MEDICARE: M. TAEBI-HARANDY DDS 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1790638872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M. TAEBI-HARANDY DDS INC.

Provider Business Mailing Address
First Line	:	751 N STANLEY AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-7425
Country	:	US
Telephone Number	:	818-683-2880
Fax Number	:

Provider Business Practice Location Address
First Line	:	8936 GLENOAKS BLVD UNIT B
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352
Country	:	US
Telephone Number	:	818-683-2880
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAHDI TAEBI-HARANDY
Credential	:
Telephone Number	:	818-683-2880

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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