NPI 1073810784

Mulholland Dental Care

Organisation Health Maintenance Organization Woodland Hills, CA

Practice location

Address: 23305 Mulholland Dr STE # E, Woodland Hills, CA 91364-2704
Phone: (818) 222-5566
Mailing address: 23305 Mulholland Dr STE E, Woodland Hills, CA 91364-2731

Authorised official

Name: Babak Bobby Irani
Title: President
Phone: (818) 222-5566

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 48466 (CA)

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Registry record

NPI: 1073810784
Entity type: Organization
NPI issued: 15 Feb 2011
Record last updated: 15 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.