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NPI Code Detail

MEDICARE: MORVARID ALETOMEH DMD

MEDICARE: MORVARID ALETOMEH DMD
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
11223P0221XPediatric Dentistry63287CA

General Provider Information

NPI Number : 1942611074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORVARID ALETOMEH DMD
Provider Business Mailing Address
First Line : 8525 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2409
Country : US
Telephone Number : 424-274-3260
Fax Number :
Provider Business Practice Location Address
First Line : 8525 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2409
Country : US
Telephone Number : 424-274-3260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2014
Last Update Date : 08/19/2016

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Directions to “ MORVARID ALETOMEH DMD” Practice Location

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