Provider Demographics
NPI:1821181843
Name:PARTOVI, FARANGIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:FARANGIS
Middle Name:
Last Name:PARTOVI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 LOS VERDES DR APT 1
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-5643
Mailing Address - Country:US
Mailing Address - Phone:310-422-9049
Mailing Address - Fax:
Practice Address - Street 1:6914 LOS VERDES DR APT 1
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-5643
Practice Address - Country:US
Practice Address - Phone:310-422-9049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA462091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics