Healthcare Provider Details

I. General information

NPI: 1700702933
Provider Name (Legal Business Name): FARZIN FARSHIDI DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3502 COLLEGE BLVD STE B
OCEANSIDE CA
92056-4671
US

IV. Provider business mailing address

17452 IRVINE BLVD STE 100
TUSTIN CA
92780-3031
US

V. Phone/Fax

Practice location:
  • Phone: 760-941-7502
  • Fax:
Mailing address:
  • Phone: 714-838-4141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. FARZIN FARSHIDI
Title or Position: CEO
Credential: DDS
Phone: 949-310-5888