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NPI Code Detail

MEDICARE: DR. BABAK ABRISHAMI

MEDICARE: DR. BABAK ABRISHAMI
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
11223G0001XGeneral Practice Dentistry43515CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D43515OTHERCADENTICAL PROVIDER NUMBER

General Provider Information

NPI Number : 1497892699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BABAK ABRISHAMI
Provider Business Mailing Address
First Line : 11743 KIOWA AVE APT 202
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-6135
Country : US
Telephone Number : 310-435-5537
Fax Number :
Provider Business Practice Location Address
First Line : 302 E CARSON AVE FL 10
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5905
Country : US
Telephone Number : 310-435-5537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 05/31/2024

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Directions to “ DR. BABAK ABRISHAMI ” Practice Location

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