Healthcare Provider Details

I. General information

NPI: 1144738899
Provider Name (Legal Business Name): DR. MORVARID EMAMY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2018
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6432 BOLSA AVE
HUNTINGTON BEACH CA
92647-2599
US

IV. Provider business mailing address

6432 BOLSA AVE
HUNTINGTON BEACH CA
92647-2599
US

V. Phone/Fax

Practice location:
  • Phone: 320-800-0550
  • Fax:
Mailing address:
  • Phone: 310-800-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDDS102033
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: