Provider Demographics
NPI:1831220672
Name:FARZADMEHR, RAMIN (DDS)
Entity type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:
Last Name:FARZADMEHR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RAMIN
Other - Middle Name:F
Other - Last Name:MEHR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:239 S LA CIENEGA BLVD
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3328
Mailing Address - Country:US
Mailing Address - Phone:310-289-1200
Mailing Address - Fax:310-289-0600
Practice Address - Street 1:239 S LA CIENEGA BLVD
Practice Address - Street 2:SUITE # 201
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3328
Practice Address - Country:US
Practice Address - Phone:310-289-1200
Practice Address - Fax:310-289-0600
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA439511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice