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

Maryam Khoroushi

Individual provider Dentist · NPI 1053201798

Maryam Khoroushi is a Dentist in Fresno, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

4340 E Jensen Avenue Fresno Ca 93725
Fresno, CA 93725
Phone: (800) 492-4227
Fax: (559) 646-6906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 112410 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053201798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 4, 2025
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address4340 East Jensen Avenue, Fresno, Ca, Fresno, CA 93725

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