Provider Demographics
NPI:1861938268
Name:ZINABADI DDS INC
Entity type:Organization
Organization Name:ZINABADI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVAND
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINABADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-312-1892
Mailing Address - Street 1:23823 EL TORO RD
Mailing Address - Street 2:E122
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23823 EL TORO RD
Practice Address - Street 2:E122
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4743
Practice Address - Country:US
Practice Address - Phone:949-855-9212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty