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NPI Code Detail

MEDICARE: DR. SHERVIN SARRAF

MEDICARE: DR. SHERVIN SARRAF
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
1122300000XDentistDDS103339CA

General Provider Information

NPI Number : 1346706942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERVIN SARRAF
Provider Business Mailing Address
First Line : 10590 WILSHIRE BLVD APT 1401
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-4563
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 MILL ROCK WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-1315
Country : US
Telephone Number : 310-694-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2019
Last Update Date : 12/04/2019

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