Provider Demographics
NPI:1184953002
Name:JONES, BIRVA JOSHI (DDS)
Entity type:Individual
Prefix:DR
First Name:BIRVA
Middle Name:JOSHI
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BIRVA
Other - Middle Name:BHARAT
Other - Last Name:JOSHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:7301 MEDICAL CENTER DR
Mailing Address - Street 2:305
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1904
Mailing Address - Country:US
Mailing Address - Phone:818-887-7172
Mailing Address - Fax:818-887-5695
Practice Address - Street 1:7301 MEDICAL CENTER DR
Practice Address - Street 2:305
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1904
Practice Address - Country:US
Practice Address - Phone:818-887-7172
Practice Address - Fax:818-887-5695
Is Sole Proprietor?:No
Enumeration Date:2009-12-24
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA590311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice