MEDICARE: DR. HOUMAN LANGROODI DDS

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	122300000X	Dentist	054012-1	NY

General Provider Information

NPI Number	:	1083884423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOUMAN LANGROODI DDS

Provider Business Mailing Address
First Line	:	99 N SAN ANTONIO AVE STE 220
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4578
Country	:	US
Telephone Number	:	310-993-2798
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 N SAN ANTONIO AVE STE 220
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4578
Country	:	US
Telephone Number	:	310-993-2798
Fax Number	:

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

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	01/02/2026

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