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DR. ANAHITA BEHSHADPOUR DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1235790189
Individual Registrant:DR. ANAHITA BEHSHADPOUR DDS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
279 S ATLANTIC BLVD EAST LOS ANGELES, CA 90022-1734 US
Tel: 323-981-7070 Fax: --
Tel: 323-981-7070 Fax: --
Contact information for business:
5354 YARMOUTH AVE APT 27 ENCINO, CA 91316-3173 US
Tel: 818-669-4200 Fax: --
Tel: 818-669-4200 Fax: --
Registration Information:
NPI: 1235790189
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 103803 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
