ALI KHOSROVANI DDS INC (NPI# 1336383843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336383843 |
| Entity Type | Organization |
| Organization Name | ALI KHOSROVANI DDS INC |
| Other Organization Name | A BRITER SMILE DENTAL GROUP |
| Practice Address |
4905 York Blvd Los Angeles CA 90042-1609 |
| Practice Telephone | 3232558774 |
| Practice Fax Number | 3232556259 |
| Mailing Telephone | 3232558774 |
| Mailing Fax Number | 3232556259 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | ALI M KHOSROVANI (OWNER DENTIST) |
| Authorized Official Telephone | 3232558774 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
56085 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| A Briter Smile Dental Group | Doing Business As Name - Organization |
| Street Address |
4905 YORK BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90042-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720275217 | Ali M Khosrovani | Dentist | 4905 York Blvd, Los Angeles, CA 90042-2022 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140432 | Oak and Stone Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5619 North Figueroa Street, #212, Los Angeles, CA 90042 | 2019-12-04 |
| 1730640624 | Maria Guadalupe Bykowski | Nurse Practitioner | Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 | 2019-03-25 |
| 1366935892 | Chris Scott | Physical Therapist | 4295 Via Arbolada #103, Los Angeles, CA 90042 | 2018-06-09 |
| 1043744055 | Magdalene Elise Wilhelm | Counselor | 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 | 2017-04-17 |
| 1669918967 | Sara Semal | Counselor | 5140 1/2 York Blvd, Los Angeles, CA 90042 | 2017-01-10 |
| 1164977427 | Jennifer Ann Walters | Marriage & Family Therapist | 4809 York Blvd, Los Angeles, CA 90042 | 2016-08-16 |
| 1073922415 | Michael Gerald Bauer | Marriage & Family Therapist | 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 | 2014-08-11 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1730480682 | Stat Response Ambulance, Inc. | Secured Medical Transport (VAN) | 4750 York Blvd., Los Angeles, CA 90042 | 2010-11-09 |
| 1427295377 | Carmen Castellon | Dental Assistant | 5807 M Figueroa St, Los Angeles, CA 90042 | 2009-01-14 |
| Find all providers in zip 90042 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417584186 | Nam Dental Corporation | Clinic/Center | 3663 W 6th St Ste 300, Los Angeles, CA 90020-3050 | 2020-03-24 |
| 1487294948 | Ebi Nikjoo Dds Inc | Clinic/Center | 10921 Wilshire Blvd Ste 601, Los Angeles, CA 90024-4003 | 2020-01-13 |
| 1548800576 | City Terrace Dental | Clinic/Center | 3604 E 1st St, Los Angeles, CA 90063-2326 | 2020-01-07 |
| 1801434196 | City Terrace Dental | Clinic/Center | 2407 N Broadway, Los Angeles, CA 90031-2218 | 2019-12-17 |
| 1437793445 | Baag, Lee & Chung Dental Corp. | Clinic/Center | 3224 W Olympic Blvd # 201, Los Angeles, CA 90006-2317 | 2019-11-01 |
| 1992348866 | Coleman Dental Associates Ca, A Dental Corporation | Clinic/Center | 221 Westwood Plaza Suite 211, Los Angeles, CA 90095-0001 | 2019-10-23 |
| 1427690825 | Pedram Sooferi Dds, Inc | Clinic/Center | 8930 S Sepulveda Blvd Ste 118, Los Angeles, CA 90045-3606 | 2019-10-17 |
| 1841846433 | P.sionat Dental Corp. | Clinic/Center | 1800 W 6th St Ste 2, Los Angeles, CA 90057-3139 | 2019-08-10 |
| 1326691320 | Linda B. Chen, Dds | Clinic/Center | 10814 Jefferson Blvd Ste G, Los Angeles, CA 90230-4988 | 2019-07-18 |
| 1912487372 | Donna Lieu Dds Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 1109, Los Angeles, CA 90048-5812 | 2018-08-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90042 |
Please comment or provide details below to improve the information on ALI KHOSROVANI DDS INC.
| 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.