Dr Nicole Mahdavi, DDS - Dentist in Los Angeles, CA

Dr Nicole Mahdavi, DDS is a Dentist based in Los Angeles, California. Dr Nicole Mahdavi is licensed to practice in California (license number DDS106961) and her current practice location is 1821 W 42nd Pl, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (909) 477-0320.

NPI number for Dr Nicole Mahdavi is 1043976582 and her current mailing address is 1821 W 42nd Pl, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043976582.

Contact Information

Dr Nicole Mahdavi, DDS
1821 W 42nd Pl,
Los Angeles, CA 90062-1541
(909) 477-0320
Not Available



Healthcare Provider's Profile

Full NameDr Nicole Mahdavi
GenderFemale
SpecialityDentist
Location1821 W 42nd Pl, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043976582
  • Provider Enumeration Date: 11/09/2021
  • Last Update Date: 11/09/2021

Medical Identifiers

Medical identifiers for Dr Nicole Mahdavi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043976582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DDS106961 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Mahdavi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicole Mahdavi, DDS
1821 W 42nd Pl,
Los Angeles, CA 90062-1541

Ph: (909) 477-0320
Dr Nicole Mahdavi, DDS
1821 W 42nd Pl,
Los Angeles, CA 90062-1541

Ph: (909) 477-0320

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› Verified 6 days ago


Dentist in Los Angeles, CA

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