| Nima Ebrahimi, D.d.s., Inc. | |
|
11645 Wilshire Blvd Ste 1001 Los Angeles CA 90025-6808 | |
| (310) 620-8140 | |
| Not Available |
| Full Name | Nima Ebrahimi, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11645 Wilshire Blvd Ste 1001, Los Angeles, California |
| Authorized Official Name and Position | Nima Ebrahimi (OWNER) |
| Authorized Official Contact | 8184047111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nima Ebrahimi, D.d.s., Inc. 11645 Wilshire Blvd Ste 1001 Los Angeles CA 90025-6808 Ph: (310) 620-8140 | Nima Ebrahimi, D.d.s., Inc. 11645 Wilshire Blvd Ste 1001 Los Angeles CA 90025-6808 Ph: (310) 620-8140 |
| NPI Number | 1013658210 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013658210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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