| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIYAN MEHDIZADEH | 1477806958 | 2024-01-06 |
Kiyan Mehdizadeh is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477806958. Registration indicates Kiyan Mehdizadeh is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Kiyan Mehdizadeh DMD |
| Practice Office Address | 9460 WILSHIRE BLVD STE 850 BEVERLY HILLS, CA US |
| Practice Office Telephone | 8585979844 |
| Mailing Address | 9460 WILSHIRE BLVD STE 850 BEVERLY HILLS, CA 902122729 US |
| Business Telephone | 3107703335 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 9460 Wilshire Blvd Ste 850 | Beverly Hills, CA 902122729 | 8585979844 |
| 4520 Executive Dr Ste 340 | San Diego, CA 921213020 | 8585979844 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 62000
CA |