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.
Organization
MORI KHATIBZADEH DDS INC.
Active
Organization
MORI KHATIBZADEH DDS INC.
Active
Other names
Blue Mountain Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MORTEZA KHATIBZAD DDS (DENTIST)
(858) 617-9051
Entity
Organization
Contact information
Practice address
6171 MISSION GORGE ROAD, SUITE #114, SAN DIEGO, CA 92120
(858) 617-9051
Mailing address
6171 MISSION GORGE RD STE 114, SAN DIEGO, CA 92120-3409
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
55489
CA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up