DR. NOUSHIN FANI


Address: 12660 Riverside Dr Ste 240, Valley Village, CA 91607-3431
Phone: 8187608973

DR. NOUSHIN FANI (NPI# 1619066974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619066974
Entity Type Individual
Full Name DR. NOUSHIN FANI
Credential DDS
Practice Address 12660 Riverside Dr Ste 240
Valley Village
CA 91607-3431
Practice Telephone 8187608973
Practice Fax Number 8187608972
Mailing Telephone 8187608973
Mailing Fax Number 8187608972
Enumeration Date 2006-10-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
39149 CA Dental Providers

Office Location

Street Address 12660 RIVERSIDE DR STE 240
City VALLEY VILLAGE
State CA
Zip Code 91607-3431

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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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1093325722 Sergio Florencio Jr, Dds, Dmsc, Inc Dentist 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 2020-08-06
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1063057008 Robert Lacrampe Dentist 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 2019-11-13
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Competitor

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City VALLEY VILLAGE
Zip Code 91607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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