MEDICARE: MOJGAN ARSHI

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	41056	CA

General Provider Information

NPI Number	:	1770607160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOJGAN ARSHI

Provider Business Mailing Address
First Line	:	445 I ST
Second Line	:	SUITE A
City	:	CRESCENT CITY
State	:	CA
Zip	:	95531-4026
Country	:	US
Telephone Number	:	707-464-3709
Fax Number	:	707-464-1881

Provider Business Practice Location Address
First Line	:	445 I ST
Second Line	:	SUITE B
City	:	CRESCENT CITY
State	:	CA
Zip	:	95531-4026
Country	:	US
Telephone Number	:	707-464-3709
Fax Number	:	707-464-1881

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	12/29/2010

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Directions to “ MOJGAN ARSHI ” Practice Location

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