Provider Demographics
NPI:1205934346
Name:RAJABI, ABBAS (DDS)
Entity type:Individual
Prefix:
First Name:ABBAS
Middle Name:
Last Name:RAJABI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26700 TOWNE CENTRE DR STE 260
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2846
Mailing Address - Country:US
Mailing Address - Phone:949-916-4500
Mailing Address - Fax:949-916-4544
Practice Address - Street 1:26700 TOWNE CENTRE DR STE 260
Practice Address - Street 2:
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610-2846
Practice Address - Country:US
Practice Address - Phone:949-916-4500
Practice Address - Fax:949-916-4544
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48667122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG92742-01OtherDENTI-CAL PROVIDER NUMBER