Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NOUSHIN FANI, DDS
Active Sole ProprietorDR. NOUSHIN FANI, DDS is a Periodontology healthcare provider located in VALLEY VILLAGE, California. NPI 1619066974 is currently active in the NPPES registry. Verify at CMS.
Periodontology · VALLEY VILLAGE, CA
Registration Details
- NPI Number
- 1619066974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2006 (19.885217695649 yrs)
- Last Updated
- Jul 8, 2007
- License
-
39149 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12660 RIVERSIDE DR STE 240VALLEY VILLAGE, CA, 916073431Browse CA providers · Browse ZIP 91607
- Phone
- 8187608973
- Fax
- 8187608972
- Primary Specialty
-
Periodontology
1223P0300X
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.