Ehsan Asadizarghri
Individual provider Active NPI Dentist · Beverly Hills, CA
NPI 1114589652 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1114589652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 004094 (OH)
- Practice address
- 436 N Roxbury Dr Ste 203
Beverly Hills, CA 90210-5017 - Phone
- (949) 205-0234
- NPI assigned
- Jul 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004094 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 777 Dental and Implants Inc | Dentist | Current | Accepting new patients |
Locations
436 N Roxbury Dr
Ste 203
Beverly Hills, CA 90210
Phone (310) 271-5111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 004094 | OH | Yes |
Addresses
Primary practice location
436 N Roxbury Dr Ste 203
Beverly Hills, CA 90210-5017
Mailing address
436 N Roxbury Dr Ste 203
Beverly Hills, CA 90210-5017
Phone (949) 205-8904
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.