MEDICARE: ELHAM Z MATIN DMD 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1265394126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELHAM Z MATIN DMD INC

Provider Business Mailing Address
First Line	:	2078 UNION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4103
Country	:	US
Telephone Number	:	415-563-2348
Fax Number	:

Provider Business Practice Location Address
First Line	:	2078 UNION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4103
Country	:	US
Telephone Number	:	415-563-2348
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ELHAM ZIAIE MATIN
Credential	:	DMD
Telephone Number	:	415-563-2348

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/09/2025

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