H. REZA SHAHMOHAMMADI, A DENTAL CORPORATION
Ambulatory Health at Hamlin St, Van Nuys, CA

License number
California B4130701
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. LACEY HOWELL
Title: MANAGER
Phone: (818) 782-6919
Address
Address
14401 Hamlin St, Van Nuys, CA 91401
National Provider ID: 1700941655
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about H. REZA SHAHMOHAMMADI, A DENTAL CORPORATION at bizstanding.com

H. REZA SHAHMOHAMMADI, A DENTAL CORPORATION

Northridge, CA  -  Van Nuys, CA

Registration:
Mar 5, 1998
Addresses:
8540 Reseda Blvd, Northridge, CA 91324 (Physical)
14401 Hamlin St, Van Nuys, CA 91401
State ID:
C2028102
Business type:
Articles of Incorporation
Presidents:
Hamid Reza (President),Hamid Reza Shahmohammadi President, inactive

Ambulatory Health licenses in California










Other Doctors licenses in California