MEDICARE: N ORTHODONTICS

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1679407100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N ORTHODONTICS

Provider Business Mailing Address
First Line	:	11311 ISLETA ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-3022
Country	:	US
Telephone Number	:	818-577-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	12520 MAGNOLIA BLVD STE 209
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2348
Country	:	US
Telephone Number	:	818-577-7850
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST/OWNER
Name	:	NILOUFAR NOURI
Credential	:	DDS
Telephone Number	:	818-577-7850

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “N ORTHODONTICS ” Practice Location

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