# WOODMAN MEDICAL & DENTAL CARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodman Medical & Dental Care Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194911206
- **Authorized official:** JAHANBAKHSH NOURI M.D (M.D)
- **Authorized official phone:** (818) 891-4455

## Contact information

- **Practice address:** 8725 WOODMAN AVE, ARLETA, CA 91331-6560
- **Practice address phone:** (818) 891-4455
- **Practice address fax:** (818) 891-5583
- **Mailing address:** 8725 WOODMAN AVE, ARLETA, CA 91331-6560
- **Mailing address phone:** (818) 891-4455
- **Mailing address fax:** (818) 891-5583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 08/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A534841 | — | CA |