Individual provider · Type 1 NPI
Boshra Sophia Iravani, DDS
Dental Anesthesiology · Los Angeles, CA
Practice location
2880 W Olympic Blvd
Los Angeles, CA 90006-2644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Dental Anesthesiology Primary | 1223D0004X | GA1968 (CA) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
2 other providers at this address
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- Steven Isaac Ganzberg, DMDDental Anesthesiology Los Angeles, CA NPI 1265509921
- James William Tom, DDSDental Anesthesiology Los Angeles, CA NPI 1629287131
- Amanda Jo Okundaye, DDSDental Anesthesiology Los Angeles, CA NPI 1700044781
- Richard Stafford, DDSDental Anesthesiology Los Angeles, CA NPI 1740715051
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- Leonard Wayne Naftalin, DDSDental Anesthesiology Los Angeles, CA NPI 1861612020
About NPI 1487033619
Boshra Sophia Iravani, DDS's National Provider Identifier is 1487033619, issued on May 20, 2015. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 15, 2024.