Provider Demographics
NPI:1841161734
Name:S. BBRAHIMIAN, DDS INC.
Entity type:Organization
Organization Name:S. BBRAHIMIAN, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAHAB
Authorized Official - Middle Name:
Authorized Official - Last Name:EBRAHIMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-385-1999
Mailing Address - Street 1:13949 VENTURA BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423
Mailing Address - Country:US
Mailing Address - Phone:818-385-1947
Mailing Address - Fax:818-385-1988
Practice Address - Street 1:5632 PHILADELPHIA ST
Practice Address - Street 2:STE 303
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710
Practice Address - Country:US
Practice Address - Phone:818-802-3411
Practice Address - Fax:909-606-1450
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:S. EBRAHIMIAN, DDS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty