Organization
NIMA EBRAHIMI, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA EBRAHIMI D.D.S. (OWNER)
(818) 404-7111
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD STE 1001, LOS ANGELES, CA 90025-6808
(310) 620-8140
Mailing address
11645 WILSHIRE BLVD STE 1001, LOS ANGELES, CA 90025-6808
(310) 620-8140
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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