Healthcare Provider Details

I. General information

NPI: 1699343871
Provider Name (Legal Business Name): SAEED ARJOMAND BIGDELI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3977 COCHRAN ST STE E
SIMI VALLEY CA
93063-2371
US

IV. Provider business mailing address

1441 VETERAN AVE APT 325
LOS ANGELES CA
90024-4881
US

V. Phone/Fax

Practice location:
  • Phone: 805-583-3339
  • Fax:
Mailing address:
  • Phone: 424-268-6945
  • 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 Code122300000X
TaxonomyDentist
License Number108474
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: