Healthcare Provider Details

I. General information

NPI: 1639521073
Provider Name (Legal Business Name): SHIRIN BANKIE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 TOPANGA CANYON BLVD STE 311
WOODLAND HILLS CA
91367-2035
US

IV. Provider business mailing address

24935 PROSPECT AVE
LOMA LINDA CA
92354-2811
US

V. Phone/Fax

Practice location:
  • Phone: 818-406-8125
  • Fax:
Mailing address:
  • Phone: 818-406-8125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberDDS10011
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: