Mazi, Farhad
Mazi, Farhad is an sole proprietor health care provider with primary practice located at 19190 Us Highway 18 Suite A, Apple Valley CA 92307-2558. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mazi, Farhad can be contacted via phone (760) 242-7753.Contact Information
Primary practice address
19190 Us Highway 18 Suite A
Apple Valley CA 92307-2558
Phone: (760) 242-7753
Fax: (760) 946-1122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 48832 | California |
Profile Details
| NPI number | 1730244476 |
|---|---|
| LBN Legal business name | Mazi, Farhad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 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 | 1730244476 | NPPES |
| California | MEDICAID | D48832 | |
| California | MEDICAID | G92354-(01,02,03) |
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