Mirzabagi, Mostafa

Mirzabagi, Mostafa is an sole proprietor health care provider with primary practice located at 23111 Ventura Blvd 201, Woodland Hills CA 91364-1103. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mirzabagi, Mostafa can be contacted via phone (818) 591-0945.

Contact Information

Primary practice address
23111 Ventura Blvd 201 Woodland Hills CA 91364-1103
Phone: (818) 591-0945
Fax: (818) 591-7570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 37878 California

Profile Details

NPI number 1114101722
LBN Legal business name Mirzabagi, Mostafa
Credentials DDS,MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Mar 3rd, 2015 - about 10 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 1114101722 NPPES
California Other B37878-01 MEDICAL

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