Active NPIIndividual providerSole proprietor

Maryam Afzali, DDS

Dentist, General Practice in San Diego, California

NPI Number1366818353
Practice location
16776 Bernardo Center Dr Ste 105, San Diego, CA 92128-2558
Fax
—
Last updated
August 13, 2015

Maryam Afzali is a Dentist, General Practice based in San Diego, CA. Maryam Afzali practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Maryam Afzali is 1366818353 and holds a License No. 39224 (CA). The current practice location address for Maryam Afzali is 16776 Bernardo Center Dr Ste 105, San Diego, CA 92128-2558 and can be reached out via phone at 858-485-0044.

Provider Profile Details

NPI Number
1366818353
Provider Name
Maryam Afzali
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
16776 Bernardo Center Dr Ste 105, San Diego, CA 92128-2558
Phone Number
858-485-0044
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 13, 2015
Last Update Date
August 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
16776 Bernardo Center Dr Ste 105
San Diego, CA 92128-2558
Zip
92128-2558
Phone Number
858-485-0044
San Diego, CA 92128Get directions →

Provider Business Mailing Address Details

Address
16776 Bernardo Center Dr Ste 105
San Diego, CA 92128-2558
City
San Diego
State
CA
Zip
92128-2558
Phone Number
858-485-0044

License Information

License Number (1)
39224
License State (1)
CA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
39224
License State (2)
CA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maryam Afzali, DDS?

The NPI number of Maryam Afzali, DDS is 1366818353. It was assigned on August 13, 2015 and is currently active in the NPPES registry.

What is the specialty of Maryam Afzali, DDS?

Maryam Afzali, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CA under license number 39224.

Where does Maryam Afzali, DDS practice?

The practice location is 16776 Bernardo Center Dr Ste 105, San Diego, CA 92128-2558. The office can be reached at 858-485-0044 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366818353 directly on the NPPES registry website.

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