Jahanbani, Safaeddin
Jahanbani, Safaeddin is an sole proprietor health care provider with primary practice located at 661 W 1St St Ste A, Tustin CA 92780-2939. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jahanbani, Safaeddin can be contacted via phone (714) 665-1175.Contact Information
Primary practice address
661 W 1St St Ste A
Tustin CA 92780-2939
Phone: (714) 665-1175
Fax: (714) 665-1179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 45376 | California |
Profile Details
| NPI number | 1629139811 |
|---|---|
| LBN Legal business name | Jahanbani, Safaeddin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629139811 | NPPES |
| California | MEDICAID | B45376-01 |
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