Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FARNOUSH FADAVI, D.M.D.
Active Sole ProprietorFARNOUSH FADAVI, D.M.D. is a Endodontics healthcare provider located in SEAL BEACH, California. NPI 1376675504 is currently active in the NPPES registry. Verify at CMS.
Endodontics · SEAL BEACH, CA
Registration Details
- NPI Number
- 1376675504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2007 (19.454626308558 yrs)
- Last Updated
- Apr 9, 2019
- License
-
45855 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13001 SEAL BEACH BLVD STE 310SEAL BEACH, CA, 907402757Browse CA providers · Browse ZIP 90740
- Phone
- 5624311920
- Fax
- 5624316134
- Primary Specialty
-
Endodontics
1223E0200X
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.