Provider Demographics
NPI:1376774265
Name:FARHOODI, PARASTOO (DDS)
Entity Type:Individual
Prefix:
First Name:PARASTOO
Middle Name:
Last Name:FARHOODI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3169 BARBARA CT
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1700
Mailing Address - Country:US
Mailing Address - Phone:323-876-6440
Mailing Address - Fax:323-874-4022
Practice Address - Street 1:3169 BARBARA CT
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1700
Practice Address - Country:US
Practice Address - Phone:323-876-6440
Practice Address - Fax:323-874-4022
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice