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Licensing details for: 62906

Name: KOHAN, FARNAZ

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

5727 Beckford Ave
TARZANA CA 91356-1139
LOS ANGELES county
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Practice Location

13065 Victory Blvd
13065 Victory Plaza
NORTH HOLLYWOOD CA 91606-2925
LOS ANGELES county
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500 San Fernando Mission Blvd
SAN FERNANDO CA 91340-4061
LOS ANGELES county
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Issuance Date

August 28, 2013

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
2:49:46 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VICTORY PLAZA DENTAL GROUP DENTAL OFFICE OF FARNAZ KOHAN, INC

License/Registration Type: Fictitious Name Permit

License Number: 13250 Primary Status: Current - Active

Address :
13065 VICTORY BLVD.
NORTH HOLLYWOOD CA 91606
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF KOHAN & RODEF DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14457 Primary Status: Current - Active

Address :
500 SAN FERNANDO MISSION BLVD, STE 2
SAN FERNANDO CA 91340
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF KOHAN & RODEF DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14457 Primary Status: Current - Active

Address :
500 SAN FERNANDO MISSION BLVD, STE 2
SAN FERNANDO CA 91340
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & KOHAN OFFICE OF VAN NUYS INC.

License/Registration Type: Fictitious Name Permit

License Number: 16546 Primary Status: Current - Active

Address :
6822 VAN NUYS BOULEVARD
VAN NUYS CA 91405
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: VICTORY PLAZA DENTAL GROUP DENTAL OFFICE OF FARNAZ KOHAN, INC

License/Registration Type: Fictitious Name Permit

License Number: 13250 Primary Status: Current - Active

Address :
13065 VICTORY BLVD.
NORTH HOLLYWOOD CA 91606
LOS ANGELES COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: KOHAN, FARNAZ

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3065 Primary Status: Cancelled

Address :
13065 Victory Blvd
13065 Victory Blvd
NORTH HOLLYWOOD CA 91606-2925

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