Individual provider · Type 1 NPI

Gentille Javidzad

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1891425849 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (310) 500-0455 Map

Mailing address

1135 Carolyn Way
Beverly Hills, CA 90210-2212

Other practice locations

  • 1135 Carolyn Way, Beverly Hills, CA 90210-2212 · (310) 500-0455

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
General Practice Dentistry 1223G0001X109161 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891425849

Gentille Javidzad's National Provider Identifier is 1891425849, issued on Jun 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 4, 2023.