Mohtashami, Hanieh
Mohtashami, Hanieh is an individual health care provider with primary practice located at 437 Whispering Trl , Irvine CA 92602-0802. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mohtashami, Hanieh can be contacted via phone (949) 572-8525.Contact Information
Primary practice address
437 Whispering Trl
Irvine CA 92602-0802
Phone: (949) 572-8525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 31759 | California |
Profile Details
| NPI number | 1063911402 |
|---|---|
| LBN Legal business name | Mohtashami, Hanieh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2018 |
| Last updated | Feb 11th, 2018 - about 7 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 | 1063911402 | NPPES |
| California | MEDICAID | 31759 |
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