Navazesh, Mahvash

Navazesh, Mahvash is an individual health care provider with primary practice located at 925 W 34Th St Ste 151 , Los Angeles CA 90089-0641. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Navazesh, Mahvash can be contacted via phone (213) 740-1932.

Contact Information

Primary practice address
925 W 34Th St Ste 151 Los Angeles CA 90089-0641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 36508 California

Profile Details

NPI number 1891987913
LBN Legal business name Navazesh, Mahvash
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Dec 5th, 2011 - about 13 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 1891987913 NPPES
California Other ZZZ34010Z BLUE CROSS/BLUE SHIELD
California MEDICAID U0100701 BLUE CROSS/BLUE SHIELD
California MEDICAID G1011701 BLUE CROSS/BLUE SHIELD

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