Healthcare Provider Details

I. General information

NPI: 1760841431
Provider Name (Legal Business Name): NAVID ZAMANI DMD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15301 VENTURA BLVD. STE U-5
SHERMAN OAKS CA
91403
US

IV. Provider business mailing address

15301 VENTURA BLVD. STE U-5
SHERMAN OAKS CA
91403
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-7711
  • Fax:
Mailing address:
  • Phone: 818-788-7711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. NAVID ZAMANI
Title or Position: OWNER DENTIST
Credential: DMD
Phone: 818-788-7711