Mojdeh Fatemi D.D.S., a Corporation
Organization Active NPI Dentist · Maywood, CA
NPI 1639620990 · NPPES record last updated Oct 20, 2016
Key facts
- NPI
- 1639620990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 45857 (CA)
- Legal business name
- MOJDEH FATEMI D.D.S., A CORPORATION
- Practice address
- 5707 Atlantic Blvd
Ste. A1
Maywood, CA 90270-2944 - Phone
- (323) 771-7226
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Mojdeh Fatemi, D.D.S.
- Title
- Dentist
- Phone
- (323) 771-7226
Corporate family (same tax ID) 1
Practitioners 1
-
Mojdeh Fatemi, DDS
National Provider Directory
- Tax ID family
- Mojdeh Fatemi DDS a Corporation
Locations
5707 Atlantic Blvd
Ste A1
Maywood, CA 90270
Phone (323) 771-7226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 45857 | CA | Yes |
Addresses
Primary practice location
5707 Atlantic Blvd
Ste. A1
Maywood, CA 90270-2944
Mailing address
5707 Atlantic Blvd
Ste. A1
Maywood, CA 90270-2944
Other providers in Maywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2016. 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.