Mostafa Mirzabagi DDS Ms Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

37878 Issued in CA

Legal business name

MOSTAFA MIRZABAGI DDS MS INC.

Practice address

23111 Ventura Blvd
Ste 201
Woodland Hills, CA 91364-1103

Phone

(818) 591-0945

Fax

(818) 591-7570

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By 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

Dr. Mostafa Mirzabagi, ORTHODONTISTNPI 1114101722

Title

Owner

Phone

(818) 523-0945

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.

• Mostafa Mirzabagi, DDS,MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodland Hills, CA
  • NPI 1114101722
  NPD (past) Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1992109888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD",
            "address_2": "STE 201",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641103",
            "telephone_number": "818-591-0945",
            "fax_number": "818-591-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD",
            "address_2": "STE 201",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641103",
            "telephone_number": "818-591-0945",
            "fax_number": "818-591-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSTAFA MIRZABAGI DDS MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "MIRZABAGI",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-523-0945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ORTHODONTIST"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "37878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Moskowitz, M.S.
• Jasmin Mosley Gooden, D.O
• Cassidy R Moss
• Robert A. Moss, MD
• Victoria Moss
• Yvonne Elizabeth Mota Calderon
• Gabriella Mota
• Shala Motamed, P.T.
• Mother Mia Home Health, Inc
• Mother Mia Hospice, Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.