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General NPI Number Information
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NPI Number | 1871269753
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Entity Type | Organization
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Legal Business Name | SHIVA GHAHREMANI DDS, INC.
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 2180 WESTWOOD BLVD STE 2D
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City | LOS ANGELES
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State | CA
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Zip | 90025-6352
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Country | US
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Telephone | 310-441-8888
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Fax | 310-441-8890
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Provider Business Mailing Address
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Address Line | 2180 WESTWOOD BLVD STE 2D
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City | LOS ANGELES
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State | CA
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Zip | 90025-6352
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Country | US
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Telephone | 310-441-8888
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Fax | 310-441-8890
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SHIVA GHAHREMANI
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Credential | DDS
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Telephone | 310-441-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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