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Provider Information for 1699830729

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DR. HOMAYOUN ZADEH DDS PHD

Gender: MALE

Individual NPI: 1699830729

Calendar   Last Updated:  2016-07-15
  Certification Date: 

Details

Name Value
NPI 1699830729
Enumeration Date 2006-12-27
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5700 RALSTON ST #306
VENTURA, CA 93003
United States

Phone: 805-644-5284 | Fax:
View Map External Link
Primary Practice Address 5700 RALSTON ST #306
VENTURA, CA 93003
United States

Phone: 805-644-5284 | Fax:
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 1223P0300X - Dentist Periodontics CA 35503