MEDICARE: DR. GEETA PIROUZNIA

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	38581	CA

General Provider Information

NPI Number	:	1518040161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEETA PIROUZNIA

Provider Business Mailing Address
First Line	:	11629 DAWSON DR
Second Line	:
City	:	LOS ALTOS HILLS
State	:	CA
Zip	:	94024-5128
Country	:	US
Telephone Number	:	650-941-3149
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 EL MONTE AVE STE C
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2320
Country	:	US
Telephone Number	:	650-968-5024
Fax Number	:	650-968-0423

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	03/07/2023

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Directions to “ DR. GEETA PIROUZNIA ” Practice Location

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