Healthcare Provider Details
I. General information
NPI: 1427974229
Provider Name (Legal Business Name): HORMOZ GOLIAN DDS, APC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19240 NORDHOFF ST # C2
NORTHRIDGE CA
91324-5199
US
IV. Provider business mailing address
19240 NORDHOFF ST # C2
NORTHRIDGE CA
91324-5199
US
V. Phone/Fax
- Phone: 818-727-1800
- Fax:
- Phone: 818-727-1800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HORMOZ
GOLIAN
Title or Position: OWNER
Credential:
Phone: 323-459-8760