Provider Demographics
NPI:1720219629
Name:PARASTOO FARHOODI, DDS, INC
Entity Type:Organization
Organization Name:PARASTOO FARHOODI, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARASTOO
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHOODI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-876-6440
Mailing Address - Street 1:3169 BARBARA CT
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1700
Mailing Address - Country:US
Mailing Address - Phone:323-876-6440
Mailing Address - Fax:323-874-4022
Practice Address - Street 1:3169 BARBARA CT
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1700
Practice Address - Country:US
Practice Address - Phone:323-876-6440
Practice Address - Fax:323-874-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty