MEDICARE: OMID BARKHORDAR DENTAL GROUP INC.

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

General Provider Information

NPI Number	:	1144921446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMID BARKHORDAR DENTAL GROUP INC.

Provider Business Mailing Address
First Line	:	16461 WHITTIER BLVD
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90603-3045
Country	:	US
Telephone Number	:	562-600-0941
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 N OXNARD BLVD
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-3523
Country	:	US
Telephone Number	:	805-244-1130
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAMID BARKHORDAR
Credential	:	DDS
Telephone Number	:	818-674-1060

Provider Enumeration Date	:	03/14/2023
Last Update Date	:	03/25/2026

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