Healthcare Provider Details

I. General information

NPI: 1740719012
Provider Name (Legal Business Name): FATEMEH ARABPOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3165 DONA CHRISTINA PL
STUDIO CITY CA
91604-4237
US

IV. Provider business mailing address

505 N FIGUEROA ST APT 534
LOS ANGELES CA
90012-2194
US

V. Phone/Fax

Practice location:
  • Phone: 512-363-9415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number64973
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number64973
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: