Provider Demographics
NPI:1518574656
Name:KUROSH REIHANI DDS INC
Entity Type:Organization
Organization Name:KUROSH REIHANI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KUROSH
Authorized Official - Middle Name:
Authorized Official - Last Name:REIHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-666-4889
Mailing Address - Street 1:240 S LA CIENEGA BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3316
Mailing Address - Country:US
Mailing Address - Phone:310-657-0777
Mailing Address - Fax:
Practice Address - Street 1:240 S LA CIENEGA BLVD STE 401
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3316
Practice Address - Country:US
Practice Address - Phone:310-657-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty