Morvarid, Abdolrazzagh

Morvarid, Abdolrazzagh is an individual health care provider with primary practice located at 19100 Ventura Blvd Suite 12, Tarzana CA 91356-3234. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Morvarid, Abdolrazzagh can be contacted via phone (818) 342-3462.

Contact Information

Primary practice address
19100 Ventura Blvd Suite 12 Tarzana CA 91356-3234
Fax: (818) 342-5069
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 36587 California

Profile Details

NPI number 1720186919
LBN Legal business name Morvarid, Abdolrazzagh
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720186919 NPPES
California MEDICAID B36587-01

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