Healthcare Provider Details

I. General information

NPI: 1316857832
Provider Name (Legal Business Name): BEHNAM MAJD DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 EASTLAKE PKWY STE 304
CHULA VISTA CA
91914-4522
US

IV. Provider business mailing address

890 EASTLAKE PKWY STE 304
CHULA VISTA CA
91914-4522
US

V. Phone/Fax

Practice location:
  • Phone: 619-482-7367
  • Fax:
Mailing address:
  • Phone: 619-482-7367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: BEHNAM MAJD
Title or Position: PRESIDENT
Credential: DDS
Phone: 410-428-0562