Mohammad Khadiv
Dentist - General Practice • Wilmington, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mohammad Khadiv has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mohammad Khadiv was a registered Dentist - General Practice practicing in Wilmington, CA. Throughout an active medical career spanning 12 years, Mohammad Khadiv provided care at the practice location at 1610 N AVALON BLVD until profile deactivation on 2018-12-17.
Practice Location & Contact Primary Location
1610 N Avalon Blvd
Wilmington, CA 907441431
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Wilmington, CA
Practicing in Wilmington, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 17, 2018
NPI status registered as active in NPPES database
Registered at 1610 N AVALON BLVD, WILMINGTON, CA 907441431 (Tel: 3108353131)
Registered at PO BOX 3430, FULLERTON, CA 928343430 (Tel: 3108353131)
Recorded as MOHAMMAD KHADIV
Dentist (License #39885 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 3430
Fullerton, CA 928343430
Phone: 3108353131
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