KHASHAYAR KHODADADI DDS INC


Address: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061
Phone: 3238340100

KHASHAYAR KHODADADI DDS INC (NPI# 1003033556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003033556
Entity Type Organization
Organization Name KHASHAYAR KHODADADI DDS INC
Practice Address 11900 S. Avalon Blvd.
Suite 101
Los Angeles
CA 90061
Practice Telephone 3238340100
Practice Fax Number 3238340101
Mailing Telephone 3238340100
Mailing Fax Number 3238340101
Enumeration Date 2007-04-19
Last Update Date 2010-06-14
Authorized Official Name DR. KHASHAYAR KHODADADI (PRESIDENT)
Authorized Official Telephone 3238340100
Authorized Official Credential D.D.S
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
43026 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DENTI-CAL PROVIDER NUMBER G93919-01 01

Office Location

Street Address 11900 S. AVALON BLVD.
SUITE 101
City LOS ANGELES
State CA
Zip Code 90061

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598892184 Jose Rodriguez Counselor 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 2007-02-28
1083743926 Khashayar Khodadadi Dentist 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061-2837 2007-03-05
1881722577 Summer Neal Counselor 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 2007-03-02
1114054731 Kristeen Franceen Esquibel Counselor 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 2007-02-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447882782 Golden State Recuperative Care, Inc. Lodging 153 E. 110th St, Los Angeles, CA 90061 2020-02-05
1235695974 Phyllis Kirby Tisdale Nurse Practitioner 145 E 124th Street, Los Angeles, CA 90061 2019-02-19
1003160003 Alicia Vera Counselor 245 E 120th Street, Los Angeles, CA 90061 2012-10-30
1194044974 Helping Kids To Recover, Inc. Substance Abuse Rehabilitation Facility 12628 Avalon Boulevard, Los Angeles, CA 90061 2010-05-19
1124202817 David Anthony Martinez Counselor 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 2007-12-18
1255538690 Ceed Security Services Inc Durable Medical Equipment & Medical Supplies 12815 South Avalon Blvd, Los Angeles, CA 90061 2007-06-29
1134335128 Parklane Medical Group Family Medicine 12900 South Avalon Bl., Los Angeles, CA 90061 2007-05-15
1316182975 Luis Rabago Counselor 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061 2008-12-11
1619169406 Emmanuel A Ayodele General Practice 11126 S Main St, Los Angeles, CA 90061 2007-08-15
1184093007 Carlos Anibal Padilla Jr. Driver 337 W 131st St, Los Angeles, CA 90061-1103 2015-09-22
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295349082 Reza Mehr Dentist 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 2020-08-31
1396355590 Kamyar Moradian Dentist 9201 Venice Blvd, Los Angeles, CA 90034-3324 2020-08-04
1669096160 Leora H Sheily Dds PC Dentist 4852 Melrose Ave, Los Angeles, CA 90029-3736 2020-06-01
1013539535 Smit Dangaria Dds Phd Inc Dentist 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 2020-05-07
1912530585 Sara Bahri Sabokpey Dentist 2001 Stradella Rd, Los Angeles, CA 90077-2322 2020-02-21
1518504497 Jonathan Dye Dentist 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 2019-12-10
1972147940 Catherine Margary Cuaco Begazo Dentist 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 2019-11-03
1386285427 Jefferson Dental Corporation Dentist 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 2019-09-30
1043868698 Semyon Segal Dentist 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 2019-08-27
1144875592 Jay Singh Dentist 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 2019-08-02
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90061

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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