Provider Demographics
NPI:1609012004
Name:ZIAD GEORGES RHAYEM, D.D.S
Entity Type:Organization
Organization Name:ZIAD GEORGES RHAYEM, D.D.S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S.
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:GEORGES
Authorized Official - Last Name:RHAYEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-888-2700
Mailing Address - Street 1:21123 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2828
Mailing Address - Country:US
Mailing Address - Phone:818-888-2700
Mailing Address - Fax:818-888-8317
Practice Address - Street 1:21123 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2828
Practice Address - Country:US
Practice Address - Phone:818-888-2700
Practice Address - Fax:818-888-8317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36421302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization