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Provider Information for 1376790907



BEHNOUD REYHANI DDS

Gender: MALE

Individual NPI: 1376790907

Calendar Last Updated: 2008-10-23

Details

Name Value
NPI 1376790907
Enumeration Date 2008-08-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2860 MICHELLE 2ND FLOOR
IRVINE, CA 92606-1009
United States

Phone: 714-508-3600 | Fax: 714-368-2092
View Map External Link
Primary Practice Address 72027 HIGHWAY 111 SUITE C
RANCHO MIRAGE, CA 92270-4961
United States

Phone: 760-340-5155 | Fax: 760-340-1607
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 56747