| Farzad Mazloomi Dmd Inc. | |
|
8330 Long Beach Blvd Ste 107 South Gate CA 90280-2073 | |
| (323) 582-5411 | |
| (323) 582-5568 |
| Full Name | Farzad Mazloomi Dmd Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8330 Long Beach Blvd Ste 107, South Gate, California |
| Authorized Official Name and Position | Farzad Mazloomi (OWNER) |
| Authorized Official Contact | 5592508861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farzad Mazloomi Dmd Inc. 8330 Long Beach Blvd Ste 107 South Gate CA 90280-2073 Ph: (323) 582-5411 | Farzad Mazloomi Dmd Inc. 8330 Long Beach Blvd Ste 107 South Gate CA 90280-2073 Ph: (323) 582-5411 |
| NPI Number | 1174169734 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 06/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174169734 | NPI | - | NPPES |
| 102653 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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