Provider Demographics
NPI:1770929572
Name:HAROUNI, SAMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMAN
Middle Name:
Last Name:HAROUNI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 CAMDEN AVE PH 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3447
Mailing Address - Country:US
Mailing Address - Phone:310-927-6461
Mailing Address - Fax:
Practice Address - Street 1:841 MOHAWK ST # 130
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1506
Practice Address - Country:US
Practice Address - Phone:661-835-7389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA644441223S0112X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery