Bozorgmanesh Corp
Organization Active NPI General Practice Dentistry · Foothill Ranch, CA
NPI 1962166355 · NPPES record last updated Oct 22, 2021
Key facts
- NPI
- 1962166355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BOZORGMANESH CORP
- Practice address
- 26741 Portola Pkwy Ste 1D
Foothill Ranch, CA 92610-1762 - Phone
- (949) 581-4908
- NPI assigned
- Oct 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Soha Haghani
- Title
- President/Ceo
- Phone
- (310) 873-8353
Practitioners 3
-
Soha Haghani, DDS
-
Elaine T Shim, DDS
National Provider Directory
Locations
26741 Portola Pkwy
Ste 1D
Foothill Ranch, CA 92610
Phone (949) 581-4908
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
26741 Portola Pkwy Ste 1D
Foothill Ranch, CA 92610-1762
Mailing address
38 Promontory Park
Aliso Viejo, CA 92656-3380
Phone (310) 873-8353
Other providers in Foothill Ranch, CA
- Kyleigh Beatty
- Rachel Anne Bee
- Bella Chau, Inc.
- David Charles Blakely
- Gary R Bolin
- Cherrie Bravo
- Jennifer Marie Brouwers
- Suzanne Marie Buchanan-Perry
- Alison Burney
- Melissa Marie Calliham
All providers in Foothill Ranch, 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 Oct 22, 2021. 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.