Provider Demographics
NPI:1518278928
Name:HAMZEHPOUR, SANAZ (DDS)
Entity Type:Individual
Prefix:
First Name:SANAZ
Middle Name:
Last Name:HAMZEHPOUR
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 1:23456 HAWTHORNE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4776
Mailing Address - Country:US
Mailing Address - Phone:310-378-4277
Mailing Address - Fax:310-424-3115
Practice Address - Street 1:23456 HAWTHORNE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4776
Practice Address - Country:US
Practice Address - Phone:310-378-4277
Practice Address - Fax:310-424-3115
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA592441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice