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

Individual provider Dentist · NPI 1184351959

Dr. Jason Daniel Moghimi, DMD is a Dentist in Montebello, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2100 W Beverly Blvd
Montebello, CA 90640-3902
Phone: (323) 724-9536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 107612 (CA)

Record details

NPI number1184351959
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address715 Walden Dr, Beverly Hills, CA 90210-3110

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