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BEHNOUD REYHANI DENTAL CORP NPI 1821585803


NPI Information

NPI: 1821585803
Provider Name: BEHNOUD REYHANI DENTAL CORP

Doing Business As: SOUTH GATE FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2639 SANTA ANA ST
SOUTH GATE, CA
ZIP 90280
Phone: (323) 583-1481
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BEHNOUD REYHANI DENTAL CORP is a dental clinic center in South Gate, CA. BEHNOUD REYHANI DENTAL CORP NPI is 1821585803. The provider is registered as an organization entity type.
The provider Is Doing Business As South Gate Family Dentistry.

The provider's business location address is:

2639 SANTA ANA ST
SOUTH GATE, CA
ZIP 90280-025
Phone: (323) 583-1481
Fax: (562) 381-9150

The provider's authorized official is Behnoud Reyhani .
The authorized official title is Owner and has the following contact phone number (562) 925-3735.

The enumeration date for this NPI number is 4/16/2018 and was last updated on 4/7/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 5/5/2024

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