Moayedi, Mina
Moayedi, Mina is an sole proprietor health care provider with primary practice located at 11026 Washington Blvd , Culver City CA 90232-3901. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Moayedi, Mina can be contacted via phone (310) 558-2785.Contact Information
Primary practice address
11026 Washington Blvd
Culver City CA 90232-3901
Phone: (310) 558-2785
Fax: (310) 558-2786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 42575 | California |
Profile Details
| NPI number | 1225185861 |
|---|---|
| LBN Legal business name | Moayedi, Mina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1225185861 | NPPES |
| California | Other | B42575-01 | DENTI-CAL PROVIDER NUMBER |
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