MEDICARE: NORTH BRAND DENTAL OF SIMI VALLEY 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

General Provider Information

NPI Number	:	1649134149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BRAND DENTAL OF SIMI VALLEY INC

Provider Business Mailing Address
First Line	:	1987 ROYAL AVE STE 1
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-4655
Country	:	US
Telephone Number	:	805-526-7720
Fax Number	:	805-526-7119

Provider Business Practice Location Address
First Line	:	1987 ROYAL AVE STE 1
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-4655
Country	:	US
Telephone Number	:	805-526-7720
Fax Number	:	805-526-7119

Authorized Official
Title or Position	:	DENTIST OWNER
Name	:	ANAHID ACOPIAN
Credential	:	DMD
Telephone Number	:	805-526-7720

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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