Shahab Ebrahimian Dental Group, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAHAB EBRAHIMIAN DENTAL GROUP, INC.

Practice address

26560 Agoura Rd Ste 102
Calabasas, CA 91302-1949

Phone

(818) 880-4023

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Shahab Ebrahimian

Title

Owner

Phone

(818) 387-6387

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1619480183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13949 VENTURA BLVD STE 250",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235734",
            "telephone_number": "818-387-6387",
            "fax_number": "818-386-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021949",
            "telephone_number": "818-880-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHAB EBRAHIMIAN DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMIAN",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-387-6387"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.