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

Kathy Mortazavi, DDS

Individual provider Dentist · NPI 1851532626

Kathy Mortazavi, DDS is a Dentist in Lake Forest, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

24401 Muirlands Blvd
Lake Forest, CA 92630-3948
Phone: (949) 257-5152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 54883 (CA)

Record details

NPI number1851532626
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 9, 2009
Last updated in NPPESDecember 25, 2010
Mailing address13 Highpoint, Trabuco Canyon, CA 92679-3419

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