Healthcare Provider Details

I. General information

NPI: 1649134149
Provider Name (Legal Business Name): NORTH BRAND DENTAL OF SIMI VALLEY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1987 ROYAL AVE STE 1
SIMI VALLEY CA
93065-4655
US

IV. Provider business mailing address

1987 ROYAL AVE STE 1
SIMI VALLEY CA
93065-4655
US

V. Phone/Fax

Practice location:
  • Phone: 805-526-7720
  • Fax: 805-526-7119
Mailing address:
  • Phone: 805-526-7720
  • Fax: 805-526-7119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANAHID ACOPIAN
Title or Position: DENTIST OWNER
Credential: DMD
Phone: 805-526-7720