MEDICARE: DR. BOBBY B AFROOZ 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	1223G0001X	General Practice Dentistry	45078	CA
2	1223G0001X	General Practice Dentistry	30.027779	OH

General Provider Information

NPI Number	:	1386751220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOBBY B AFROOZ DDS

Provider Business Mailing Address
First Line	:	3665 E THOUSAND OAKS BLVD
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362
Country	:	US
Telephone Number	:	805-496-3347
Fax Number	:	805-496-3350

Provider Business Practice Location Address
First Line	:	880 EASTGATE NORTH DR STE 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-2051
Country	:	US
Telephone Number	:	513-978-5859
Fax Number	:	805-496-3350

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	03/31/2025

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