Provider Demographics
NPI:1275072803
Name:FEIZBAKHSH-KHORSANDI PARTNERSHIP
Entity Type:Organization
Organization Name:FEIZBAKHSH-KHORSANDI PARTNERSHIP
Other - Org Name:DOWNEYDENTALCENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIZBAKHSH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-869-4532
Mailing Address - Street 1:8515 FLORENCE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-4043
Mailing Address - Country:US
Mailing Address - Phone:562-869-4532
Mailing Address - Fax:563-869-9417
Practice Address - Street 1:8515 FLORENCE AVE STE 200
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-4043
Practice Address - Country:US
Practice Address - Phone:562-869-4532
Practice Address - Fax:563-869-9417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty