Provider Demographics
NPI:1386189058
Name:HELM NEJAD & STANLEY
Entity Type:Organization
Organization Name:HELM NEJAD & STANLEY
Other - Org Name:HELM NEJAD STANLEY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:NEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-278-0440
Mailing Address - Street 1:9201 W SUNSET BLVD STE 914
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-3710
Mailing Address - Country:US
Mailing Address - Phone:310-278-0440
Mailing Address - Fax:
Practice Address - Street 1:9201 W SUNSET BLVD STE 914
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-3710
Practice Address - Country:US
Practice Address - Phone:310-278-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3595986122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty