Nima Ebrahimi, D.d.s., Inc. | |
11645 Wilshire Blvd Ste 1001 Los Angeles CA 90025-6808 | |
(310) 620-8140 | |
Not Available |
Full Name | Nima Ebrahimi, D.d.s., Inc. |
---|---|
Speciality | Dentist - Periodontics |
Location | 11645 Wilshire Blvd Ste 1001, Los Angeles, California |
Authorized Official Name and Position | Nima Ebrahimi (OWNER) |
Authorized Official Contact | 8184047111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nima Ebrahimi, D.d.s., Inc. 11645 Wilshire Blvd Ste 1001 Los Angeles CA 90025-6808 Ph: (310) 620-8140 | Nima Ebrahimi, D.d.s., Inc. 11645 Wilshire Blvd Ste 1001 Los Angeles CA 90025-6808 Ph: (310) 620-8140 |
NPI Number | 1013658210 |
---|---|
Provider Enumeration Date | 04/05/2022 |
Last Update Date | 04/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013658210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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