Provider Demographics
NPI:1447320338
Name:ZARRINNAM, SHAHRZAD (DDS)
Entity type:Individual
Prefix:
First Name:SHAHRZAD
Middle Name:
Last Name:ZARRINNAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8035 W. MANCHESTER AVE. STE. B
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293
Mailing Address - Country:US
Mailing Address - Phone:310-822-8118
Mailing Address - Fax:310-821-9276
Practice Address - Street 1:8035 W. MANCHESTER AVE. STE. B
Practice Address - Street 2:
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293
Practice Address - Country:US
Practice Address - Phone:310-822-8118
Practice Address - Fax:310-821-9276
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice