Mortezaiefard Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

B39049 Issued in CA

Legal business name

MORTEZAIEFARD DENTAL CORP

Practice address

22110 Roscoe Blvd Ste 101
West Hills, CA 91304-3859

Phone

(818) 888-4004

NPI assigned

Jun 5, 2008

Last updated

Jun 5, 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

Golsahn Mortezaiefard

Title

Owner

Phone

(818) 888-4004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Golshan Mortezaiefard, DMD

  • Dentist
  • Canoga Park, CA
  • NPI 1790864882
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1720247638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 101",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 101",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043859",
            "telephone_number": "818-888-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTEZAIEFARD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "MORTEZAIEFARD",
        "authorized_official_first_name": "GOLSAHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-888-4004"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "B39049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Moreno Jr., DPT
• Matthew Christopher Moretto, M.D.
• Kelly A Morin, PA-C
• Dennis A Mortensen, HIS
• Mina Mortezai, D.O.
• Maryam Mortezaiefard, D.O.
• Narsis Moshfeghi, MD
• Sogol Mostafiz
• Mountainview Adhc, Inc
• Tamara S. Mowbray, LMFT

• Dental Clinic/Center in West Hills, CA
• Providers in West Hills, 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 Jun 5, 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.