Healthcare Provider Details

I. General information

NPI: 1912834482
Provider Name (Legal Business Name): SARAH KIAMANESH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6437 E PACIFIC COAST HWY UNIT A-6
LONG BEACH CA
90803-4201
US

IV. Provider business mailing address

1001 GAYLEY AVE UNIT 24843
LOS ANGELES CA
90024-3499
US

V. Phone/Fax

Practice location:
  • Phone: 562-280-5200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: