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

Farnam Ahmadi Moshtaghin

Individual provider Dentist · NPI 1972142040

Farnam Ahmadi Moshtaghin is a Dentist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

3870 Broad St Ste 1
San Luis Obispo, CA 93401-7172
Phone: (805) 214-4071
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 104741 (CA)

Record details

NPI number1972142040
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020

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