Dr. Mark Shahram Yafai
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
16661 Ventura Blvd Suite # 215
Encino
, California 91436-1914
Dr. Mark Shahram Yafai
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
16661 Ventura Blvd Suite # 215
Encino
, California 91436-1914
(310) 892-1969
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mark Shahram Yafai
- 16661 Ventura Blvd Suite # 215
- Encino, CA
- Zip : 91436-1914
- Phone : (310) 892-1969
Second Address
- Dr. Mark Shahram Yafai
- 16661 Ventura Blvd Suite # 215
- Encino, CA
- Zip : 91436-1914
- Phone : (310) 892-1969
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 50117 | CA |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 50117 | CA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | A104572 | CA |
National Provider Identifier
| NPI | 1215066329 |
|---|---|
| Provider Name | Dr. Mark Shahram Yafai |
| First Address | Encino, CA 91436-1914 |
| Second Address | Encino, CA 91436-1914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 18/01/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.