MEDICARE: DR. VANDAD F ASKARI DDS

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	122300000X	Dentist	50032	CA

General Provider Information

NPI Number	:	1346704681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANDAD F ASKARI DDS

Provider Business Mailing Address
First Line	:	18851 LA AMISTAD PL
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-5211
Country	:	US
Telephone Number	:	818-631-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	5795 WASHINGTON BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-7336
Country	:	US
Telephone Number	:	301-572-6167
Fax Number	:

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

Provider Enumeration Date	:	01/30/2019
Last Update Date	:	01/30/2019

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