Shohreh Nafisi DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15659189 Issued in LA

Legal business name

SHOHREH NAFISI DDS INC

Practice address

15239 Roscoe Blvd
Panorama City, CA 91402-4401

Phone

(818) 830-0300

Fax

(818) 920-5278

NPI assigned

Aug 21, 2007

Last updated

Jul 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shohreh Nafiji

Title

Dentist DDS

Phone

(818) 830-0300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1346433661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15239 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024401",
            "telephone_number": "818-830-0300",
            "fax_number": "818-920-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15239 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024401",
            "telephone_number": "818-830-0300",
            "fax_number": "818-920-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOHREH NAFISI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "NAFIJI",
        "authorized_official_first_name": "SHOHREH",
        "authorized_official_title_or_position": "DENTIST DDS",
        "authorized_official_telephone_number": "818-830-0300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "15659189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Panorama City, CA
• Providers in Panorama City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.