Provider Demographics
NPI:1265591176
Name:NOUHAD, SAMI YOUSEF (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMI
Middle Name:YOUSEF
Last Name:NOUHAD
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 1:7080 HOLLYWOOD BLVD
Mailing Address - Street 2:STE #817
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028
Mailing Address - Country:US
Mailing Address - Phone:323-466-3541
Mailing Address - Fax:323-461-5172
Practice Address - Street 1:7080 HOLLYWOOD BLVD
Practice Address - Street 2:STE #817
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028
Practice Address - Country:US
Practice Address - Phone:323-466-3541
Practice Address - Fax:323-461-5172
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37467122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
649781OtherUNITED CONCORDIA
4442OtherPACIFIC UNION DENTAL