Provider Demographics
NPI:1437926748
Name:DENTAL OFFICE OF HAROUNI AND ELGRICHI
Entity Type:Organization
Organization Name:DENTAL OFFICE OF HAROUNI AND ELGRICHI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROUNI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-903-2658
Mailing Address - Street 1:15111 WHITTIER BLVD STE 101-A
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2136
Mailing Address - Country:US
Mailing Address - Phone:310-903-2658
Mailing Address - Fax:
Practice Address - Street 1:14621 NORDHOFF ST
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1829
Practice Address - Country:US
Practice Address - Phone:818-891-1761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental