Healthcare Provider Details

I. General information

NPI: 1467356048
Provider Name (Legal Business Name): SALINA SAFAEI, DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5122 KATELLA AVE
LOS ALAMITOS CA
90720-2826
US

IV. Provider business mailing address

5122 KATELLA AVE STE 112
LOS ALAMITOS CA
90720-2837
US

V. Phone/Fax

Practice location:
  • Phone: 562-493-2807
  • Fax:
Mailing address:
  • Phone: 562-493-2807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SALINA SAFAEI
Title or Position: DENTIST
Credential: DDS
Phone: 415-509-1973