Lida Ahmadi-Kashani, DMD
Individual provider Active NPI General Practice Dentistry · Laguna Hills, CA
NPI 1992872246 · NPPES record last updated Jul 23, 2010
Key facts
- NPI
- 1992872246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 49440 (CA)
- Practice address
- 23521 Paseo de Valencia Ste 208
Laguna Hills, CA 92653-3140 - Phone
- (949) 830-9671
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49440 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lida Ahmadi-Kashani D.M.D.,Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49440 | CA | Yes |
Addresses
Primary practice location
23521 Paseo de Valencia Ste 208
Laguna Hills, CA 92653-3140
Mailing address
23521 Paseo de Valencia Ste 208
Laguna Hills, CA 92653-3140
Phone (949) 830-9671
Other providers in Laguna Hills, CA
- Ag Laguna Hills, LLC
- Renee Aguilar
- Kevin Aguinaldo
- Sylvia Aguirre
- Eva Sultana Ahmad
- Elham Ahmadi
- Nickhat Ahmed
- Allan Romeo Ahorro
- Ak-U-Puncture Global Wellness Inc
- Akash P Lapsi, DDS Inc.
All providers in Laguna Hills, 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 Jul 23, 2010. 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.