Provider Demographics
NPI:1699343871
Name:ARJOMAND BIGDELI, SAEED
Entity type:Individual
Prefix:
First Name:SAEED
Middle Name:
Last Name:ARJOMAND BIGDELI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 VETERAN AVE APT 325
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4881
Mailing Address - Country:US
Mailing Address - Phone:424-268-6945
Mailing Address - Fax:
Practice Address - Street 1:3977 COCHRAN ST STE E
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2371
Practice Address - Country:US
Practice Address - Phone:805-583-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA108474122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program