COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP (NPI# 1104346246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104346246 |
| Entity Type | Organization |
| Organization Name | COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP |
| Other Organization Name | CHILDREN'S DENTAL BUILDING |
| Practice Address |
11635 E South Street Artesia CA 90701-6630 |
| Mailing Address |
12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 |
| Practice Telephone | 5629244401 |
| Mailing Telephone | 3108209933 |
| Mailing Fax Number | 3108200408 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Authorized Official Name | MIGUEL REYES (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Telephone | 3108209933 |
| Is Organization Subpart | Y |
| Parent Organization Name | COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Dental Building | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026920 | Cohen Sedgh, Manavi & Pakravan Dental Corp | Dentist | 3027 W Florida Ave # P-1, Hemet, CA 92545-3617 | 2017-07-21 |
| 1295187474 | Cohen Sedgh, Manavi & Pakravan Dental Corp | Dentist | 30035 Haun Road, Menifee, CA 92584 | 2016-07-12 |
| 1528425980 | Cohen Sedgh, Manavi & Pakravan Dental Corp | Dentist | 3380 La Sierra Ave, Suite 108, Riverside, CA 92503-5271 | 2016-01-15 |
| Street Address |
11635 E SOUTH STREET |
| City | ARTESIA |
| State | CA |
| Zip Code | 90701-6630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
| 1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
| 1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
| 1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
| 1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
| 1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
| 1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
| 1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
| Find all providers in zip 90701 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655796 | George Xenakis, Dds, PC | Clinic/Center | 18102 Pioneer Blvd # 104-105, Artesia, CA 90701-3953 | 2015-07-29 |
| 1447497177 | Sj Summit Dental Inc | Clinic/Center | 17808 Pioneer Blvd, 110, Artesia, CA 90701-3954 | 2009-01-16 |
| 1093172116 | Anna Belle A. Cuyong, D.m.d., Inc. | Clinic/Center | 17510 Pioneer Blvd, Ste. 201, Artesia, CA 90701-4007 | 2016-01-20 |
| 1700277845 | Lee and Kim Dental Corporation | Clinic/Center | 17334 Pioneer Blvd, Artesia, CA 90701-2708 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| 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.