# E. BENJI BEHROOZAN DDS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225346919
- **Authorized official:** DR. EHTERAM BENJI BEHROOZAN DDS (OWNER)
- **Authorized official phone:** (323) 463-7252

## Contact information

- **Practice address:** 5255 W SUNSET BLVD, LOS ANGELES, CA 90027-5716
- **Practice address phone:** (323) 463-7252
- **Practice address fax:** (323) 463-5622
- **Mailing address:** 5255 W SUNSET BLVD, LOS ANGELES, CA 90027-5716
- **Mailing address phone:** (323) 463-7252
- **Mailing address fax:** (323) 463-5622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 31568 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010