Samira Afsharhashemkhani
Individual provider Active NPI General Practice Dentistry · Los Angeles, CA
NPI 1477323699 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1477323699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 109782 (CA)
- Practice address
- 5807 N Figueroa St
Los Angeles, CA 90042-4227 - Phone
- (323) 982-0999
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- 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 |
|---|---|---|---|
| 109782 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farid Pakravan, D.D.S., II, Inc. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 109782 | CA | Yes |
Addresses
Primary practice location
5807 N Figueroa St
Los Angeles, CA 90042-4227
Mailing address
9950 Irvine Center Dr
Irvine, CA 92618-4357
Phone (949) 514-4829
Other providers in Los Angeles, CA
- Manijeh Afshar-Ebrahimi
- Nahal Afshar-Shahidi
- Deborah Anne Afshar
- Stephanie Caruso Afshar
- Yalda Afshar
- Sohrab Afshari Mirak
- Parvaneh Afshari
- Sepehr Afshari
- Afshin Akhavan D.O., a Professional Corporation
- Afshin Badii DDS Dental Corporation
All providers in Los Angeles, 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 Jan 8, 2024. 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.