| NPI | 1083011555 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2014-11-29 |
| Last Updated | 2014-11-29 |
| Mailing Address | 10933 Victory Blvd North Hollywood, CA 91606-3717 United States Phone: (818) 509-1818 📍 View Map |
| Primary Practice Address | 10933 Victory Blvd North Hollywood, CA 91606-3717 United States Phone: (818) 509-1818 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | CA | 64214 |
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About NPI 1083011555
Jessica Boudaie DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083011555. The primary specialty listed is Dentist. The provider is located in North Hollywood, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-11-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083011555?
NPI 1083011555 belongs to Jessica Boudaie DDS, a Dentist in North Hollywood, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083011555 active?
The current status of NPI 1083011555 in the NPPES registry is Active. The record was last updated on 2014-11-29.
What specialty is NPI 1083011555?
NPI 1083011555 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083011555?
You can verify NPI 1083011555 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083011555?
The primary practice address on file for NPI 1083011555 is 10933 Victory Blvd, North Hollywood, CA 91606-3717. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083011555 issued?
NPI 1083011555 was first issued (enumerated) on 2014-11-29. The NPPES record was last updated on 2014-11-29.
Practice Location Map
Jessica Boudaie is located at 10933 Victory Blvd, North Hollywood, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jessica Boudaie. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083011555. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 64214 | CA |