Norwalk Dental Office Of Alborz Mehdizadeh INC
Clinic/Center, Dental in Norwalk, CA. Organization (NPI-2).
NPI number1316683022
StatusActive
Last updated in NPPESMay 6, 2022
Details
- NPI
- 1316683022
- Entity type
- Organization (NPI-2)
- Legal business name
- Norwalk Dental Office Of Alborz Mehdizadeh INC
- Organization subpart
- No
- Enumeration date
- May 6, 2022
- Certification date
- May 6, 2022
- Last updated
- May 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
12100 Imperial Hwy # 101aNorwalk, CA 90650-3081
Phone 562-210-8576 · Fax 562-210-8601
Mailing address
12100 Imperial Hwy # 101aNorwalk, CA 90650-3081
Phone 562-210-8576 · Fax 562-210-8601
Authorized official
Alborz Mehdizadeh
Ceo
8189138097
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