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JAMACK MOZAFFARI DDS, INC
NPI 1205136447
Clinic/Center - Dental in Reseda, CA

Active since October 21, 2010
7455 RESEDA BLVD STE F, RESEDA, CA 91335(818) 343-1654(818) 343-7606 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About JAMACK MOZAFFARI DDS, INC

This page provides the complete NPI Profile along with additional information for Jamack Mozaffari Dds, Inc, a provider established in Reseda, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1205136447 assigned on October 2010. The practitioner's primary taxonomy code is 261QD0000X with license number 55134 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Jamack Mozaffari Dds (Dentist)

NPI
1205136447 Verify this NPI
Provider Name
JAMACK MOZAFFARI DDS, INC
Entity Type
Organization
Location Address
7455 RESEDA BLVD STE F RESEDA, CA 91335
Location Phone
(818) 343-1654
Location Fax
(818) 343-7606
Mailing Address
7455 RESEDA BLVD STE F RESEDA, CA 91335
Mailing Phone
(818) 343-1654
Mailing Fax
(818) 343-7606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2010
Last Update Date
10-21-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
55134
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMACK MOZAFFARI DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(818) 343-1654

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Frequently Asked Questions

What is JAMACK MOZAFFARI DDS, INC's NPI number?

The NPI number assigned to this healthcare provider is 1205136447, enumerated as an "organization" on October 21, 2010.

Where is the provider located?

The provider is located at 7455 RESEDA BLVD STE F RESEDA, CA 91335 and the phone number is (818) 343-1654.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.