Provider Demographics
NPI:1962202010
Name:ELITE HYGIENE CARE
Entity type:Organization
Organization Name:ELITE HYGIENE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFALIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:310-801-4050
Mailing Address - Street 1:10907 WEYBURN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2808
Mailing Address - Country:US
Mailing Address - Phone:310-801-4050
Mailing Address - Fax:
Practice Address - Street 1:10907 WEYBURN AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2808
Practice Address - Country:US
Practice Address - Phone:310-801-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty