# A. ALEX RAJABI, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PORTOLA DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760829469
- **Authorized official:** ABBAS RAJABI DDS (PRESIDENT)
- **Authorized official phone:** (949) 916-4500

## Contact information

- **Practice address:** 26730 TOWNE CENTRE DR STE 101, FOOTHILL RANCH, CA 92610-2857
- **Practice address phone:** (949) 916-4500
- **Practice address fax:** (949) 916-4544
- **Mailing address:** 26730 TOWNE CENTRE DR STE 101, FOOTHILL RANCH, CA 92610-2857
- **Mailing address phone:** (949) 916-4500
- **Mailing address fax:** (949) 916-4544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 48667 | CA | Yes |

## Other

- **Enumeration date:** 06/04/2013
- **Last updated:** 06/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12059-34346 | PERSONAL NPI | CA |