Khashayar Khodadadi in Los Angeles - General Practice
Khashayar Khodadadi - NPI 1083743926
Khashayar Khodadadi is a General Practice in Los Angeles, California. Khashayar Khodadadi practices all healthcare services and medical treatments related to General Practice. The NPI Number for Khashayar Khodadadi is 1083743926. The last update date is 2007-07-08.
Khashayar Khodadadi's current location address is 11900 S. Avalon Blvd., Los Angeles, California. You can contact this provider via phone number 3238340100 and fax number 3238340101. The mailing address for Khashayar Khodadadi is 11900 S. Avalon Blvd., Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khashayar Khodadadi |
|---|---|
| Address | 11900 S. Avalon Blvd., Los Angeles, California |
| Phone Number | 3238340100 |
| Fax Number | 3238340101 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1083743926 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11900 S. Avalon Blvd. |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900612837 |
| Phone Number | 3238340100 |
| Fax Number | 3238340101 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 43026 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Khashayar Khodadadi by the Centers for Medicare & Medicaid Services?
The Khashayar Khodadadi has been issued the NPI (National Provider Identifier) 1083743926. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Khashayar Khodadadi?
The Khashayar Khodadadi is situated at 11900 S. Avalon Blvd., in the city of Los Angeles, state of CA, with the zip code 900612837.
What is Khashayar Khodadadi's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Khashayar Khodadadi is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083743926 to Khashayar Khodadadi?
The Centers for Medicare & Medicaid Services assigned the 1083743926 to Khashayar Khodadadi on 2007-03-05.
As of what date was the information regarding Khashayar Khodadadi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Khashayar Khodadadi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.