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NPI Code Detail

MEDICARE: ZARRIN GOLSHANI D.D.S.

MEDICARE: ZARRIN GOLSHANI D.D.S.
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
1122300000XDentist27302TX
2122300000XDentist60571CA

General Provider Information

NPI Number : 1538447149
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZARRIN GOLSHANI D.D.S.
Provider Business Mailing Address
First Line : 2080 CENTURY PARK E STE 1109
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E STE 1109
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2014
Country : US
Telephone Number : 310-882-7882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2011
Last Update Date : 03/27/2020

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