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Contact Information

A. M. ASHTIANI, A PROFESSIONAL CORPORATION
30 W EL ROSE DR
PETALUMA, CA94952-7525
 Phone: 707-789-9399
 Fax: 707-789-9199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for A. M. ASHTIANI, A PROFESSIONAL CORPORATION

NPI # 1164612446
LBN Legal business name A. M. ASHTIANI, A PROFESSIONAL CORPORATION
Authorized official ANDY ASHTIANI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2007
Last updated 03/21/2012 - About 14 years ago
Identifiers
CA License # 38081
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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