Provider Demographics
NPI:1174132013
Name:SEPAND H HOKMABADI DDS INC
Entity type:Organization
Organization Name:SEPAND H HOKMABADI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-907-4440
Mailing Address - Street 1:1396 SOLANO AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1832
Mailing Address - Country:US
Mailing Address - Phone:510-907-4440
Mailing Address - Fax:510-587-9977
Practice Address - Street 1:1396 SOLANO AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1832
Practice Address - Country:US
Practice Address - Phone:510-525-5510
Practice Address - Fax:510-587-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental