Individual provider · Type 1 NPI

Faraz Tavoossi, DDS

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

NPI number 1902392566 Active

Practice location

10833 Le Conte Ave, AO-156A Chs
Los Angeles, CA 90095

Call (310) 825-6510 Map

Fax (310) 206-4201

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1902392566

Faraz Tavoossi, DDS's National Provider Identifier is 1902392566, issued on Jul 6, 2018. 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 Aug 21, 2018.