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Contact Information

SHAHRAM FOZOONMEHR, DDS
1455 CRENSHAW BLVD
#180
TORRANCE, CA90501-2438
 Phone: 310-328-0250
 Fax: 310-328-8651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SHAHRAM FOZOONMEHR · (Male)

NPI Number 1013071430
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/20/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 40819
  • CA Other 40819 DENTAL LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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