPI number is 6/14/2012 and was last updated on 6/14/2012.


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
1385H00000XRespite Care39189CALIFORNIAYes

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
139189MEDICAIDCALIFORNIA

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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