Provider Demographics
NPI:1659637155
Name:HOGHOOGHI, MASSOOMI, SODEIFI, SURPURE, DMD, MD, INC
Entity Type:Organization
Organization Name:HOGHOOGHI, MASSOOMI, SODEIFI, SURPURE, DMD, MD, INC
Other - Org Name:SAN FRANCISCO SURGICAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGHOOGHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MD
Authorized Official - Phone:415-813-6400
Mailing Address - Street 1:301 MAIN ST
Mailing Address - Street 2:UNIT 1-A
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-5032
Mailing Address - Country:US
Mailing Address - Phone:415-813-6400
Mailing Address - Fax:415-813-6401
Practice Address - Street 1:301 MAIN ST
Practice Address - Street 2:UNIT 1-A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-5032
Practice Address - Country:US
Practice Address - Phone:415-813-6400
Practice Address - Fax:415-813-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1851407753OtherNPPES
CA1891841243OtherNPPES