MEDICARE: DR. HAMEED NEJATFARD DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	45157	CA

General Provider Information

NPI Number	:	1033395447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMEED NEJATFARD DMD

Provider Business Mailing Address
First Line	:	6314 LAUREL CANYON BLVD
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3213
Country	:	US
Telephone Number	:	818-791-1441
Fax Number	:

Provider Business Practice Location Address
First Line	:	6314 LAUREL CANYON BLVD
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3213
Country	:	US
Telephone Number	:	818-791-1441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	09/13/2023

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