Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alireza

Organization Periodontics · NPI 1588723951

Alireza is a Periodontics in Poway, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

13422 Pomerado Rd Ste 202
Poway, CA 92064-3548
Phone: (858) 679-0142
Fax: (858) 679-0165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (CA)

Record details

NPI number1588723951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alireza Khansari — Periodontist · (858) 679-0142
NPI enumeratedDecember 8, 2006
Last updated in NPPESFebruary 22, 2010
Mailing addressPo Box 1334, Poway, CA 92074-1334

Other providers in Poway