Individual provider · Type 1 NPI

Shahab Parsa

Orthodontics and Dentofacial Orthopedics Dentistry · Los Angeles, CA

NPI number 1932504503 Active

Practice location

12420 Venice Blvd
Los Angeles, CA 90066-3840

Mailing address

13273 Fiji Way Apt 432
Marina Del Rey, CA 90292-7096

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.029967 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDDS101386 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1932504503

Shahab Parsa's National Provider Identifier is 1932504503, issued on Oct 25, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.