Separzadeh, Raphael

Separzadeh, Raphael is an individual health care provider with primary practice located at 5543 Aura Ave , Tarzana CA 91356-3005. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Separzadeh, Raphael can be contacted via phone (818) 523-6337.

Contact Information

Primary practice address
5543 Aura Ave Tarzana CA 91356-3005
Phone: (818) 523-6337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 56203 California

Profile Details

NPI number 1770810343
LBN Legal business name Separzadeh, Raphael
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Apr 1st, 2010 - about 16 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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