Orly Hendizadeh is a Dentist in Santa Monica, California. Orly Hendizadeh practices all healthcare services and medical treatments related to Dentist. The NPI Number for Orly Hendizadeh is 1124275367. The last update date is 2009-10-15.
Orly Hendizadeh's current location address is 1260 15th St Ste 805, Santa Monica, California. You can contact this provider via phone number 3107015262. The mailing address for Orly Hendizadeh is 1260 15th St Ste 805, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Orly Hendizadeh |
|---|---|
| Address | 1260 15th St Ste 805, Santa Monica, California |
| Phone Number | 3107015262 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124275367 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2009-10-15 |
Provider Mailing Address Detail
| Address | 1260 15th St Ste 805 |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904041143 |
| Phone Number | 3107015262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 57490 |
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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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What is the unique provider identifier assigned to Orly Hendizadeh?
The Orly Hendizadeh has been issued the NPI (National Provider Identifier) 1124275367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Orly Hendizadeh?
The Orly Hendizadeh is situated at 1260 15Th St Ste 805, in the city of Santa Monica, state of CA, with the zip code 904041143.
What is Orly Hendizadeh's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Orly Hendizadeh is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Orly Hendizadeh receive its 1124275367 assignment from the Centers for Medicare & Medicaid Services?
The Orly Hendizadeh was assigned its 1124275367 on 2008-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Orly Hendizadeh most recently updated or revised?
The details related to Orly Hendizadeh, including its address, specialty, and other relevant information, were last updated or revised on 2009-10-15.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY