Keikhanzadeh, Kourosh

Keikhanzadeh, Kourosh is an individual health care provider with primary practice located at 16661 Ventura Blvd Suite #609, Encino CA 91436-1914. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Keikhanzadeh, Kourosh can be contacted via phone (818) 344-3559.

Contact Information

Primary practice address
16661 Ventura Blvd Suite #609 Encino CA 91436-1914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 53806 California

Profile Details

NPI number 1417154642
LBN Legal business name Keikhanzadeh, Kourosh
Credentials D.D.S., M.D.SC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Oct 22nd, 2015 - about 9 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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