Provider Demographics
NPI:1831287424
Name:MAJD, NOOSHIN (DMD ,MSD)
Entity Type:Individual
Prefix:
First Name:NOOSHIN
Middle Name:
Last Name:MAJD
Suffix:
Gender:F
Credentials:DMD ,MSD
Other - Prefix:
Other - First Name:NOOSHIN
Other - Middle Name:
Other - Last Name:MAJD- ZARRINGHALAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:36 VIA RUBINO
Mailing Address - Street 2:
Mailing Address - City:NEWPORT COAST
Mailing Address - State:CA
Mailing Address - Zip Code:92657-1608
Mailing Address - Country:US
Mailing Address - Phone:714-474-3977
Mailing Address - Fax:
Practice Address - Street 1:25500 RANCHONIGUEL RD
Practice Address - Street 2:160
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677
Practice Address - Country:US
Practice Address - Phone:949-831-7790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA518691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics