Dr. Shiva Roghani
Pediatric Dentist
13420 Newport Ave Suite B
Tustin
, California 92780-3745
Dr. Shiva Roghani
Pediatric Dentist
13420 Newport Ave Suite B
Tustin
, California 92780-3745
(714) 832-1343
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Shiva Roghani
- 13420 Newport Ave Suite B
- Tustin, CA
- Zip : 92780-3745
- Phone : (714) 832-1343
Second Address
- Dr. Shiva Roghani
- 13420 Newport Ave Suite B
- Tustin, CA
- Zip : 92780-3745
- Phone : (714) 832-1343
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 42766 | CA |
National Provider Identifier
| NPI | 1083803183 |
|---|---|
| Provider Name | Dr. Shiva Roghani |
| First Address | Tustin, CA 92780-3745 |
| Second Address | Tustin, CA 92780-3745 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2007 |
| Last Update Date | 17/08/2011 |
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.