Mehrdad Mortaz is a Dentist in Los Angeles, California. Mehrdad Mortaz practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mehrdad Mortaz is 1265622112. The last update date is 2008-10-20.
Mehrdad Mortaz's current location address is 951 Granville Ave, Los Angeles, California. You can contact this provider via phone number 3105923357 and fax number 3104421980. The mailing address for Mehrdad Mortaz is 951 Granville Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mehrdad Mortaz |
|---|---|
| Address | 951 Granville Ave, Los Angeles, California |
| Phone Number | 3105923357 |
| Fax Number | 3104421980 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265622112 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2008-10-20 |
Provider Mailing Address Detail
| Address | 951 Granville Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900495390 |
| Phone Number | 3105923357 |
| Fax Number | 3104421980 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 49606 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Mehrdad Mortaz's 1265622112?
The Mehrdad Mortaz's NPI (National Provider Identifier) Number is 1265622112. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mehrdad Mortaz is physically located?
The Mehrdad Mortaz is physically situated at the following address: 951 Granville Ave, Los Angeles, CA, 900495390.
What is the Mehrdad Mortaz's specialty and taxonomy code?
The Mehrdad Mortaz's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265622112 to Mehrdad Mortaz?
The Centers for Medicare & Medicaid Services originally issued the 1265622112 to Mehrdad Mortaz on 2007-07-26.
As of what date were the details related to Mehrdad Mortaz most recently updated or revised?
The information pertaining to Mehrdad Mortaz, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-20.