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Dr. Kourosh Dianatyazdi

Dentist - General Practice Oral and Maxillofacial Surgeon

77564 Country Club Dr Suite 350
Palm Desert , California 92211-0484

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Dr. Kourosh Dianatyazdi

Dentist - General Practice Oral and Maxillofacial Surgeon

77564 Country Club Dr Suite 350
Palm Desert , California 92211-0484

(760) 772-7085

Write a Review Save Call

Dr. Kourosh Dianatyazdi

Dentist - General Practice Oral and Maxillofacial Surgeon

77564 Country Club Dr Suite 350
Palm Desert , California 92211-0484

(760) 772-7085 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • General Practice
  • Oral and Maxillofacial Surgeon

Languages spoken

  • English

Location

77564 Country Club Dr Suite 350 Palm Desert , California 92211-0484

First Address

  • Dr. Kourosh Dianatyazdi
  • 77564 Country Club Dr Suite 350
  • Palm Desert, CA
  • Zip : 92211-0484
  • Fax : (760) 772-7085
  • Phone : (760) 772-7082

Second Address

  • Dr. Kourosh Dianatyazdi
  • 77564 Country Club Dr Suite 350
  • Palm Desert, CA
  • Zip : 92211-0484
  • Fax : (760) 772-7085
  • Phone : (760) 772-7082

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FAQs


Where did Dr. Kourosh Dianatyazdi attend graduate school?

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Where did Dr. Kourosh Dianatyazdi do his residency?

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Where did Dr. Kourosh Dianatyazdi do his fellowship?

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Is Dr. Kourosh Dianatyazdi board certified?

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What type of doctor is Dr. Kourosh Dianatyazdi

Dentist - General Practice

In what state does Dr. Kourosh Dianatyazdi practice in?

California

Where is Dr. Kourosh Dianatyazdi ’s practice located?

77564 Country Club Dr Suite 350 , Palm Desert, California, 92211-0484

What is Dr. Kourosh Dianatyazdi ’s gender?

Male

Is Dr. Kourosh Dianatyazdi a sole practitioner?

No

Is Dr. Kourosh Dianatyazdi accepting new patients?

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What languages does Dr. Kourosh Dianatyazdi speak?

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Does Dr. Kourosh Dianatyazdi accept insurance?

Yes, Dr. Kourosh Dianatyazdi accepts insurance

Does Dr. Kourosh Dianatyazdi offers telemedicine?

Dr. Kourosh Dianatyazdi has not indicated if he offers telemedicine

What is Dr. Kourosh Dianatyazdi ’s professional license number?

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What is Dr. Kourosh Dianatyazdi ’s NPI number?

1033205026

Does Dr. Kourosh Dianatyazdi have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223G0001X General Practice 50457 CA
Y 213EG0000X General Practice 50457 CA
N 1223S0112X Oral and Maxillofacial Surgeon 50457 CA

National Provider Identifier

NPI 1033205026
Provider Name Dr. Kourosh Dianatyazdi
First Address Palm Desert, CA 92211-0484
Second Address Palm Desert, CA 92211-0484
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 05/10/2006
Last Update Date 14/04/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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