Provider Demographics
NPI:1518635275
Name:ZAKI & PEJMAN GONZALEZ DENTAL GROUP INC
Entity Type:Organization
Organization Name:ZAKI & PEJMAN GONZALEZ DENTAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEJMAN-GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-571-1845
Mailing Address - Street 1:1701 CAMINO DE VILLAS
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-1109
Mailing Address - Country:US
Mailing Address - Phone:818-571-1845
Mailing Address - Fax:
Practice Address - Street 1:6438 RITA AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4187
Practice Address - Country:US
Practice Address - Phone:323-277-4044
Practice Address - Fax:323-277-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty