Zoufan, Keivan

Zoufan, Keivan is an sole proprietor health care provider with primary practice located at 10055 Miller Ave Suite 103, Cupertino CA 95014-3472. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Zoufan, Keivan can be contacted via phone (310) 592-0731.

Contact Information

Primary practice address
10055 Miller Ave Suite 103 Cupertino CA 95014-3472
Phone: (310) 592-0731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 000032 New York
Dental Providers / General Practice 1223G0001X 6120 Arizona
Dental Providers / General Practice 1223G0001X 009797 Connecticut
Dental Providers / Endodontics 1223E0200X 009797 Connecticut
Dental Providers / Endodontics 1223E0200X 52700 California

Profile Details

NPI number 1881608784
LBN Legal business name Zoufan, Keivan
Credentials DDS, MDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Mar 4th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881608784 NPPES
New York MEDICAID 02701531
New York Other 9181534

Popular Providers