Healthcare Provider Details

I. General information

NPI: 1396656344
Provider Name (Legal Business Name): HPD DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25460 MEDICAL CENTER DR STE 202
MURRIETA CA
92562-5985
US

IV. Provider business mailing address

31569 CANYON ESTATES DR STE 120
LAKE ELSINORE CA
92532-0470
US

V. Phone/Fax

Practice location:
  • Phone: 951-471-1628
  • Fax: 951-471-1638
Mailing address:
  • Phone: 951-471-1628
  • Fax: 951-471-1638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HOMAYOUN POURSHIRAZI
Title or Position: OWNER
Credential:
Phone: 951-775-5536