MEDICARE: DR. SHAHLA GHODSI MOMENI DANAEI DDS

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	112912	CA

General Provider Information

NPI Number	:	1730018276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHLA GHODSI MOMENI DANAEI DDS

Provider Business Mailing Address
First Line	:	7018 ALABAMA AVE APT 203
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-3131
Country	:	US
Telephone Number	:	747-216-8050
Fax Number	:

Provider Business Practice Location Address
First Line	:	14550 HAYNES ST STE 204
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-4112
Country	:	US
Telephone Number	:	818-650-6700
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

Similar Medicare Providers

1699487082 — AFSOON ADL GOSTAR
Practice Location Address:

14550 HAYNES ST STE 204
VAN NUYS, CA
91411-4112

Practice Phone: 818-672-9863
Practice Fax:

1831279736 — RICHARD J. KRATOCHVIL D.D.S., INC.
Practice Location Address:

7136 HASKELL AVE , SUITE #217
VAN NUYS, CA
91406-4112

Practice Phone: 818-787-6060
Practice Fax:

1649335241 — DR. PHILOMENA O OBOH DDS
Practice Location Address:

7136 HASKELL AVE STE 217
VAN NUYS, CA
91406-4112

Practice Phone: 818-781-5180
Practice Fax: 818-781-5180

1619024700 — KIMBERLY JANOVITCH PHD
Practice Location Address:

7136 HASKELL AVE , STE 210
VAN NUYS, CA
91406-4112

Practice Phone: 818-779-7952
Practice Fax:

1710038823 — FAMILY HEALTH SERVICES, INC.
Practice Location Address:

7136 HASKELL AVE , SUITE 108
VAN NUYS, CA
91406-4112

Practice Phone: 818-780-1355
Practice Fax:

1205950755 — MARTHA C. MADDOX MFT
Practice Location Address:

7136 HASKELL AVE , SUITE 200
VAN NUYS, CA
91406-4112

Practice Phone: 818-773-3629
Practice Fax:

Directions to “ DR. SHAHLA GHODSI MOMENI DANAEI DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.