Healthcare Provider Details

I. General information

NPI: 1093560211
Provider Name (Legal Business Name): BRIAN ZAHAB DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10965 FIRESTONE BLVD
NORWALK CA
90650-2214
US

IV. Provider business mailing address

131 N CARSON RD
BEVERLY HILLS CA
90211-2110
US

V. Phone/Fax

Practice location:
  • Phone: 310-601-0988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number110385
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: