Provider Demographics
NPI:1114644036
Name:ZARRABI, ROJAN
Entity Type:Individual
Prefix:
First Name:ROJAN
Middle Name:
Last Name:ZARRABI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SETON RD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2115
Mailing Address - Country:US
Mailing Address - Phone:404-804-5812
Mailing Address - Fax:
Practice Address - Street 1:67 SETON RD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2115
Practice Address - Country:US
Practice Address - Phone:404-804-5812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108781122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist