Vatan, Omid
Vatan, Omid is an individual health care provider with primary practice located at 8540 S Sepulveda Blvd Ste 108 , Los Angeles CA 90045-3818. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Vatan, Omid can be contacted via phone (310) 906-1300.Contact Information
Primary practice address
8540 S Sepulveda Blvd Ste 108
Los Angeles CA 90045-3818
Phone: (310) 906-1300
Fax: (424) 206-0662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 49259 | California |
| Dental Providers / General Practice | 1223G0001X | 49259 | California |
Profile Details
| NPI number | 1740278662 |
|---|---|
| LBN Legal business name | Vatan, Omid |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 15th, 2025 - about last year |
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 | 1740278662 | NPPES |
| California | MEDICAID | G9279901 |
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