| Nikzad Nafisi Dds Inc | |
|
4521 Sherman Oaks Ave Ste 201 Sherman Oaks CA 91403-3807 | |
| (310) 867-5885 | |
| Not Available |
| Full Name | Nikzad Nafisi Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4521 Sherman Oaks Ave Ste 201, Sherman Oaks, California |
| Authorized Official Name and Position | Nikzad Nafisi (PRESIDENT) |
| Authorized Official Contact | 9546342491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikzad Nafisi Dds Inc 9190 W Olympic Blvd # 228 Beverly Hills CA 90212-3540 Ph: () - | Nikzad Nafisi Dds Inc 4521 Sherman Oaks Ave Ste 201 Sherman Oaks CA 91403-3807 Ph: (310) 867-5885 |
| NPI Number | 1699294306 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 09/13/2017 |
| Medicare PECOS PAC ID | 6305277203 |
|---|---|
| Medicare Enrollment ID | O20200508002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699294306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (California) | Primary |
| Provider Name | Nikzad Nafisi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972855658 PECOS PAC ID: 7012210537 Enrollment ID: I20200422003203 |
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