Individual
DR. ARJOMAND AVI MADADSHAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15501 SAN FERNANDO MISSION BLVD STE 104, MISSION HILLS, CA 91345-1364
(818) 365-8600
(818) 898-9984
Mailing address
15501 SAN FERNANDO MISSION BLVD STE 104, MISSION HILLS, CA 91345-1364
(818) 365-8600
(818) 898-9984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41950
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B41950-01
MEDI-CAL
CA
Enumeration date
04/02/2007
Last updated
07/08/2007
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