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1780901553 NPI number — ALI REZA SHAYAN-ZAKARIA D.M.D.

NPI Number: 1780901553
Health Care Provider/Practitioner: ALI REZA SHAYAN-ZAKARIA D.M.D.

Information about “1780901553” NPI (ALI REZA SHAYAN-ZAKARIA D.M.D.) exists in 1780901553 in HTML format HTML  |  1780901553 in plain Text format TXT  |  1780901553 in PDF (Portable Document Format) PDF  |  1780901553 in an XML format XML  formats.

NPI Number : 1780901553 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780901553",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAYAN-ZAKARIA",
    "FirstName": "ALI REZA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHAYAN",
    "OtherFirstName": "ALI",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "ALI SHAYAN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "12415 CLOUDESLY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92128-1005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-735-5019",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11301 WILSHIRE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90073-1003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-478-3711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/03/2010",
    "LastUpdateDate": "05/03/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223P0700X",
        "TaxonomyName": "Prosthodontics",
        "LicenseNumber": "55483",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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