MEDICARE: FARHAD MANAVI, D.D.S., 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	1223G0001X	General Practice Dentistry	38558	CA

General Provider Information

NPI Number	:	1962625418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARHAD MANAVI, D.D.S., INC.

Provider Business Mailing Address
First Line	:	4149 TWEEDY BLVD STE G
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-6167
Country	:	US
Telephone Number	:	323-567-3333
Fax Number	:	323-567-2929

Provider Business Practice Location Address
First Line	:	4149 TWEEDY BLVD STE G
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-6167
Country	:	US
Telephone Number	:	323-567-3333
Fax Number	:	323-567-2929

Authorized Official
Title or Position	:	OWNER
Name	:	FARHAD MANAVI
Credential	:	DDS
Telephone Number	:	323-567-3333

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	06/27/2022

Similar Medicare Providers

1679770663 — DR. JABEEN MAH KHAN D.D.S.
Practice Location Address:

4149 TWEEDY BLVD STE J
SOUTH GATE, CA
90280-6167

Practice Phone: 323-567-3333
Practice Fax: 323-567-2929

1356399919 — DR. CELERINA DE BORJA MEDINA
Practice Location Address:

4149 TWEEDY BOULEVARD , STE B
SOUTH GATE, CA
90280-6167

Practice Phone: 323-564-4545
Practice Fax: 323-564-3063

1467668012 — DR. EDWARD S LIU D.D.S.
Practice Location Address:

4149 TWEEDY BLVD STE J
SOUTH GATE, CA
90280-6167

Practice Phone: 310-820-9933
Practice Fax: 310-820-0408

1972749216 — CELERINA B MEDINA MD INC
Practice Location Address:

4149 TWEEDY BLVD , SUITE B
SOUTH GATE, CA
90280-6167

Practice Phone: 323-564-4545
Practice Fax: 323-564-3063

1548407620 — JULIO CESAR ORELLANA RDA
Practice Location Address:

4149 TWEEDY BLVD , J
SOUTH GATE, CA
90280-6167

Practice Phone: 323-567-3333
Practice Fax:

1679710743 — JULIO CESAR ESCOBEDO RDA
Practice Location Address:

4149 TWEEDY BLVD STE J
SOUTH GATE, CA
90280-6167

Practice Phone: 323-567-3333
Practice Fax:

Directions to “FARHAD MANAVI, D.D.S., INC. ” 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.