MEDICARE: DR. MOJGAN SHOKRI 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	42420	CA

General Provider Information

NPI Number	:	1871613448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOJGAN SHOKRI DDS

Provider Business Mailing Address
First Line	:	22405 PINEWOOD CT
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-5895
Country	:	US
Telephone Number	:	818-687-6707
Fax Number	:

Provider Business Practice Location Address
First Line	:	3808 W RIVERSIDE DR STE 501
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4396
Country	:	US
Telephone Number	:	818-779-0299
Fax Number	:

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	01/02/2026

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