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Provider Information for 1225172968

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. SHABNAM O IRANINEJAD D.D.S.

Other Name:   SHAWNA OMID
Gender: FEMALE

Individual NPI: 1225172968

Calendar   Last Updated:  2016-06-06
  Certification Date: 

Details

Name Value
NPI 1225172968
Enumeration Date 2007-02-16
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4305 TORRANCE BLVD SUITE 103
TORRANCE, CA 90503-4409
United States

Phone: 310-542-5155 | Fax: 310-542-5118
View Map External Link
Primary Practice Address 4305 TORRANCE BLVD SUITE 103
TORRANCE, CA 90503-4409
United States

Phone: 310-542-5155 | Fax: 310-542-5118
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 37470