Birjandi, Reza Mohammad

Birjandi, Reza Mohammad is an individual health care provider with primary practice located at 27066 South La Paz Rd , Aliso Viejo CA 92656. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Birjandi, Reza Mohammad can be contacted via phone (949) 360-9700.

Contact Information

Primary practice address
27066 South La Paz Rd Aliso Viejo CA 92656
Fax: (949) 362-5182
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 38259 California

Profile Details

NPI number 1083801336
LBN Legal business name Birjandi, Reza Mohammad
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Oct 1st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083801336 NPPES
California Other G9410101 MEDICAL

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