| Azin Hajigholam Rezaei Dds Inc | |
|
1035 Foothill Blvd La Canada Flintridge CA 91011-3249 | |
| (818) 952-6000 | |
| (818) 952-6003 |
| Full Name | Azin Hajigholam Rezaei Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1035 Foothill Blvd, La Canada Flintridge, California |
| Authorized Official Name and Position | Azin H Rezaei (PRESIDENT) |
| Authorized Official Contact | 8189526000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azin Hajigholam Rezaei Dds Inc 1035 Foothill Blvd La Canada CA 91011-3249 Ph: (818) 952-6000 | Azin Hajigholam Rezaei Dds Inc 1035 Foothill Blvd La Canada Flintridge CA 91011-3249 Ph: (818) 952-6000 |
| NPI Number | 1407302474 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407302474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56863 (California) | Primary |
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