Provider Demographics
NPI:1093922759
Name:GOLIAN, HORMOZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:HORMOZ
Middle Name:
Last Name:GOLIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7567 HERMES DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-1713
Mailing Address - Country:US
Mailing Address - Phone:323-459-8760
Mailing Address - Fax:
Practice Address - Street 1:7567 HERMES DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-1713
Practice Address - Country:US
Practice Address - Phone:323-459-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA555841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry