Provider Demographics
NPI:1629252432
Name:PARVIZ AZAR-MEHR,DMD
Entity Type:Organization
Organization Name:PARVIZ AZAR-MEHR,DMD
Other - Org Name:HANYOUNG P.AZAR-MEHR,DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAR-MEHR
Authorized Official - Suffix:I
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-443-3030
Mailing Address - Street 1:10921 WILSHIRE BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4001
Mailing Address - Country:US
Mailing Address - Phone:310-443-3030
Mailing Address - Fax:310-443-5660
Practice Address - Street 1:10921 WILSHIRE BLVD STE 501
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4001
Practice Address - Country:US
Practice Address - Phone:310-443-3030
Practice Address - Fax:310-443-5660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty