Provider Demographics
NPI:1942692967
Name:NOOSHIN MAJD DMD MSD INC.
Entity Type:Organization
Organization Name:NOOSHIN MAJD DMD MSD INC.
Other - Org Name:LAGUNA NIGUEL ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NOOSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-831-7790
Mailing Address - Street 1:25500 RANCHO NIGUEL RD STE 160
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-7306
Mailing Address - Country:US
Mailing Address - Phone:949-831-7790
Mailing Address - Fax:
Practice Address - Street 1:25500 RANCHO NIGUEL RD STE 160
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-7306
Practice Address - Country:US
Practice Address - Phone:949-831-7790
Practice Address - Fax:949-831-7035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA593571223P0221X
CA518691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty