| Shiva Ghahremani Dds, Inc. | |
|
2180 Westwood Blvd Ste 2c2d Los Angeles CA 90025-6353 | |
| (310) 441-8888 | |
| (310) 441-8890 |
| Full Name | Shiva Ghahremani Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2180 Westwood Blvd Ste 2c2d, Los Angeles, California |
| Authorized Official Name and Position | Shiva Ghahremani (OWNER DENTIST) |
| Authorized Official Contact | 3104418888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiva Ghahremani Dds, Inc. 2180 Westwood Blvd Ste 2c2d Los Angeles CA 90025-6353 Ph: (310) 441-8888 | Shiva Ghahremani Dds, Inc. 2180 Westwood Blvd Ste 2c2d Los Angeles CA 90025-6353 Ph: (310) 441-8888 |
| NPI Number | 1871269753 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871269753 | NPI | - | NPPES |
| 58347 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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