Provider Demographics
NPI:1720423684
Name:ALVAND ZINABADI DDS INC
Entity Type:Organization
Organization Name:ALVAND ZINABADI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZINABADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-312-1892
Mailing Address - Street 1:28392 CHAT DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1383
Mailing Address - Country:US
Mailing Address - Phone:818-312-1892
Mailing Address - Fax:
Practice Address - Street 1:11850 FIRESTONE BLVD STE 6
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-2979
Practice Address - Country:US
Practice Address - Phone:562-864-1011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60659122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty