Provider Demographics
NPI:1336285147
Name:MAPARA, MOHAMMED NAVID (DMD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:NAVID
Last Name:MAPARA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 RODEO RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-4406
Mailing Address - Country:US
Mailing Address - Phone:310-836-7200
Mailing Address - Fax:310-836-2187
Practice Address - Street 1:5814 RODEO RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-4406
Practice Address - Country:US
Practice Address - Phone:310-836-7200
Practice Address - Fax:310-836-2187
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA495901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice