# KATAYOUN OMRANI, DDS A PROFESSIONAL DENTAL CORPORATION

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

## Provider details

- **NPI number:** 1396136974
- **Authorized official:** DR. KATAYOUN OMRANI DDS (PRESIDENT/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 422-4246

## Contact information

- **Practice address:** 11600 WILSHIRE BLVD STE 406, LOS ANGELES, CA 90025-1785
- **Practice address phone:** (310) 422-4246
- **Mailing address:** 11600 WILSHIRE BLVD STE 406, LOS ANGELES, CA 90025-1785
- **Mailing address phone:** (310) 422-4246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 45399 | CA | — |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 06/24/2025