Reza Malekzadeh in Long Beach - Periodontics
Reza Malekzadeh - NPI 1114936523
Reza Malekzadeh is a Periodontics in Long Beach, California. Reza Malekzadeh practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Reza Malekzadeh is 1114936523. The last update date is 2007-07-08.
Reza Malekzadeh's current location address is 4300 Long Beach Blvd, Long Beach, California. You can contact this provider via phone number 5624230800 and fax number 5624237766. The mailing address for Reza Malekzadeh is 4300 Long Beach Blvd, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reza Malekzadeh |
|---|---|
| Address | 4300 Long Beach Blvd, Long Beach, California |
| Phone Number | 5624230800 |
| Fax Number | 5624237766 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114936523 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4300 Long Beach Blvd |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 90807 |
| Phone Number | 5624230800 |
| Fax Number | 5624237766 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 41852 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Reza Malekzadeh by the Centers for Medicare & Medicaid Services (CMS)?
The Reza Malekzadeh has been assigned the NPI (National Provider Identifier) 1114936523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Reza Malekzadeh located?
The Reza Malekzadeh is located at 4300 Long Beach Blvd, Long Beach, CA 90807.
What is Reza Malekzadeh's area of expertise and its corresponding taxonomy classification?
The Reza Malekzadeh's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
When did the Reza Malekzadeh receive its 1114936523?
The Reza Malekzadeh was issued its 1114936523 on 2006-08-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Reza Malekzadeh, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Reza Malekzadeh, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN