Mahdad, Parvin

Mahdad, Parvin is an individual health care provider with primary practice located at 661 W 1St St Suite A, Tustin CA 92780-2939. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mahdad, Parvin can be contacted via phone (714) 665-1175.

Contact Information

Primary practice address
661 W 1St St Suite A Tustin CA 92780-2939
Phone: (714) 665-1175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49370 California

Profile Details

NPI number 1578603528
LBN Legal business name Mahdad, Parvin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578603528 NPPES
California MEDICAID D49370

Popular Providers