MEDICARE: ARASH SAEDI DDS INC.

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	D54198	CA

General Provider Information

NPI Number	:	1124406293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARASH SAEDI DDS INC.

Provider Business Mailing Address
First Line	:	6318 PACIFIC BLVD
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4102
Country	:	US
Telephone Number	:	323-588-4869
Fax Number	:	323-588-2839

Provider Business Practice Location Address
First Line	:	6318 PACIFIC BLVD
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4102
Country	:	US
Telephone Number	:	323-588-4869
Fax Number	:	323-588-2839

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARASH JAKE SAEDI
Credential	:	DDS
Telephone Number	:	323-588-4869

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	07/30/2015

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