DR. SOUDABEH MOAYEDGHYASY D.M.D
NPI 1760629539
Dentist - General Practice in Lake Forest, CA

Active since January 15, 2009
22855 LAKE FOREST DR, SUITE B, LAKE FOREST, CA 92630(949) 583-1558(949) 597-9768 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Soudabeh Moayedghyasy D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOUDABEH MOAYEDGHYASY D.M.D (NPI 1760629539) is an individual general practice provider in Lake Forest, California, licensed in California (37880) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1760629539
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SOUDABEH MOAYEDGHYASYCredential: D.M.D
Location Address22855 LAKE FOREST DR, SUITE BLake Forest, CA 92630-1656
Mailing Address22855 Lake Forest Dr, Suite BLake Forest, CA 92630-1656 · (949) 583-1558 · Fax (949) 597-9768
Fax(949) 597-9768
Sole ProprietorYes
Enumeration DateJanuary 15, 2009
NPI 1760629539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 37880
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
22855 LAKE FOREST DR, Lake Forest, CA 92630

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
22855 LAKE FOREST DR, SUITE A
LAKE FOREST, CA 92630
Family Medicine
22855 LAKE FOREST DR, # A
LAKE FOREST, CA 92630
Dentist (General Practice)
22855 LAKE FOREST DR, SUITE B
LAKE FOREST, CA 92630
Internal Medicine
22855 LAKE FOREST DR
LAKE FOREST, CA 92630
Physical Therapist
22855 LAKE FOREST DR, SUITE A
LAKE FOREST, CA 92630
Dentist
22855 LAKE FOREST DR, SUITE B
LAKE FOREST, CA 92630
Clinic/Center (Urgent Care)
22855 LAKE FOREST DR
LAKE FOREST, CA 92630
Dentist (General Practice)
22855 LAKE FOREST DR, SUITE #B
LAKE FOREST, CA 92630

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 Soudabeh Moayedghyasy's NPI number?

The NPI number for Soudabeh Moayedghyasy is 1760629539. It was assigned to this individual provider in the NPPES registry on January 15, 2009.

Where is Soudabeh Moayedghyasy located?

Soudabeh Moayedghyasy practices at 22855 Lake Forest Dr Suite B, Lake Forest, CA 92630. The listed phone number is (949) 583-1558.

What is Soudabeh Moayedghyasy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Soudabeh Moayedghyasy was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.