MEDICARE: SHAILA TORBATI AND DONA TORBATI DDS 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	122300000X	Dentist	57788	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1376798264	OTHER	CA	NPI
2	1861764318	OTHER	CA	NPI

General Provider Information

NPI Number	:	1497287650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAILA TORBATI AND DONA TORBATI DDS INC

Provider Business Mailing Address
First Line	:	12124 GARFIELD AVE
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-8033
Country	:	US
Telephone Number	:	562-633-4354
Fax Number	:

Provider Business Practice Location Address
First Line	:	12124 GARFIELD AVE
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-8033
Country	:	US
Telephone Number	:	562-633-4354
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONA TORBATI
Credential	:	DDS
Telephone Number	:	562-633-4354

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	03/28/2017

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