Farnam Ahmadi Moshtaghin
Dentist in San Luis Obispo, California
1972142040- Practice location
- 3870 Broad St Ste 1, San Luis Obispo, CA 93401-7172
- Phone
- 805-214-4071
- Fax
- —
- Last updated
- January 6, 2020
Farnam Ahmadi Moshtaghin is a Dentist based in San Luis Obispo, CA. Farnam Ahmadi Moshtaghin practices in San Luis Obispo, CA. The NPI Number for Farnam Ahmadi Moshtaghin is 1972142040 and holds a License No. 104741 (CA). The current practice location address for Farnam Ahmadi Moshtaghin is 3870 Broad St Ste 1, San Luis Obispo, CA 93401-7172 and can be reached out via phone at 805-214-4071.
Provider Profile Details
- NPI Number
- 1972142040
- Provider Name
- Farnam Ahmadi Moshtaghin
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3870 Broad St Ste 1, San Luis Obispo, CA 93401-7172
- Phone Number
- 805-214-4071
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 6, 2020
- Last Update Date
- January 6, 2020
- Certification Date
- January 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3870 Broad St Ste 1
San Luis Obispo, CA 93401-7172 - City
- San Luis Obispo
- State
- California
- Zip
- 93401-7172
- Phone Number
- 805-214-4071
Provider Business Mailing Address Details
- Address
- 17145 SW Oak St
Beaverton, OR 97007-3920 - City
- Beaverton
- State
- OR
- Zip
- 97007-3920
- Phone Number
- 503-962-9182
License Information
- License Number
- 104741
- License State
- CA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near San Luis Obispo, CA
View all Dentists in San Luis Obispo →Frequently Asked Questions
What is the NPI number of Farnam Ahmadi Moshtaghin?
The NPI number of Farnam Ahmadi Moshtaghin is 1972142040. It was assigned on January 6, 2020 and is currently active in the NPPES registry.
What is the specialty of Farnam Ahmadi Moshtaghin?
Farnam Ahmadi Moshtaghin is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 104741.
Where does Farnam Ahmadi Moshtaghin practice?
The practice location is 3870 Broad St Ste 1, San Luis Obispo, CA 93401-7172. The office can be reached at 805-214-4071 (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 1972142040 directly on the NPPES registry website.