Mirzabagi, Mostafa
Mirzabagi, Mostafa is an sole proprietor health care provider with primary practice located at 23111 Ventura Blvd 201, Woodland Hills CA 91364-1103. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mirzabagi, Mostafa can be contacted via phone (818) 591-0945.Contact Information
Primary practice address
23111 Ventura Blvd 201
Woodland Hills CA 91364-1103
Phone: (818) 591-0945
Fax: (818) 591-7570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 37878 | California |
Profile Details
| NPI number | 1114101722 |
|---|---|
| LBN Legal business name | Mirzabagi, Mostafa |
| Credentials | DDS,MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Mar 3rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114101722 | NPPES |
| California | Other | B37878-01 | MEDICAL |
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