Provider Demographics
NPI:1477905248
Name:HAMEDI-SANGSARI, ADRIEN ARASH (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIEN
Middle Name:ARASH
Last Name:HAMEDI-SANGSARI
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 1:23161 GAINFORD ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2727
Mailing Address - Country:US
Mailing Address - Phone:818-523-6403
Mailing Address - Fax:
Practice Address - Street 1:9942 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6419
Practice Address - Country:US
Practice Address - Phone:818-523-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1000371223X0400X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics