E. Benji Behroozan DDS INC.
Dentist in Santa Monica, CA. Organization (NPI-2).
NPI number1003124702
StatusActive
Last updated in NPPESSep 16, 2010
Details
- NPI
- 1003124702
- Entity type
- Organization (NPI-2)
- Legal business name
- E. Benji Behroozan DDS INC.
- Organization subpart
- No
- Enumeration date
- Sep 16, 2010
- Last updated
- Sep 16, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 31568 | CA | Yes |
Practice location
2221 Lincoln Blvd # 200Santa Monica, CA 90405-1320
Phone 310-399-1100 · Fax 310-664-8901
Mailing address
2221 Lincoln Blvd # 200Santa Monica, CA 90405-1320
Phone 310-399-1100 · Fax 310-664-8901
Authorized official
Ehteram Benji Behroozan
Owner
3103991100
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