Hossein Edalat, D.D.S

Dentist · San Clemente, CA

Individual Active NPI

NPI number 1760796023

Practice location

130 Avenida Cabrillo Ste B
San Clemente, CA 92672-5509
Phone
(949) 409-4080

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NPI record

NPI
1760796023
Entity type
Individual (Type 1)
Enumeration date
July 28, 2010
Last updated
September 9, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 57231 CA

About Dr. Edalat

Hossein Edalat, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 130 Avenida Cabrillo Ste B, San Clemente, CA 92672-5509. The NPI number 1760796023 was assigned on July 28, 2010 and the record was last updated on September 9, 2019.

Dr. Edalat lists a license in the registry: #57231 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Hossein Edalat, D.D.S?

The NPI number is 1760796023.

What is the phone number of Dr. Edalat?

The phone number listed for the practice location is (949) 409-4080.

Where is Dr. Edalat located?

130 Avenida Cabrillo Ste B, San Clemente, CA 92672-5509.

What is the taxonomy code for Dr. Edalat?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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