Provider Demographics
NPI:1861906307
Name:MAJIDI, ARMAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ARMAN
Middle Name:
Last Name:MAJIDI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1938
Mailing Address - Country:US
Mailing Address - Phone:619-699-9008
Mailing Address - Fax:619-295-1574
Practice Address - Street 1:718 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1938
Practice Address - Country:US
Practice Address - Phone:619-699-9008
Practice Address - Fax:619-295-1574
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7010122300000X
CADDS102085122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1861906307Medicaid