Osafi, Javid Faran
Osafi, Javid Faran is an sole proprietor health care provider with primary practice located at 29645 Rancho California Rd Ste 229 , Temecula CA 92591-5285. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Osafi, Javid Faran can be contacted via phone (425) 223-3522.Contact Information
Primary practice address
29645 Rancho California Rd Ste 229
Temecula CA 92591-5285
Phone: (425) 223-3522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D011969 | Arizona |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE60745079 | Washington |
| Dental Providers / General Practice | 1223G0001X | 101292 | California |
Profile Details
| NPI number | 1679019681 |
|---|---|
| LBN Legal business name | Osafi, Javid Faran |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2017 |
| Last updated | Sep 17th, 2024 - about 2 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 | 1679019681 | NPPES |
| Washington | MEDICAID | 2080083 |
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