| Omeed Mahboobian Dds, Inc | |
|
800 San Fernando Rd San Fernando CA 91340-3374 | |
| (310) 435-5115 | |
| Not Available |
| Full Name | Omeed Mahboobian Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 San Fernando Rd, San Fernando, California |
| Authorized Official Name and Position | Omeed Mahboobian (PRESIDENT) |
| Authorized Official Contact | 3104355115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omeed Mahboobian Dds, Inc 829 26th St Santa Monica CA 90403-2201 Ph: () - | Omeed Mahboobian Dds, Inc 800 San Fernando Rd San Fernando CA 91340-3374 Ph: (310) 435-5115 |
| NPI Number | 1366189300 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366189300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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