MEDICARE: JOSHUA AARON BARKHORDAR 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	56903	CA

General Provider Information

NPI Number	:	1871805234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA AARON BARKHORDAR DDS

Provider Business Mailing Address
First Line	:	2390 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-3209
Country	:	US
Telephone Number	:	310-666-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	2390 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-3209
Country	:	US
Telephone Number	:	310-666-5642
Fax Number	:

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

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	03/23/2020

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