MEDICARE: ATOOSA PAHLAVANI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	100773	CA

General Provider Information

NPI Number	:	1053708024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATOOSA PAHLAVANI DMD

Provider Business Mailing Address
First Line	:	10488 EASTBORNE AVE APT 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-6144
Country	:	US
Telephone Number	:	310-689-4585
Fax Number	:

Provider Business Practice Location Address
First Line	:	10488 EASTBORNE AVE APT 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-6144
Country	:	US
Telephone Number	:	310-689-4585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	12/12/2025

Similar Medicare Providers

1700333036 — AMY VANMALI
Practice Location Address:

285 LUCAS AVE
LOS ANGELES, CA
90026-6144

Practice Phone: 213-448-9684
Practice Fax:

1255026647 — RAANAN DENTAL GROUP CEDARS INC.
Practice Location Address:

8635 W 3RD ST STE 580W
LOS ANGELES, CA
90048-6144

Practice Phone: 310-652-1446
Practice Fax:

1235107137 — MS. SYLMA FINE M.A., MFT, ATR-BC
Practice Location Address:

6666 4TH ST NW
LOS RANCHOS, NM
87107-6144

Practice Phone: 505-553-6381
Practice Fax:

1912201161 — MS. KATHLEEN LUELLEN CHABOT LPCC
Practice Location Address:

6666 4TH ST NW , SUITE D
LOS RANCHOS, NM
87107-6144

Practice Phone: 505-934-0934
Practice Fax:

1679825095 — SYLMA FINE
Practice Location Address:

6666 4TH ST NW
LOS RANCHOS, NM
87107-6144

Practice Phone: 505-553-6381
Practice Fax:

1699013169 — PATRICIA MARTINEZ BURR, MA, LPCC, NCC
Practice Location Address:

6666 4TH ST NW , SUITE B
LOS RANCHOS, NM
87107-6144

Practice Phone: 505-463-0472
Practice Fax: 505-344-7581

Directions to “ ATOOSA PAHLAVANI DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.