Healthcare Provider Details

I. General information

NPI: 1982127734
Provider Name (Legal Business Name): NAVID SENEHI, DDS. MD. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 TOPANGA CANYON BLVD STE 530
WOODLAND HILLS CA
91367-2051
US

IV. Provider business mailing address

6325 TOPANGA CANYON BLVD STE 530
WOODLAND HILLS CA
91367-2051
US

V. Phone/Fax

Practice location:
  • Phone: 866-988-3674
  • Fax:
Mailing address:
  • Phone: 866-988-3674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number63920
License Number StateCA

VIII. Authorized Official

Name: DR. NAVID SENEHI
Title or Position: PRESIDENT
Credential: DDS. MD.
Phone: 866-988-3674