NPI 1205932647 · live from the CMS NPI Registry
A Morvarid DDS INC
Dentist in Tarzana, CA. National Provider Identifier 1205932647, active.
NPI record
| NPI | 1205932647 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 19100 Ventura Blvd, Suite 12, Tarzana, CA 91355 |
| Practice phone | 818-342-3462 |
| Enumerated | September 15, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Abdolrazzagh Morvarid, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 36587 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.