Healthcare Provider Details

I. General information

NPI: 1134053093
Provider Name (Legal Business Name): AMIR RABIEE DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1435 N WESTERN AVE
LOS ANGELES CA
90027-5617
US

IV. Provider business mailing address

5100 VIA DOLCE APT 214
MARINA DEL REY CA
90292-7210
US

V. Phone/Fax

Practice location:
  • Phone: 424-443-1747
  • Fax:
Mailing address:
  • Phone: 424-443-1747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: AMIR RABIEE
Title or Position: PRESIDENT
Credential: DDS
Phone: 424-443-1747