| Organization Name: | HOUMAN RAHNAMA DDS, INC |
| NPI Number: | 1013066687 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOUMAN RAHNAMA (PRESIDENT) |
| Mailing Address: | 28940 Golden Lantern #h Laguna Niguel |
| State: | CA US |
| Postal Code: | 926771500 |
| Phone Number: | 9493632010 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 04/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 40979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |