| Shawn Rabizadeh Dds Inc. | |
|
21601 Vanowen St. #100 Canoga Park CA 91303-2752 | |
| (818) 887-0260 | |
| (818) 716-3122 |
| Full Name | Shawn Rabizadeh Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 21601 Vanowen St., Canoga Park, California |
| Authorized Official Name and Position | Shawn Rabizadeh (PRES) |
| Authorized Official Contact | 8188870260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Rabizadeh Dds Inc. 21601 Vanowen St. #100 Canoga Park CA 91303-2752 Ph: (818) 887-0260 | Shawn Rabizadeh Dds Inc. 21601 Vanowen St. #100 Canoga Park CA 91303-2752 Ph: (818) 887-0260 |
| NPI Number | 1346303542 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346303542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46324 (California) | Secondary |
| 122300000X | Dentist | (California) | Primary |
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