Healthcare Provider Details

I. General information

NPI: 1124631031
Provider Name (Legal Business Name): MOHSEN FORGHANY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2020
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COHASSET RD STE 15
CHICO CA
95926-2260
US

IV. Provider business mailing address

500 COHASSET RD STE 15
CHICO CA
95926-2260
US

V. Phone/Fax

Practice location:
  • Phone: 530-433-2500
  • Fax: 888-443-9091
Mailing address:
  • Phone: 530-433-2500
  • Fax: 888-443-9091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number105406
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: