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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK SHAHRAM YAFAI, DDS, MD

Active Sole Proprietor

DR. MARK SHAHRAM YAFAI, DDS, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in ENCINO, California. NPI 1215066329 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · ENCINO, CA

Registration Details

NPI Number
1215066329
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2007 (19.435417165131 yrs)
Last Updated
Jan 18, 2011
Licenses
50117 (CA)
50117 (CA)
A104572 (CA)
Sole Proprietor
Yes

Practice Information

Address
16661 VENTURA BLVD
SUITE # 215
ENCINO, CA, 914361914
Browse CA providers · Browse ZIP 91436
Phone
3108921969
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.