Provider Demographics
NPI:1851398010
Name:RAHNAMA, HOUMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOUMAN
Middle Name:
Last Name:RAHNAMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28940 GOLDEN LANTERN
Mailing Address - Street 2:#H
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1500
Mailing Address - Country:US
Mailing Address - Phone:949-363-2010
Mailing Address - Fax:949-363-2085
Practice Address - Street 1:28940 GOLDEN LANTERN
Practice Address - Street 2:#H
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1500
Practice Address - Country:US
Practice Address - Phone:949-363-2010
Practice Address - Fax:949-363-2085
Is Sole Proprietor?:No
Enumeration Date:2005-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA409791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice