Dental Board of California
Licensing details for: 17708
Name: ORAL MEDICINE & PATHOLOGY CENTER DENTAL GROUP OF SEDGHIZADEH, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SEDGHIZADEH, PARISH PAYMON
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALIREZAEI, RAMBOD ROBBY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHODADADI, SOHEIL
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: ALIREZAEI, RAMBOD ROBBY
License/Registration Type: Dentist License
License Number: 48872 Primary Status: Current - Active
Address :
11633 San Vicente Blvd Ste 210
LOS ANGELES CA 90049-6513
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: KHODADADI, SOHEIL
License/Registration Type: Dentist License
License Number: 39024 Primary Status: Current - Active
Address :
8500 Wilshire Blvd
SUITE 527
BEVERLY HILLS CA 90211-3121
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: SEDGHIZADEH, PARISH PAYMON
License/Registration Type: Dentist License
License Number: 48677 Primary Status: Current - Active
Address :
9201 W Sunset Blvd
# 903
WEST HOLLYWOOD CA 90069-3701
LOS ANGELES COUNTY
