KOUSHAN AZAD DENTAL CORPOPRATION
NPI 1477030351
Clinic/Center - Dental in San Luis Obispo, CA
About Koushan Azad Dental Corpopration NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOUSHAN AZAD DENTAL CORPOPRATION (NPI 1477030351) is a healthcare organization registered as a dental in San Luis Obispo, California and active in the NPI registry since July 2018. The organization lists Koushan Azad, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN LUIS OBISPO, CA 93401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Koushan Azad Dental Corpopration's NPI number?
The NPI number for Koushan Azad Dental Corpopration is 1477030351. It was assigned to this organization in the NPPES registry on July 24, 2018.
Where is Koushan Azad Dental Corpopration located?
Koushan Azad Dental Corpopration is located at 3870 Broad St Ste 1, San Luis Obispo, CA 93401. The listed phone number is (630) 624-5788.
What is Koushan Azad Dental Corpopration's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
What insurance does Koushan Azad Dental Corpopration accept?
Health plans from UnitedHealthcare list Koushan Azad Dental Corpopration as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Koushan Azad Dental Corpopration was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Koushan Azad Dental Corpopration · NPI 1477030351
Dental organization in San Luis Obispo, California. Organization record, active in the CMS NPPES registry since July 24, 2018.
## Identity
- **NPI:** 1477030351 (Entity type: Organization)
- **Enumerated:** July 24, 2018
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Koushan Azad, OWNER
## Practice location
- **Address:** 3870 BROAD ST STE 1, San Luis Obispo, CA 93401-7172
- **Phone:** (630) 624-5788
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477030351) · Data from the CMS NPPES public registry.