Ramin Noorvash
Individual provider Active NPI General Practice Dentistry · La, CA
NPI 1174618136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174618136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 42204 (CA)
- Practice address
- 968 W Vernon Av
La, CA 90037 - Phone
- (323) 234-4889
- Fax
- (323) 231-1448
- NPI assigned
- Oct 4, 2006
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramin Noorvash DDS Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42204 | CA | Yes |
Addresses
Primary practice location
968 W Vernon Av
La, CA 90037
Mailing address
968 W Vernon Av
La, CA 90037
Phone (323) 234-4889
Other providers in La, CA
- Frank Koji Mori
- Yalda Movahed
- Ann-Marie Murphy
- Sowmya G Murthy
- Natalia Pokras, DPT, a Professional Corporation
- Jaehoon Oh
- Patricia Oh
- Nelson M Okeke
- Jennifer Florendo Ongcapin
- Optikos
All providers in La, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.