Provider Demographics
NPI:1831285170
Name:RAZI, SAGHI SHAYAN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SAGHI
Middle Name:SHAYAN
Last Name:RAZI
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 N REXFORD DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4909
Mailing Address - Country:US
Mailing Address - Phone:310-271-6286
Mailing Address - Fax:
Practice Address - Street 1:1440 W MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-5422
Practice Address - Country:US
Practice Address - Phone:323-753-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41527122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist