MORI KHATIBZADEH DDS INC. – NPI #1548782923
Clinic/Center

MORI KHATIBZADEH DDS INC. is an AHC clinic located in SAN DIEGO, CA. NPPES has assigned the NPI number 1548782923 to MORI KHATIBZADEH DDS INC. on July 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MORI KHATIBZADEH DDS INC. is also known by the name BLUE MOUNTAIN DENTISTRY. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MORI KHATIBZADEH DDS INC. below.

NPI Profile for
MORI KHATIBZADEH DDS INC.

NPI Number
1548782923
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MORI KHATIBZADEH DDS INC.
Other Name: BLUE MOUNTAIN DENTISTRY
Primary location
6171 MISSION GORGE ROAD
SUITE #114
SAN DIEGO, CA 92120
Phone: (858) 617-9051 Fax:
Mailing address
6171 MISSION GORGE RD STE 114
SAN DIEGO, CA 92120-3409
Phone: Fax:
Organization Subpart
No
Authorized Official
MORTEZA KHATIBZAD
DENTIST
Phone: (858) 617-9051
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CA 55489

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.