Izadyar, Homa

Izadyar, Homa is an individual health care provider with primary practice located at 13716 Sherman Way , Van Nuys CA 91405-2626. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Izadyar, Homa can be contacted via phone (818) 988-2020.

Contact Information

Primary practice address
13716 Sherman Way Van Nuys CA 91405-2626
Phone: (818) 988-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA56101 California

Profile Details

NPI number 1922600246
LBN Legal business name Izadyar, Homa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2020
Last updated Nov 11th, 2020 - about 5 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 1922600246 NPPES
California MEDICAID OA261
California MEDICAID RDA56101

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