Provider Demographics
NPI:1760488167
Name:SEDGHIZADEH, PARISH PAYMON (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:PARISH
Middle Name:PAYMON
Last Name:SEDGHIZADEH
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:925 W 34TH ST
Mailing Address - Street 2:DEN 4276
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0641
Mailing Address - Country:US
Mailing Address - Phone:213-740-2704
Mailing Address - Fax:213-740-2376
Practice Address - Street 1:925 W 34TH ST
Practice Address - Street 2:DEN 4276
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0641
Practice Address - Country:US
Practice Address - Phone:213-740-2704
Practice Address - Fax:213-740-2376
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA486771223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology