Healthcare Provider Details

I. General information

NPI: 1407540222
Provider Name (Legal Business Name): NEGIN SILANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 CITRUS CT # 836
CLAREMONT CA
91711-1503
US

IV. Provider business mailing address

836 CITRUS CT
CLAREMONT CA
91711-1503
US

V. Phone/Fax

Practice location:
  • Phone: 619-371-2429
  • Fax: 619-371-2429
Mailing address:
  • Phone: 619-371-2429
  • Fax: 619-371-2429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: