Individual
DR. MAHVASH NAVAZESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
925 W 34TH ST STE 151, LOS ANGELES, CA 90089-0641
(213) 740-1932
Mailing address
925 W 34TH ST STE 151, LOS ANGELES, CA 90089-0641
(213) 740-1932
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
36508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G1011701
—
CA
05
—
U0100701
—
CA
01
—
ZZZ34010Z
BLUE CROSS/BLUE SHIELD
CA
Enumeration date
08/13/2007
Last updated
12/05/2011
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