Provider Demographics
NPI:1467566737
Name:JAHANGIRI, HOSSEIN (DDS)
Entity Type:Individual
Prefix:MR
First Name:HOSSEIN
Middle Name:
Last Name:JAHANGIRI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14412 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-2105
Mailing Address - Country:US
Mailing Address - Phone:562-693-0788
Mailing Address - Fax:562-693-6813
Practice Address - Street 1:14412 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-2105
Practice Address - Country:US
Practice Address - Phone:562-693-0788
Practice Address - Fax:562-693-6813
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA436111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100450OtherDENTAL HEALTH SERVICES
CA00024396OtherAETNA DMO
CA5332OtherPACIFIC UNION DENTAL
CA7032OtherPACIFIC CARE
CA002501OtherDELTA DENTAL PMI
CA971074OtherUNITED CONCORDIA
CA239078OtherCIGNA
CA55292OtherSAFE GUARD HEALTHY FAM.
CAB43611OtherDENTICAL