MEDICARE: NAVID KABIRI 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	64023	CA

General Provider Information

NPI Number	:	1235471921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVID KABIRI DMD

Provider Business Mailing Address
First Line	:	2123 HAVEMEYER LANE
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278
Country	:	US
Telephone Number	:	424-284-9405
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 HAVEMEYER LN
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-5033
Country	:	US
Telephone Number	:	617-971-7783
Fax Number	:

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

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	09/22/2024

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