Provider Demographics
NPI:1962647321
Name:ZANDI HANJARI, MAHNAZ (DDS)
Entity Type:Individual
Prefix:
First Name:MAHNAZ
Middle Name:
Last Name:ZANDI HANJARI
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 1:2080 CENTURY PARK E STE 1801
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2021
Mailing Address - Country:US
Mailing Address - Phone:310-553-5754
Mailing Address - Fax:310-553-5952
Practice Address - Street 1:2080 CENTURY PARK E STE 1801
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2021
Practice Address - Country:US
Practice Address - Phone:310-553-5754
Practice Address - Fax:310-553-5952
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA472151223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics