Individual provider · Type 1 NPI

Eliza S. Azad Shafa, RDH

Dental Hygienist · Beverly Hills, CA

NPI number 1154530160 Active

Practice location

8853 W Olympic Blvd
Beverly Hills, CA 90211-3605

Mailing address

1377 S Beverly Glen Blvd, #407
Los Angeles, CA 90024-5214

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X17638 (CA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1154530160

Eliza S. Azad Shafa, RDH's National Provider Identifier is 1154530160, issued on May 22, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Beverly Hills, CA. The record was last updated on Jul 8, 2007.