Healthcare Provider Details

I. General information

NPI: 1427341684
Provider Name (Legal Business Name): NARIMAN SAADAT DDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2011
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 WILSHIRE BLVD STE 1609
LOS ANGELES CA
90048-5817
US

IV. Provider business mailing address

9781 BLANTYRE DR
BEVERLY HILLS CA
90210-1145
US

V. Phone/Fax

Practice location:
  • Phone: 310-801-4992
  • Fax:
Mailing address:
  • Phone: 310-801-4992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number101289
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: