# ALIREZA MOVASSAGHI DDS INC

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

## Provider details

- **NPI number:** 1497966212
- **Authorized official:** DR. ALIREZA MOVASSAGHI DDS (DENTIST)
- **Authorized official phone:** (213) 383-3314

## Contact information

- **Practice address:** 811 S ALVARADO ST, LOS ANGELES, CA 90057-4009
- **Practice address phone:** (213) 383-3314
- **Mailing address:** 811 S ALVARADO ST, LOS ANGELES, CA 90057-4009
- **Mailing address phone:** (213) 383-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 39189 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1902903909 | 1 | CA |