Nima Javan
Dentist in Compton, CA. Individual provider (NPI-1).
NPI number1164078242
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1164078242
- Entity type
- Individual (NPI-1)
- Name
- Nima Javan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Last updated
- Sep 17, 2019
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 | 104408 | CA | Yes |
Practice location
821 W Rosecrans Ave Ste ACompton, CA 90222-3821
Phone 312-274-4524
Mailing address
24802 Acropolis DrMission Viejo, CA 92691-4608
Phone 714-414-2271
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Dentist providers in Compton · All 1,210 providers in Compton
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