MEDICARE: DR. FARIBA ASLEMAND-BAKHADJ 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	1223G0001X	General Practice Dentistry	51839	CA

General Provider Information

NPI Number	:	1225263551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARIBA ASLEMAND-BAKHADJ DDS

Provider Business Mailing Address
First Line	:	2385 ROSCOMARE RD UNIT E11
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90077-1821
Country	:	US
Telephone Number	:	240-418-1462
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 WILSHIRE BLVD STE 1609
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5817
Country	:	US
Telephone Number	:	323-336-8478
Fax Number	:

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

Provider Enumeration Date	:	05/15/2009
Last Update Date	:	06/03/2026

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